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Is corneal edema in the first postoperative day a predictor of late corneal endothelial cell loss?

Poster Details

First Author: B.Vieira PORTUGAL

Co Author(s):    P. Rodrigues   J. Serino   J. Martins   P. Barros   J. Oliveira   A. Duarte

Abstract Details



Purpose:

To evaluate the relation between the corneal edema in the first postoperative day and the endothelial cell loss at 3 months

Setting:

: Hospital Pedro Hispano, Matosinhos, Portugal

Methods:

Phacoemulsification was performed in 52 eyes of 51 patients with senile cataract (medium age of 75 +/-7 years) without other ophthalmologic pathology , by the same surgeon using the same technique. Preoperative pachymetry and endothelial cells density were measured one week before surgery using specular microscopy (TOMEY EM 3000®). Pachymetry was assessed at day one after surgery and endothelial cell density after 3 months. Data were evaluated using SPSS 17.0.

Results:

The initial preoperative mean endothelial cell count was 2492 +/-240 cells/mm2 , reduced to 2176 +/- 317 cells/mm2 after surgery (average reduction of 12,4%). Corneal edema developed after surgery (medium preoperative pachymetry of 537+/-32 micro m and postoperative day one 573+/-48 micro m, with a medium increase of 37 micro m, p <0,01) but there was no predictive value with the endothelial cell loss at 3 months( p=0,249).

Conclusions:

In this study, corneal edema in the first postoperative day was not a predictor of late endothelial cell loss.

Financial Disclosure:

No

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