scholarly journals The influence of intraocular lens dislocation surgical correction method on corneal endothelium

2021 ◽  
Vol 14 (2) ◽  
pp. 37-45
Author(s):  
Vitaly V. Potyomkin ◽  
Sergey Yu. Astakhov ◽  
Elena V. Goltsman ◽  
Xiaoyuan Wang ◽  
Yulduz Sh. Nizametdinova
Keyword(s):  
Endothelial Cell ◽  
Surgical Treatment ◽  
Cell Density ◽  
Coefficient Of Variation ◽  
Corneal Endothelium ◽  
Suture Fixation ◽  
Transscleral Suture Fixation ◽  
Iol Dislocation ◽  
Iris Claw ◽  
Iol Exchange

BACKGROUND:Intraocular lens (IOL) dislocation is a rare but serious complication of surgical treatment of patients with cataract. Among the factors contributing to its development, the main ones are pseudoexfoliation syndrome (PEX), high axial myopia, chronic uveitis, history of eye injury and age. There is no universal IOL dislocation correction technique. PURPOSE:To evaluate the impact on corneal endothelium of two different methods of IOL dislocation correction: IOL repositioning with transscleral suture fixation or IOL exchange to iris-claw one. MATERIALS AND METHODS:Within the study, 78 patients were examined and operated. All patients were divided into two groups: in the first group, IOL was repositioned with transscleral suture fixation, and in the second group IOL was exchanged to iris-claw IOL. Groups were equal by gender and age. Key estimated indicators were endothelial cell density and coefficient of variation reflecting the degree of polymegatism. RESULTS:Endothelial cell density was significantly lower both before surgery and at any term after it, in the group with IOL exchange, and coefficient of variation was significantly higher in the group with IOL exchange throughout this study. CONCLUSION:The choice of technique for IOL dislocation correction is the basis of success in surgical treatment. Certain preoperative examination data should be definitely considered, including the degree of dislocation, IOL type, IOP level, endothelial cell density and presence of concomitant ocular conditions.

scholarly journals Morphological features of the corneal endothelium in patients with pseudoexfoliative glaucoma

2018 ◽  
Vol 11 (4) ◽  
pp. 31-44 ◽  
Author(s):  
Inessa S. Beletskaya ◽  
Sergey Yu. Astakhov ◽  
Natalya V. Tkachenko
Keyword(s):  
Endothelial Cell ◽  
Cell Density ◽  
Corneal Endothelium ◽  
Morphological Changes ◽  
Open Angle Glaucoma ◽  
Morphological Features ◽  
Endothelial Cell Density ◽  
Control Group ◽  
Eye Drops ◽  
Pseudoexfoliative Glaucoma

Purpose. To study the main morphological features of the corneal endothelium in patients with pseudoexfoliative glaucoma (PEG). Methods. We included 193 subjects aged from 55 to 75 years. The main study group (PEG) included 96 patients (192 eyes), the primary open angle glaucoma (POAG) group included 36 patients (72 eyes) with POAG, the PEX group included 31 patients (62 eyes) with pseudoexfoliation syndrome without glaucoma. The control group consisted of 30 healthy subjects (60 eyes). Main corneal endothelium parameters were evaluated using a non-contact endothelial microscope EM-935 (Haag Streit, Switzerland). Data were analyzed by STATISTICA 9 software for Windows. Results. The patients with PEG had lower endothelial cell density (ECD) in comparison to the control group (p < 0.01), and PEX group (p < 0.05). The polymegatism level in patients with PEG and POAG was higher than in the control group (p < 0.001, and p < 0.01, correspondingly). In patients with moderate and advanced PEG, the ECD was significantly lower (p < 0.01), and the polymegatism level was significantly higher (p < 0.01) than the same parameters in patients with early PEG. The lowest ECD and the highest polymegatism percentage were observed in PEG patients with more pronounced PEX manifestations, p < 0.05. No effect of IOP-lowering eye drops on the corneal endothelium parameters was revealed, p < 0.05. Conclusions. Significant morphological changes of the corneal endothelium (decreased endothelial cell density, increased polymegatism percentage) were revealed in patients with PEG. It was established that the severity of these changes is associated with the PEG and PEX severity. No effect of IOP-lowering eye drops on the corneal endothelium parameters was detected.

