Journal of the Korean Ophthalmological Society 1998;39(5):918-924.
Published online May 1, 1998.
The Effect of Phacoemulsification on the Corneal Endothelium in Diabetic Patients.
Sung Lee Park, Tae Hwa Oh, Narn Ju Moon
Department of Ophthalmology, National Medical Center, Seoul, Korea.
수정체유화술 및 후방인공수정체 삽입술이 당뇨병환자의 각막내피에 미치는 영향
박성리(Sung Lee Park),오태화(Tae Hwa Oh),문남주(Narn Ju Moon)
Abstract
We compared the structural and functional corneal endothelial changes between patients with non-proliferative retinopathy and age-matched nondiabetic patients after phacoemulsification with posterior chamber lens implantation. Endothelial cell density was calculated preoperatively, and postoperative 4, 8 weeks by specular microscopy. Fluorophotometry to check corneal endothelial barrier function was underwent preoperatively and at postoperative 4 days. Preoperatively, no significant difference in corneal endothelial cell density and corneal endothelial permeability coefficient was noted between diabetic patients and age-matched non-diabetic patients. But the mean increase of corneal endothelial permeability coefficient at 4 days after surgery was 118.13% in diabetic patients and 61.88% in nondiabetic patients (P<0.05). The mean endothelial cell loss at 4 and 8 weeks after surgery were 10. 29%, 12.55% in diabetic patients and 7.05%, 9.39% in non-diabetic patients.(P<0.05)


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