TY - JOUR
T1 - Comparison of cornea endothelial cell counts after combined phacovitrectomy versus pars plana vitrectomy with fragmentation
AU - Eom, Youngsub
AU - Kim, Seong Woo
AU - Ahn, Jaemoon
AU - Kim, Jee Taek
AU - Huh, Kuhl
PY - 2013
Y1 - 2013
N2 - Background: To compare postoperative cornea endothelial cell loss between combined phacovitrectomy and pars plana vitrectomy (PPV) with fragmentation. Methods: Eighty-eight consecutive patients (92 eyes) who underwent combined phacovitrectomy (53 eyes from 50 patients) or PPV with fragmentation (39 eyes from 38 patients) were enrolled in this retrospective study. Endothelial cell density (ECD) was calculated with specular microscopy at 1 and 3 months after surgery. Results: At 3 months after surgery, the mean ECD decreased significantly from 2,646∈±∈296 cells/mm2 to 2,422∈±∈347 cells/mm2 in the combined phacovitrectomy group (P∈<∈0.001). However, the PPV with fragmentation group did not show any significant changes in ECD during the same period (from 2,123∈±∈628 cells/mm2 to 2,073∈±∈574 cells/mm2). The mean endothelial cell loss in the combined phacovitrectomy group (7.9 and 9.5 %) was significantly higher than that in the PPV with fragmentation group (0.7 and 2.4 %) both at 1 and 3 months postoperatively (P∈=∈0.001 and P∈=∈0.001 respectively). Conclusion: In this study, corneal endothelial cell loss during the early postoperative period was significantly higher after combined phacovitrectomy than after PPV with fragmentation.
AB - Background: To compare postoperative cornea endothelial cell loss between combined phacovitrectomy and pars plana vitrectomy (PPV) with fragmentation. Methods: Eighty-eight consecutive patients (92 eyes) who underwent combined phacovitrectomy (53 eyes from 50 patients) or PPV with fragmentation (39 eyes from 38 patients) were enrolled in this retrospective study. Endothelial cell density (ECD) was calculated with specular microscopy at 1 and 3 months after surgery. Results: At 3 months after surgery, the mean ECD decreased significantly from 2,646∈±∈296 cells/mm2 to 2,422∈±∈347 cells/mm2 in the combined phacovitrectomy group (P∈<∈0.001). However, the PPV with fragmentation group did not show any significant changes in ECD during the same period (from 2,123∈±∈628 cells/mm2 to 2,073∈±∈574 cells/mm2). The mean endothelial cell loss in the combined phacovitrectomy group (7.9 and 9.5 %) was significantly higher than that in the PPV with fragmentation group (0.7 and 2.4 %) both at 1 and 3 months postoperatively (P∈=∈0.001 and P∈=∈0.001 respectively). Conclusion: In this study, corneal endothelial cell loss during the early postoperative period was significantly higher after combined phacovitrectomy than after PPV with fragmentation.
KW - Combined phacovitrectomy
KW - Cornea endothelial cell counts
KW - Pars plana vitrectomy with fragmentation
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U2 - 10.1007/s00417-013-2440-2
DO - 10.1007/s00417-013-2440-2
M3 - Article
C2 - 23949639
AN - SCOPUS:84885586256
SN - 0065-6100
VL - 251
SP - 2187
EP - 2193
JO - Albrecht von Graefes Archiv für Klinische und Experimentelle Ophthalmologie
JF - Albrecht von Graefes Archiv für Klinische und Experimentelle Ophthalmologie
IS - 9
ER -