ArticleInternational ophthalmology2025
Effect of anterior chamber depth on corneal endothelium following phacoemulsification among patients with different axial lengths.
Article in International ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Anterior chamber stability during phacoemulsification: comparing different phacoemulsification systems.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026Article
- Trends in Medical Expenses for Ocular Examinations in Japan Based on Nationwide Database Studies.JMA journal · 2025Article
- Comparison of Two Techniques in Phacoemulsification: Hydroimplantation and Viscoimplantation.Beyoglu eye journal · 2025Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo assess the effect of anterior chamber depth on corneal endothelium using specular microscopy following uneventful phacoemulsification among cataract patients with different axial lengths.
methodsThe study was conducted in a quasi-experimental design including 300 eyes of 300 patients with grade three age-related nuclear cataract distributed equally based on their axial length into three equal groups. All eyes had grade three nuclear cataract. All patients underwent phacoemulsification using the same settings. They were assessed preoperatively and postoperatively at one week, one month and three months using specular microscopy. Outcome measures included endothelial cell density, axial length (AL), anterior chamber depth (ACD), ultrasound time (UST), cumulative dissipated energy (CDE) and intraoperative balanced salt solution (BSS) volume.
resultsThere were no significant differences (p > 0.05) between study groups regarding age, cataract density, UST, CDE and BSS volume. The endothelial cell density decreased significant (p < 0.001) postoperatively in all groups through the follow up period. However, the amount of change decreased as the end of follow up was approached. A significant negative correlation was found between amount of endothelial cell loss and ACD. However, no significant correlation existed between AL and ACD or ECL.
conclusionsEndothelial cell density changes were significant following phacoemulsification. These changes were more in patients with shallow anterior chamber regardless of the axial length. Surgeons should adjust their surgical pattern considering our results.
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