scholarly journals The Effect of Phacoemulsification on Corneal Endothelial Cells Morphology and Thickness

2020 ◽  
Vol 36 (4) ◽  
Author(s):  
Abd Elaziz Mohamed Elmadina ◽  
Raghda Faisal Abdelfatah ◽  
Saif Hassan Alrasheed ◽  
Mustafa Abdu ◽  
Manzoor Ahmad Qureshi
Keyword(s):  
Endothelial Cells ◽  
Endothelial Cell ◽  
Cell Density ◽  
Corneal Endothelium ◽  
Central Corneal Thickness ◽  
Corneal Thickness ◽  
Endothelial Cell Density ◽  
P Value ◽  
Corneal Endothelial Cells ◽  
Before And After

Purpose:  To compare the corneal endothelial cells morphology and central corneal thickness (CCT) before and after phacoemulsification in Sudanese population. Place and Duration of Study:  Al-Neelain eye hospital, Khartoum, Sudan, from January 2018 to May 2018. Study Design:  Observational longitudinal study. Methods:  One hundred and forty eyes of 140 patients with immature senile cataract were selected by convenient sampling. The age ranged from 40 to 85 years. The patients underwent complete ocular examination including morphology of corneal endothelial cells and CCT using computerized non-contact specular microscope. Inclusion criteria for the study was eyes with normal corneal endothelial cells and cell density more than 1000 cells/mm2. We excluded patients with ocular or systemic diseases, previous history of intraocular surgery, refractive surgery or trauma as well as contact lenses wear. The patients underwent phacoemulsification by a single surgeon. The examination parameters were repeated one month after surgery. Descriptive and comparative statistical analyses were performed using SPSS for Windows Version 21.0. Results:  There was significant reduction in mean endothelial cells density after phacoemulsification compared to baseline with p < 0.001. There was also significant post-operative reduction in mean endothelial cells number as compared to baseline (P value < 0.001). Mean endothelial cells hexagonality was reduced after surgery with P value of 0.003. No significant difference was found between mean coefficient variation of endothelial cells size before and after phacoemulsification (P = 0.55). Central corneal thickness showed significant increase post-operatively, P = 0.003. Conclusion:  Phacoemulsification causes significant damage to corneal endothelium cells, including decrease in corneal endothelial cell density, hexagonality and cell number. Key Words:  Corneal endothelium, Endothelial cell density, Central corneal thickness, Phacoemulsification.

scholarly journals Surgical Outcome of Refixation versus Exchange of Dislocated Intraocular Lens: A Retrospective Cohort Study

2020 ◽  
Vol 9 (12) ◽  
pp. 3868
Author(s):  
Young In Shin ◽  
Un Chul Park
Keyword(s):  
Group Treatment ◽  
Intraocular Lenses ◽  
Suture Fixation ◽  
Spherical Equivalent ◽  
Exchange Group ◽  
Corneal Endothelial Cell Density ◽  
Pars Plana ◽  
Transscleral Suture Fixation ◽  
Iol Dislocation

We compared the surgical outcomes and complications of refixation vs. exchange of dislocated intraocular lenses (IOLs) in patients who underwent transscleral suture fixation combined with pars plana vitrectomy for the treatment of IOL dislocation. A total of 83 eyes (n = 83 patients) with postoperative follow-up of ≥6 months were evaluated: 40 received refixation of dislocated IOL (refixation group) while 43 received IOL exchange (exchange group) treatment. Treatment outcomes, including best-corrected visual acuity (BCVA), spherical equivalent, corneal cylinder, intraocular pressure (IOP), central macular thickness (CMT), and corneal endothelial cell density (ECD), and postoperative complications were retrospectively reviewed. BCVA improvement at 6 months after surgery was comparable between the groups. Postoperative decrease in corneal ECD was significantly greater in the exchange group than in the refixation group, but no significant differences were found in spherical equivalent, corneal cylinder, IOP, or CMT changes. The exchange group experienced significantly more frequent postoperative vitreoretinal complications, such as retinal detachment, choroidal effusion, cystoid macular edema, and secondary epiretinal membrane, than the refixation group. Without any reason to extract the dislocated IOL, reuse of the dislocated IOL would be a better surgical option for transscleral suture fixation to protect corneal endothelial cells and prevent postoperative vitreoretinal complications.

