Comparison of cornea endothelial cell counts after combined phacovitrectomy versus pars plana vitrectomy with fragmentation

Youngsub Eom, Seong Woo Kim, Jaemoon Ahn, Jee Taek Kim, Kuhl Huh

    Research output: Contribution to journalArticlepeer-review

    8 Citations (Scopus)

    Abstract

    Background: To compare postoperative cornea endothelial cell loss between combined phacovitrectomy and pars plana vitrectomy (PPV) with fragmentation. Methods: Eighty-eight consecutive patients (92 eyes) who underwent combined phacovitrectomy (53 eyes from 50 patients) or PPV with fragmentation (39 eyes from 38 patients) were enrolled in this retrospective study. Endothelial cell density (ECD) was calculated with specular microscopy at 1 and 3 months after surgery. Results: At 3 months after surgery, the mean ECD decreased significantly from 2,646∈±∈296 cells/mm2 to 2,422∈±∈347 cells/mm2 in the combined phacovitrectomy group (P∈<∈0.001). However, the PPV with fragmentation group did not show any significant changes in ECD during the same period (from 2,123∈±∈628 cells/mm2 to 2,073∈±∈574 cells/mm2). The mean endothelial cell loss in the combined phacovitrectomy group (7.9 and 9.5 %) was significantly higher than that in the PPV with fragmentation group (0.7 and 2.4 %) both at 1 and 3 months postoperatively (P∈=∈0.001 and P∈=∈0.001 respectively). Conclusion: In this study, corneal endothelial cell loss during the early postoperative period was significantly higher after combined phacovitrectomy than after PPV with fragmentation.

    Original languageEnglish
    Pages (from-to)2187-2193
    Number of pages7
    JournalGraefe's Archive for Clinical and Experimental Ophthalmology
    Volume251
    Issue number9
    DOIs
    Publication statusPublished - 2013

    Keywords

    • Combined phacovitrectomy
    • Cornea endothelial cell counts
    • Pars plana vitrectomy with fragmentation

    ASJC Scopus subject areas

    • Ophthalmology
    • Sensory Systems
    • Cellular and Molecular Neuroscience

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