ArticleClinical ophthalmology (Auckland, N.Z.)2021
Qualitative Alterations on Corneal Endothelial Cell Morphometry and Hexagonality After Cataract Surgery.
Article in Clinical ophthalmology (Auckland, N.Z.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Soft-shell phacoemulsification in Fuchs' endothelial dystrophy: Central corneal thickness as a predictor of post-operative keratoplasty.European journal of ophthalmology · 2026Article
- Real-World Performance and Safety of VISIOL in Modern Routine Cataract Surgery.Ophthalmology and therapy · 2026Article
- Comparative Analysis of Corneal Endothelial Cell Loss After Phacoemulsification in Microcornea versus Normal-Sized Corneas.Clinical ophthalmology (Auckland, N.Z.) · 2026Article
- Effect of anterior chamber depth on corneal endothelium following phacoemulsification among patients with different axial lengths.International ophthalmology · 2025Article
- Corneal Endothelial Characteristics in Normal Chinese Han Children and Youngsters: A Study from the Specular Microscopy Descriptions.Disease markers · 2022Article
Corrections and comments
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Authors and funding
1 author.
Funding
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Abstract
aimTo deeply analyze quantitative and qualitative changes of corneal endothelium after longitudinal phacoemulsification.
methodsIn this prospective interventional case series study, 50 eyes with age-related cataract have been evaluated preoperatively, intraoperatively and postoperatively. The measured parameters were surgically induced endothelial cell loss (ECL), average endothelial cell area (AVG) and hexagonality (HEX).
resultsThe relationship among the measured parameters and the energy dissipated during the two phases of phacoemulsification, sculpting and quadrant removal, has been analyzed with regard to the 5-score harm scale, a new method suggested to categorize cataracts. Two phases of phacoemulsification are linearly related (r = 1.5, P < 0.001, r
conclusionThe 5-score harm scale allows to predict the mean changes in percentages of ECL, AVG and HEX of endothelial cells after longitudinal phacoemulsification. Also, this study confirms that the main damage on corneal endothelium is due to the energy delivered in the second phase of phacoemulsification.
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