scholarly journals An Observational Study of Corneal Endothelial Alterations in Eyes with Unilateral Pseudoexfoliation

2021 ◽  
Author(s):  
Archana Thool ◽  
Rashmi Ramani ◽  
Pravin Tidake
Keyword(s):  
Endothelial Cell ◽  
Observational Study ◽  
Cell Size ◽  
Cell Density ◽  
Cell Morphology ◽  
Coefficient Of Variation ◽  
Anterior Segment ◽  
Corneal Endothelial Cell ◽  
P Value ◽  
Corneal Endothelial Cell Density

Introduction: Pseudoexfoliation (PXF) is an age-related generalised disorder of extracellular matrix primarily affecting eyes. It is characterised by deposition of pseudoexfoliative material in the anterior segment of eye. Also it is a bilateral condition but can have asymmetric presentation and can be clinically seen only in one eye. Alteration in endothelial cell morphology along with other alteration in anterior segment of the eye can compromise the surgical outcome. Aim: To evaluate the corneal endothelial cell density and morphology in patients with unilateral PXF. Materials and Methods: The present study was hospital-based cross-sectional observational study which included 55 patients with unilateral PXF, who came to the Department of Opthalmology, Acharya Vinoba Bhave Rural Hospital (AVBRH), Wardha, Maharashtra, India between June 2020 to November 2020. Specular microscopy was performed on all eyes to evaluate cell density and morphology, coefficient of variation in cell size and percentage of hexagonal cells in corneal endothelium and compared with fellow normal eye. Statistical analysis was done by using descriptive and inferential statistics using students unpaired t-test, p-value <0.05 was considered as level of significance. Results: The present study included 55 patients, of which 26 were males and 29 were females. Mean age of the patients was 63.85±7.05 years. Majority of patients were in the range of 61 to 70 years (56.36%). The mean corneal endothelial cell density in the PXF eye was 2299.54±84.95 cells/mm2, which was significantly lower as compared to fellow normal eye with p-value <0.001. Mean coefficient of variation of cell size in PXF eye was 35.49±4.62, p-value=0.064 and hexagonality was 51.12±4.91, p-value=0.13. Both the parameters were statistically non significant on comparison of two eyes. Central corneal thickness was thicker in pseudoexfoliative eye of 551.29±33.11 microns (μm), than fellow eye but was statistically non significant. Conclusion: Eyes with PXF had alteration in endothelial cell morphology with decrease in cell density as compared to eyes without PXF clinically.

scholarly journals Outcomes of Application Two-Piece Microkeratome-Assisted Mushroom Keratoplasty

2021 ◽  
Vol 18 (1) ◽  
pp. 70-76
Author(s):  
S. V. Trufanov ◽  
E. A. Budnikova ◽  
V. N. Rozinova
Keyword(s):  
Visual Acuity ◽  
Endothelial Cell ◽  
Surgical Treatment ◽  
Anterior Chamber ◽  
Cell Density ◽  
Endothelial Cell Density ◽  
Corneal Astigmatism ◽  
Descemet Membrane ◽  
Donor Material ◽  
Specific Complication

Purpose: to evaluate outcomes and to expose possible specific complications of two-piece mushroom keratoplasty.Patients and methods. A total of 9 patients (9 eyes) with corneal perforations and deep stromal opacities involving the Descemet membrane were undergone surgery. In all cases, preserved hypothermic corneoscleral buttons (in Borzenok– Moroz medium) for up to 5 days were used as donor material. The two-piece mushroom keratoplasty was performed using a microkeratome and vacuum trephines set in the variant proposed by M. Busin.Results. Success survival was obtained in 78 % of patients (7 out of 9 cases). Best spectaclecorrected visual acuity (BSCVA) 1 year after surgery averaged 0.54 ± 0.20. The average of corneal astigmatism was 3.41 ± 1.89 D. Endothelial cell density in 6 months after surgery was on average 2364 ± 236/mm2, and in 1 year — 2082 ± 228/mm2. A false chamber formation between separate parts of the graft as a specific complication was detected in 2 patients on 1 day after surgery. In one case it was eliminated by air re-injecting into the ocular anterior chamber. The second patient underwent conventional PKP due to the lack of graft adaptation. In addition, 1 patient also underwent conventional PKP as a result of postoperative crystalline infectious keratopathy, which is the non-specific complication of mushroom keratoplasty.Conclusion. The two-piece microkeratome-assisted mushroom keratoplasty is an effective method of surgical treatment of corneal perforations and deep stromal opacities involving the Descemet membrane.

