Effect of torsional versus longitudinal phacoemulsification on the corneal endothelium

Background/aim The present study aims to compare postoperative endothelial outcome after cataract surgery performed with longitudinal phacoemulsification with that performed with torsional phacoemulsification in patients with senile cataract. Patients and methods In this prospective observational st...

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Main Authors: Ibrahim F Abdelrasoul, Hosny H Mohammad, Hisham F Khalil, Mohamed A Mahdy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Journal of the Egyptian Ophthalmological Society
Subjects:
Online Access:http://www.jeos.eg.net/article.asp?issn=2090-0686;year=2015;volume=108;issue=3;spage=124;epage=128;aulast=Abdelrasoul
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author Ibrahim F Abdelrasoul
Hosny H Mohammad
Hisham F Khalil
Mohamed A Mahdy
author_facet Ibrahim F Abdelrasoul
Hosny H Mohammad
Hisham F Khalil
Mohamed A Mahdy
author_sort Ibrahim F Abdelrasoul
collection DOAJ
description Background/aim The present study aims to compare postoperative endothelial outcome after cataract surgery performed with longitudinal phacoemulsification with that performed with torsional phacoemulsification in patients with senile cataract. Patients and methods In this prospective observational study, 20 eyes with senile cataract of different grades of nuclear hardness underwent phacoemulsification by means of a 2.8-mm clear corneal incision using Ozil IP, 10 of which underwent torsional phacoemulsification and 10 underwent longitudinal phacoemulsification. Central endothelial cell counts were taken in all patients preoperatively, at 1 week, 1 month, and 3 months postoperatively. Results The study included 20 patients with age-related cataract whose ages ranged from 55 to 64 years. There was highly statistically significant endothelial cell loss throughout the study in the two groups and also significant endothelial cell loss between the two groups by the third month (P = 0.02). Conclusion Both torsional and longitudinal phacoemulsification techniques were efficient in removing noncomplicated cataract; however, statistically significant endothelial cell loss was noted, especially with longitudinal phacoemulsification.
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spelling doaj.art-c7e3d7217a554254a9b8274551a332f02022-12-21T17:48:55ZengWolters Kluwer Medknow PublicationsJournal of the Egyptian Ophthalmological Society2090-06862314-66482015-01-01108312412810.4103/2090-0686.168682Effect of torsional versus longitudinal phacoemulsification on the corneal endotheliumIbrahim F AbdelrasoulHosny H MohammadHisham F KhalilMohamed A MahdyBackground/aim The present study aims to compare postoperative endothelial outcome after cataract surgery performed with longitudinal phacoemulsification with that performed with torsional phacoemulsification in patients with senile cataract. Patients and methods In this prospective observational study, 20 eyes with senile cataract of different grades of nuclear hardness underwent phacoemulsification by means of a 2.8-mm clear corneal incision using Ozil IP, 10 of which underwent torsional phacoemulsification and 10 underwent longitudinal phacoemulsification. Central endothelial cell counts were taken in all patients preoperatively, at 1 week, 1 month, and 3 months postoperatively. Results The study included 20 patients with age-related cataract whose ages ranged from 55 to 64 years. There was highly statistically significant endothelial cell loss throughout the study in the two groups and also significant endothelial cell loss between the two groups by the third month (P = 0.02). Conclusion Both torsional and longitudinal phacoemulsification techniques were efficient in removing noncomplicated cataract; however, statistically significant endothelial cell loss was noted, especially with longitudinal phacoemulsification.http://www.jeos.eg.net/article.asp?issn=2090-0686;year=2015;volume=108;issue=3;spage=124;epage=128;aulast=AbdelrasoulCataractendothelial cellslongitudinal phacoemulsificationOziltorsional phacoemulsification
spellingShingle Ibrahim F Abdelrasoul
Hosny H Mohammad
Hisham F Khalil
Mohamed A Mahdy
Effect of torsional versus longitudinal phacoemulsification on the corneal endothelium
Journal of the Egyptian Ophthalmological Society
Cataract
endothelial cells
longitudinal phacoemulsification
Ozil
torsional phacoemulsification
title Effect of torsional versus longitudinal phacoemulsification on the corneal endothelium
title_full Effect of torsional versus longitudinal phacoemulsification on the corneal endothelium
title_fullStr Effect of torsional versus longitudinal phacoemulsification on the corneal endothelium
title_full_unstemmed Effect of torsional versus longitudinal phacoemulsification on the corneal endothelium
title_short Effect of torsional versus longitudinal phacoemulsification on the corneal endothelium
title_sort effect of torsional versus longitudinal phacoemulsification on the corneal endothelium
topic Cataract
endothelial cells
longitudinal phacoemulsification
Ozil
torsional phacoemulsification
url http://www.jeos.eg.net/article.asp?issn=2090-0686;year=2015;volume=108;issue=3;spage=124;epage=128;aulast=Abdelrasoul
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AT hosnyhmohammad effectoftorsionalversuslongitudinalphacoemulsificationonthecornealendothelium
AT hishamfkhalil effectoftorsionalversuslongitudinalphacoemulsificationonthecornealendothelium
AT mohamedamahdy effectoftorsionalversuslongitudinalphacoemulsificationonthecornealendothelium