Effects of the Shearing Posterior Chamber Intraocular Lens on the Corneal Endothelium

Regional specular microscopy of endothelial cell loss after intracapsular cataract extraction: A preliminary report

“…Of particular interest is the observation that endothelial regional differences occurs within one month after ICCE. A similar observation has been made in patients undergoing cataract surgery with intraocular lens implantations (Rao et al 1978;Azen et al 1983). These suggest that the entire endothelial cell population may participate in the healing of the damage associated with cataract procedures, indicating the need of a wide view of the endothelium when estimating such a damage.…”

“…Since the normal endothelial cells are uniformly distributed between the central and peripheral cornea (Svedbergh & Bill 1972;Blackwell et al 1977;Sawa & Tanishima 1979), pre-operative evaluation can be made by observing the central endothelium alone. Hoffer (1979) and other investigators (Rao et al 1978;Olsen 1980;Mishima 1982;Azen et al 1983), however, have reported a definite regional differences in the endothelial cell density in eyes undergoing various cataract procedures. They showed that endothelial damage is much higher in the superior cornea where most surgical manipulations are performed.…”

Simultaneous bilateral cataract extraction in the UK.

“…2 15 Our incidence of posterior capsular thickening was 13%, in keeping with reports in the literature (10-6% to 35%) where duration of follow up was comparable. '2 [20][21][22] We believe that the reluctance of many ophthalmic surgeons to perform simultaneous intraocular surgery on both eyes is based on the fear of bilateral endophthalmitis. In this series of 638 cataract extractions, one eye developed this complication, representing an incidence of 0415%.…”

Long term changes in human corneal endothelium following toxic endothelial cell destruction: a specular microscopic and fluorophotometric study.

“…[3][4][5][6][7][8][9][10][11][12][13] Usually, a cell loss of 10 to 20% is reported, dependent on the duration of follow up. Few reports exist on the long term follow up of patients who developed severe endothelial cell loss at the time of surgery.…”