Specular Microscopic Changes in Corneal Endothelium after Cataract Surgery in different Age Group
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 1
Abstract
Introduction: Specular microscopy is used to view and record non-invasively the image of the corneal endothelial cell layer. Aim: Study was undertaken to document the effect of cataract surgery on specular microscopic corneal status of patients in different age group. Material and Methods: Four hundred fifty seven patients were included in this study, the patients who underwent cataract surgery. The patients were examined before surgery & after 6 weeks of surgery on follow up visits. Corneal endothelial examination was done with non-contact Specular Microscope (TopconSP- 2000P) after detailed ocular examination. Results: Cell loss after surgical trauma was seen in older age group (Table 11). Proportional Hexagonality analysis showed that the age groups 71-80 and > 80 years had more proportional Hexagonality change (Table 14).Proportional change analysis of mean Average Cell Size after cataract surgery in different age groups revealed that ACS increased significantly more in the higher age groups as compared to young patients(p<0.05)(Table16). Postoperative CV increased across all age groups indicating polymegathisn.(Table 17). Pre and post CCT showed that older corneas had significantly more corneal swelling postoperatively. Conclusion: To conclude in absence of significant corneal changes the visual recovery after cataract surgery was satisfactory.
Authors and Affiliations
Indu Singh
Keywords
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