scholarly journals Study of Changes in Corneal Thickness and Corneal Endothelial Cell Density after Phacoemulsification Cataract Surgery

2021 ◽  
Vol 10 (12) ◽  
pp. 866-872
Author(s):  
Rajiv Pardasani ◽  
Sohan Lohiya
Keyword(s):  
Endothelial Cell ◽  
Cell Density ◽  
Coefficient Of Variation ◽  
Central Corneal Thickness ◽  
Corneal Thickness ◽  
Cell Loss ◽  
Corneal Endothelial Cell ◽  
Endothelial Cell Density ◽  
P Value ◽  
Corneal Endothelial Cell Density

BACKGROUND Phacoemulsification is a common surgery for cataract. The endothelium comprises of hexagonal cells which in single layer is essential for maintaining the transparency of the cornea. We wanted to compare endothelial cell density (ECD), central corneal thickness (CCT), coefficient of variability, and hexagonality of endothelial cells before and after phacoemulsification surgery. we also wanted to evaluate the endothelial cell loss after phacoemulsification surgery. METHODS A rural hospital-based prospective observational study with 120 patients was conducted in a hospital based setting utilising the data of patient’s eye by considering inclusion and exclusion criteria, before and after phacoemulsification surgery by using noncontact specular microscope. RESULTS The mean endothelial cell density significantly decreased postoperatively at day one, 4th week, 12th week. The mean central corneal thickness increased significantly at postoperative day one, then subsequently decreased at postoperative 4th week and 12th week (P value = 0.0001), but never reached the preoperative value. There was a significant change in coefficient of variation and hexagonality postoperatively (P value = 0.0001). CONCLUSIONS The primary result is the change in corneal endothelial cell density (cells per square millimetre of the corneal surface) which is decreased, and the central corneal thickness calculated in micro meter is increased. As endothelial cells do not replicate, to reimburse cell loss there are changes in coefficient of variation and hexagonality after phacoemulsification surgery. KEY WORDS Corneal Endothelial Cell Density, Central Corneal Thickness, Coefficient of Variation, Hexagonality, Phacoemulsification, Specular Microscope

scholarly journals Corneal endothelial cell density and morphology in ophthalmologically healthy young individuals in Japan: An observational study of 16842 eyes

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Takashi Ono ◽  
Yosai Mori ◽  
Ryohei Nejima ◽  
Takuya Iwasaki ◽  
Takashi Miyai ◽  
...  
Keyword(s):  
Endothelial Cell ◽  
Observational Study ◽  
Cell Density ◽  
Corneal Endothelium ◽  
Linear Regression Analysis ◽  
Corneal Endothelial Cell ◽  
Endothelial Cell Density ◽  
Multivariate Linear Regression Analysis ◽  
Cell Area ◽  
Corneal Endothelial Cell Density

AbstractWe aimed to investigate the cell density and morphology of the corneal endothelium in ophthalmologically healthy young Japanese, given the lack of normative data in literature. This observational study included eyes without ophthalmologic diseases, besides refractive errors, examined between 1996 and 2015 at Miyata Eye Hospital. Eyes with a history of ophthalmologic diseases or contact lens usage were excluded. Correlation of corneal endothelial cell density (ECD), coefficient of variation (CV), appearance rate of hexagonal cells (6A), and cell area with age were examined. Multivariate linear regression analysis was performed to determine the predictors of corneal parameters. We included 16842 eyes of 8421 individuals (19.6 ± 8.7 years). ECD was 3109.0 ± 303.7 cells/mm2 and significantly reduced with age (p < 0.001). The ECD reduction rate was 0.42%/year in the total population. On multivariate analysis, age and sex were significantly correlated with ECD, CV, 6A, and cell area (all p < 0.001). ECD, 6A, CV, and cell area are significantly associated with age in healthy young Japanese individuals. Monitoring their corneal endothelium is essential to assess the risk of endothelial damage.

