Correlation of Surgical Incision Length with Corneal Endothelial Cell Count

Abstract

Objective: To study the Correlation of Surgical incision length with corneal endothelial cell count.

Study Design: Prospective study

Place and Duration of Study: This study was conducted at the Imran Idris Teaching Hospital Sialkot and Sahara Medical College Narowal during Feb 2019 to May 2020.

Materials and Methods: One hundred persons with ageing process leading to cataracts were requested to take part in the study. It was a study in which the study material was collected once. All those samples were operated for cataract with new technique. To perform the operation the incision was given at the edge of cornea. This incision given followed the 360⁰. With the help of  specular microscope width of different layers of cornea were measured at the center as well as 3mm away from the center. Then with new technique phaco chop procedure, the eye surgeon removed the cataract through a very little hole incision. The thickness of various layers of the cornea was measured 2 times after operation at 1 weak and 3 months later.

Results: However, three months post operation, the mean of central endothelial cell count with superior incisions and mean central endothelial cell count with temporal incisions were bit elevated. For the Superior to temporal incisions results of endothelial cell count was bit lower than the other two groups. Overall, one month post operative, mean central endothelial cell count was ten point eight percent and mean endothelial cell count in the sector of the incisions was fourteen percent.

Conclusion: A superior to temporal modern cataract surgery incision may have less endothelial cell count as compared to other incisions. The amount of central endothelial cell count may be less marked in sick persons with longer axial lengths and with methods utilizing less DIALECT