The Effects of Anterior Chamber Depth to Endothelial Cell Loss Using Tranversal Phacoemulsification

摘要

Background: Phacoemulsification surgery is the most frequent cataract surgery performed in developed countries because of its effectiveness and safety. However, some degree of endothelial loss is inevitable in any type of cataract surgery, including phacoemulsification. Anterior chamber depth (ACD) could be considered as one of important anatomical parameters for preserving endothelial loss from the mechanical and thermal damage that can occur during the procedure. Purpose: To evaluate the effects of ACD on endothelial cell density, hexagonality, coefficient variation (CV) and central corneal thickness (CCT) at one and four weeks after phacoemulsification using transversal ultrasound. Method: This was a prospective study conducted at Cicendo National Eye Hospital Indonesia from April to August 2018, where we performed phacoemulsification in 148 patients with ACD Result: Mean (SD) endothelial density in ACD Conclusion: Endothelial cell density in ACD < 3 mm group was significantly lower compared to ACD ≥ 3 mm group at 1-week and 4-week evaluation after phacoemulsification.