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In vivo corneal morphology evaluation after phacoemulsification surgery
Session Title: Imaging I
Session Date/Time: Sunday 06/10/2013 | 14:30-16:00
Paper Time: 14:58
Venue: Elicium 1 (First Floor)
First Author: : A.Nowinska POLAND
Co Author(s): : E. Wylegala D. Janiszewska S. Teper E. Wroblewska-Czajka
The purpose of the study was the corneal morphology analysis using confocal microscopy before and after phacoemulsification surgery
Ophthalmology Department DRH
Panewnicka 65, Katowice; Poland
80 patients undergoing routine phacoemulsification surgery were included in the study. Inclusion criteria were: cataract stage I-IV, no accompanying ophthalmic diseases and no systemic diseases which presence or treatment affect cornea. Confocal microscopy examination was performed preoperatively and on the first and seventh day postoperatively. The integrity and the morphology of the corneal layers was assessed. The endothelial cell density was calculated.
The most common confocal microscopy finding was cornea guttata revealed for 11 patients (13,75%). Other less frequent corneal features included: anterior corneal microdots, mall dendritic cells and striae in the posterior corneal part. After phacoemulsification confocal microscopy revealed changes as follows: micro erosion, stromal edema and local Descemet membrane detachment on the first postoperative day. The endothelial cell lost of 6,5% was revealed.
The corneal morphology changes after phacoemulsification surgery not visible on the slit lamp examination could be monitored with confocal microscopy.