Effect of phacoemulsification on corneal endothelium in type 1 and type 2 diabetes mellitus | ||
| The Egyptian Journal of Cataract and Refractive Surgery | ||
| Article 1, Volume 25, Issue 1, 2019, Pages 27-30 PDF (611.4 K) | ||
| Document Type: Original articles | ||
| DOI: 10.21608/ejcrs.2021.174900 | ||
| Abstract | ||
| Purpose The aim of this study is to compare the effect of phacoemulsification on cornealendothelium in type 1 and 2 of diabetes mellitus (DM). Patients and methods This study is a retrospective, interventional, comparative study that included 400eyes of 320 patients with DM and with visually significant cataract. The patientswere divided into two equal groups: one group with type 1 and the other with type 2DM. Specular microscopy assessing the endothelial cell count was done beforesurgery and after it 1 and 3 months in both groups. Results The two groups were highly comparable to each other regarding the mean age,axial length, manifest refraction, and endothelial cell count. Postoperatively, therewas a statistically significant difference between the two groups regarding theendothelial cell count. Both groups had endothelial cell loss from mean of2150–1879 in type 1 DM group and from 2213 to1995 in type 2 DMgroup. Theendothelial cell loss was more in type 1 DM group than in type 2DM (P<0.005). Conclusion Phacoemulsification produces endothelial cell loss in diabetic patients more in type1 than in type 2 DM. | ||
| Keywords | ||
| Catarct; endothelium; dibetes; phacoemulsification; IOL | ||
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