Abstract
Purpose: To study the alterations in endothelial cell count and morphology after pediatric cataract surgery using currently practiced techniques.Setting: L.V. Prasad Eye Institute, Hyderabad, India.Methods: In a prospective nonrandomized series comprising 20 eyes of 14 children with congenital or developmental cataract, endothelial cell loss from cataract surgery was evaluated. Mean patient age was 9.3 years (range 5 to 15 years). Extracapsular cataract extraction (ECCE) with intraocular lens QOL) implantation was performed in 11 eyes (Group 1). Primary posterior'capsulotomy and anterior vitrectomy were performed with ECCE and IOL implantation in 9 eyes (Group 2). Noncontact specular microscopy was done: preoperatively and-6 to 8 and 24, to, 36 weeks postoperatively. Endothelial cell loss, alteration in the, coefficient of variation, and the change in the number of hexagonal cells were determined by semiautomated analysis of endothelial pictures..Results: Mean endothelial cell loss was 198.39 cells/mm2 (5.28%) in Group 1 and 295.17 cells/mm2 (7.50%) in Group 2 at 24 to 36 weeks. There was no statistically significant difference in alteration in endothelial cell count and morphology between the 2 groups.Conclusions: The results suggest that endothelial cell loss with currently practiced techniques of pediatric cataract surgery is within acceptable limits.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.