دراسة عوامل الخطورة لفقدان الخلايا البطانية القرنية بعد إجراء عملية استحلاب الساد بالأمواج فوق الصوتية بيد مقيمين متدربين

Abstract EN

Objective: To evaluate the risk factors for endothelial cell loss after phacoemulsification cataract surgery performed by a training resident.

Methods: We conducted a prospective study on 61 eyes underwent phacoemulsification performed by residents.

All patients were evaluated for seven variables before and during the surgery, including age, sex, diabetes, cataract density, axial lengths, anterior chamber depth, and power duration of Phacoemulsification.

We recorded endothelial cell densities preoperatively and after one and two months postoperatively using a noncontact specular microscope.

Results: After two months, the mean central endothelial cell loss in all eyes was 14.43±9.25%.

The anterior chamber depth, age, axial lengths, diabetes, cataract density, power duration of phacoemulsification was significantly correlated with the mean corneal endothelial loss after two months of the surgery, (p-value <0.05).

Conclusions: Many risk factors could increase the corneal endothelium cell loss after cataract surgery with different ranges.

This research encourages residents to choose patients with lower risk factors for surgery.

This could reduce the loss of endothelium after the surgery which is performed by training surgeons.