scholarly journals Scanning electron microscopy of the corneal endothelium of ostrich

2009 ◽  
Vol 39 (3) ◽  
pp. 926-929 ◽  
Author(s):  
João Antonio Tadeu Pigatto ◽  
Angela Aguiar Franzen ◽  
Fabiana Quartiero Pereira ◽  
Ana Carolina da Veiga Rodarte de Almeida ◽  
José Luis Laus ◽  
...  
Keyword(s):  
Electron Microscopy ◽  
Scanning Electron Microscopy ◽  
Endothelial Cells ◽  
Cell Density ◽  
Coefficient Of Variation ◽  
Corneal Endothelium ◽  
Cell Area ◽  
Corneal Endothelial Cells ◽  
Average Cell ◽  
Scanning Electron

The aim of this study was to examine the endothelial surface morphology and perform a morphometric analysis of the corneal endothelial cells of ostrich (Struthio camelus) using scanning electron microscopy. Polygonality, mean cell area, cell density and coefficient of variation of mean cell area were analyzed. The normal corneal endothelium consisted of polygonal cells of uniform size and shape with few interdigitations of the cell borders. Microvilli appeared as protusions on the cellular surface. The average cell area was 269±18µm² and the endothelial cell density was 3717±240cells mm-2. The coefficient of variation of the cell area was 0.06, and the percentage of hexagonal cells was 75%. The parameters evaluated did not differ significantly between the right and the left eye from the same ostrich. The results of this study showed that the ostrich corneal endothelial cells appear quite similar to those of the other vertebrates.

The state of corneal endothelial cells in the dynamics of surgical treatment of age-related and diabetic cataracts

2021 ◽  
pp. 47-50
Author(s):  
S.Y. Totskova ◽  
◽  
A.E. Babushkin ◽  
Е.M. Garipova ◽  
◽  
...  
Keyword(s):  
Endothelial Cells ◽  
Endothelial Cell ◽  
Surgical Treatment ◽  
Corneal Endothelium ◽  
Corneal Endothelial Cell ◽  
Corneal Endothelial Cells ◽  
Diabetic Cataract ◽  
Age Related ◽  
Corneal Endothelial Cell Density

Purpose. To assess the state of the corneal endothelium in patients with diabetic and immature age - related cataracts before and in the long term after phacoemulsification. Material and methods. There were 25 patients (43 eyes) under observation in total. The average age is 66.4±10.1 years. There were 12 men and 13 women among the surveyed. The average time after cataract phacoemulsification was 5.6±1.7 years. There were 2 groups of patients: group I (main) included 10 patients (16 eyes) with diabetic cataract, group 2 (control) consisted of 15 patients (27 eyes) with immature senile cataract (ISC) without diabetes. Before and after phacoemulsification the central corneal thickness (CCT), as well as polymegatism, pleomorphism, and corneal endothelial cell density (ECD) were studied using an EM-2000 endothelial microscope (Nidek, Japan). Results. In the long-term period after cataract phacoemulsification there was decreasing trend in the corneal endothelial cell density (ECD) as in patients operated on for immature senile and especially diabetic cataracts (by 1.5 times). The initial data of ECD in patients with diabetic cataract in comparison with ISC were lower although not significantly. There was also a decreasing trend in the percentage of hexaganality and the number of normal endothelial cells, as well as an increase in the coefficient of their polymegatism after phacoemulsification in patients with DM in comparison with patients without it. Conclusion. The study showed that phacoemulsification of diabetic cataracts is associated with more pronounced damage to the corneal endothelium when compared with the ISC group. During phacoemulsification with IOL implantation, especially in patients with diabetic cataracts, you should pay attention to the initially possible smaller ECD and take this circumstance into account when performing phacoemulsification. Key words: diabetic cataract, surgical treatment, phacoemulsification, endothelial microscopy, corneal endothelial cells.

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