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March 1978

The Effect of Phacoemulsification on Corneal Endothelial Cell Density

Author Affiliations

From the Department of Ophthalmology, University of Illinois Eye and Ear Infirmary, Chicago.

Arch Ophthalmol. 1978;96(3):446-448. doi:10.1001/archopht.1978.03910050222005

• Seventy-six patients who had undergone unilateral phacoemulsification of cataracts had their endothelial cell density (ECD) measured by specular microscopy. When compared with the unoperated contralateral eye, there was a mean decrease in ECD of 33.8%. Ten patients who had undergone unilateral intracapsular cataract extraction had a mean decrease in ECD of 14.9%. Cataract extraction by phacoemulsification appears to be more traumatic to the corneal endothelium than is intracapsular extraction.