Effect of Reformation of the Anterior Chamber by Air or by a Balanced Salt Solution (BSS) on Corneal Endothelium after Phacoemulsification: A Comparative Study
Aim. To study the effect of reformation of the anterior chamber by air or by a balanced salt solution, after smooth phacoemulsification on the corneal endothelial count and morphology. Methods. A prospective interventional nonrandomized comparative study included 500 eyes of 500 patients with age ra...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2018/6390706 |
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| author | Alahmady Hamad Alsmman Mohammed Ezzeldawla Amr Mounir Ashraf Mostafa Elhawary Osama Ali Mohammed Mahmoud Farouk Ahmed Mohamed Sherif |
| author_facet | Alahmady Hamad Alsmman Mohammed Ezzeldawla Amr Mounir Ashraf Mostafa Elhawary Osama Ali Mohammed Mahmoud Farouk Ahmed Mohamed Sherif |
| author_sort | Alahmady Hamad Alsmman |
| collection | DOAJ |
| description | Aim. To study the effect of reformation of the anterior chamber by air or by a balanced salt solution, after smooth phacoemulsification on the corneal endothelial count and morphology. Methods. A prospective interventional nonrandomized comparative study included 500 eyes of 500 patients with age range between 50 and 60 years, prepared for cataract surgery and presented to the Ophthalmology department of Sohag University Hospital in the period from October 2016 to May 2017. Corneal endothelial morphology and count were examined, and the results were recorded for all cases before the surgery. Patients were divided into two groups, and both groups were diagnosed with grade 2 cataract and underwent uncomplicated phacoemulsification performed by well-trained surgeons. At the end of the surgery, group 1 was subjected to a reformation of the anterior chamber via a balanced salt solution (BSS) injection while group 2 was subjected to a reformation of the anterior chamber via air injection. Corneal endothelial morphology and count were evaluated in the first and 3rd month postoperatively. Results. The study included 500 patients (250 in each group), 220 males (44%) and 280 females (56%) with no significant statistical age differences. Both preoperative and postoperative (3 months after the operation) recorded parameters of the corneal endothelium did not show any significant statistical differences. The cumulative dissipated energy was recorded, for all cases of both groups, during phacoemulsification with no significant statistical differences (P=0.7). Conclusion. There is no difference between the effect of reformation of the anterior chamber after phacoemulsification, using air or using a BSS injection, on the corneal endothelial count and morphology. |
| format | Article |
| id | doaj-art-bcc81d4d3ab24bdbab43ca86a32e90e2 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-bcc81d4d3ab24bdbab43ca86a32e90e22025-02-03T00:59:13ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/63907066390706Effect of Reformation of the Anterior Chamber by Air or by a Balanced Salt Solution (BSS) on Corneal Endothelium after Phacoemulsification: A Comparative StudyAlahmady Hamad Alsmman0Mohammed Ezzeldawla1Amr Mounir2Ashraf Mostafa Elhawary3Osama Ali Mohammed4Mahmoud Farouk5Ahmed Mohamed Sherif6Department of Ophthalmology, Sohag Faculty of Medicine, Sohag University, Sohag, EgyptDepartment of Ophthalmology, Sohag Faculty of Medicine, Sohag University, Sohag, EgyptDepartment of Ophthalmology, Sohag Faculty of Medicine, Sohag University, Sohag, EgyptDepartment of Ophthalmology, Sohag Faculty of Medicine, Sohag University, Sohag, EgyptDepartment of Ophthalmology, Sohag Faculty of Medicine, Sohag University, Sohag, EgyptDepartment of Ophthalmology, Sohag Faculty of Medicine, Sohag University, Sohag, EgyptDepartment of Ophthalmology, Cairo Faculty of Medicine, Cairo University, Cairo, EgyptAim. To study the effect of reformation of the anterior chamber by air or by a balanced salt solution, after smooth phacoemulsification on the corneal endothelial count and morphology. Methods. A prospective interventional nonrandomized comparative study included 500 eyes of 500 patients with age range between 50 and 60 years, prepared for cataract surgery and presented to the Ophthalmology department of Sohag University Hospital in the period from October 2016 to May 2017. Corneal endothelial morphology and count were examined, and the results were recorded for all cases before the surgery. Patients were divided into two groups, and both groups were diagnosed with grade 2 cataract and underwent uncomplicated phacoemulsification performed by well-trained surgeons. At the end of the surgery, group 1 was subjected to a reformation of the anterior chamber via a balanced salt solution (BSS) injection while group 2 was subjected to a reformation of the anterior chamber via air injection. Corneal endothelial morphology and count were evaluated in the first and 3rd month postoperatively. Results. The study included 500 patients (250 in each group), 220 males (44%) and 280 females (56%) with no significant statistical age differences. Both preoperative and postoperative (3 months after the operation) recorded parameters of the corneal endothelium did not show any significant statistical differences. The cumulative dissipated energy was recorded, for all cases of both groups, during phacoemulsification with no significant statistical differences (P=0.7). Conclusion. There is no difference between the effect of reformation of the anterior chamber after phacoemulsification, using air or using a BSS injection, on the corneal endothelial count and morphology.http://dx.doi.org/10.1155/2018/6390706 |
| spellingShingle | Alahmady Hamad Alsmman Mohammed Ezzeldawla Amr Mounir Ashraf Mostafa Elhawary Osama Ali Mohammed Mahmoud Farouk Ahmed Mohamed Sherif Effect of Reformation of the Anterior Chamber by Air or by a Balanced Salt Solution (BSS) on Corneal Endothelium after Phacoemulsification: A Comparative Study Journal of Ophthalmology |
| title | Effect of Reformation of the Anterior Chamber by Air or by a Balanced Salt Solution (BSS) on Corneal Endothelium after Phacoemulsification: A Comparative Study |
| title_full | Effect of Reformation of the Anterior Chamber by Air or by a Balanced Salt Solution (BSS) on Corneal Endothelium after Phacoemulsification: A Comparative Study |
| title_fullStr | Effect of Reformation of the Anterior Chamber by Air or by a Balanced Salt Solution (BSS) on Corneal Endothelium after Phacoemulsification: A Comparative Study |
| title_full_unstemmed | Effect of Reformation of the Anterior Chamber by Air or by a Balanced Salt Solution (BSS) on Corneal Endothelium after Phacoemulsification: A Comparative Study |
| title_short | Effect of Reformation of the Anterior Chamber by Air or by a Balanced Salt Solution (BSS) on Corneal Endothelium after Phacoemulsification: A Comparative Study |
| title_sort | effect of reformation of the anterior chamber by air or by a balanced salt solution bss on corneal endothelium after phacoemulsification a comparative study |
| url | http://dx.doi.org/10.1155/2018/6390706 |
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