Indian Journal of Clinical and Experimental Ophthalmology

A comparative study of endothelial cell loss in cataract surgery: small incision cataract surgery versus phacoemulsification

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Author Details: Tejinder Kaur, Karamjit Singh, Inderjit Kaur, Prempal Kaur, Dharamvir Chalia

Volume : 2

Issue : 4

Online ISSN : 2395-1451

Print ISSN : 2395-1443

Article First Page : 318

Article End Page : 322


Aim: The purpose of the study was to study and compare the endothelial cell loss in small incision cataract surgery and phacoemulsification.
Materials and Methods: A total of 200 cases were randomly selected and were divided in two groups with 100 cases in each group. In group 1, patients who underwent small incision cataract surgery were included and in group 2, patients who underwent phacoemulsification were included. The endothelial cell count was measured by noncontact specular microscope preoperatively and postoperatively on day 1, day 7, day 28 and on day 42.
Results: Mean endothelial cell loss (cells/mm2) in group 1 was 165.81 (6.60%), 274.03 (10.95%), 359.16 (14.41%), 427.51 (17.17%) on day 1, day 7, day 28, day 42 respectively. In group 2, mean endothelial cell loss (cells/mm2) was 205.24 (8.22%), 326.81 (12.96%), 418.36 (16.64%), 494.04 (19.53%) on day 1, day 7, day 28, day 42 respectively and the difference was statistically insignificant between the two groups at different postoperative intervals (p >0.05). At 6 weeks in group 1, 97 (97%) cases have postoperative best corrected visual acuity of more than  6/18 compared to 98 (98%) cases in group 2 which was statistically insignificant (p value > 0.05).
Conclusion: The difference in endothelial cell loss and best corrected visual acuity at 6 weeks was not statistically significant between the two groups.

Endothelial cell count, Phacoemulsification, Small incision cataract surgery, Specular microscope

Doi No:-10.18231