We read with great interest the article by Morikubo et al1 on corneal changes after small-incision cataract surgery in patients with diabetes mellitus. Since Kelman2 introduced phacoemulsification as a cataract-surgery technique in 1967, evaluating corneal endothelial cell damage related to ultrasound has been a major concern of surgeons.
Tsai C, Kao S, Kau H, Isenberg SJ. Risk Factors for Corneal Endothelial Injury During Small-Incision Cataract Surgery in Patients With Diabetes Mellitis. Arch Ophthalmol. 2005;123(7):1020-1021. doi:10.1001/archopht.123.7.1020-b