미세각막절개 백내장 수술과 고전적 백내장 수술에서의 각막내피세포의 손상정도 비교

• 영문명: Endothelial Cell Damage in Microincison Cataract Surgery and Coaxial Phacoemulsification
• 발행기관: 대한안과학회
• 저자명: 김희중 김진형 이도형,Hee Jung Kim, M.D., Jin Hyoung Kim, M.D., Do Hyung Lee, M.D., Ph.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume48,number1, 19~26쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2007.01.31

영문 초록

Purpose: To evaluate the damage to corneal endothelial cells following coaxial phacoemulsification and bimanual microincision cataract surgery (MICS). Methods: We measured and compared the changes in the corneal endothelial mean cell density, cell size variation coefficient, hexagonality, and central corneal thickness in senile cataract patients who had received either coaxial phacoemulsification (Group 1, n=20), MICS using ultrasound (Group 2, n=20), and MICS using laser (Group 3, n=20). The endothelial cell parameters and corneal thickness were evaluated preoperatively and at 1 week, 1 month, and 2 months postoperatively. Results: There was no significant difference among the three groups in terms of the endothelial cell parameters and corneal thickness during two months (p>0.05). Conclusions: MICS is a safe technique that does not appear to be associated with more damage to the corneal endothelium than coaxial phacoemulsification. A longer follow-up study is necessary to investigate its potential benefits for replacing conventional surgery.

키워드

Coaxial phacoemulsification, Corneal endothelial cell damage, Microincision cataract surgery