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August 1979

Clinical Specular Microscopy and Intraocular Surgery

Author Affiliations

From the Bascom Palmer Eye Institute/Anne Bates Leach Eye Hospital, Department of Ophthalmology, University of Miami School of Medicine. Dr Abbott is now with Pacific Medical Center, San Francisco.

Arch Ophthalmol. 1979;97(8):1476-1479. doi:10.1001/archopht.1979.01020020138010

• Seventy patients were studied prospectively, using the clinical specular microscope, to compare and evaluate the effects on the corneal endothelium of routine intracapsular cataract extraction (ICCE), ICCE with intraocular lens (IOL) implantation, phacoemulsification, and penetrating keratoplasty. Results showed a 6% cell loss after ICCE, 12% loss after IOL insertion, 14% loss after phacoemulsification, and 21% loss after penetrating keratoplasty. Both phakic and aphakic grafts had 21% cell loss. Within the aphakic keratoplasty group, there was a 10% cell loss in patients who maintained an intact vitreous face compared with a 26% cell loss in patients who underwent an anterior vitrectomy (P < .1).