Beta
82462

Evaluation of the Corneal Thickness and Endothelial Changes Following Uncomplicated Phacoemulsification in Diabetic and Non-Diabetic Patients by Pentacam and Specular Microscopy

Article

Last updated: 03 Jan 2025

Subjects

-

Tags

-

Abstract

Background: Diabetes mellitus (DM) is an important health problem that induces unrestful complications. It causes significant morbidity owing to specific microvascular complications such as diabetic retinopathy, diabetic cataract, diabetic keratopathy, and diabetic optic nerve diseases. Patients and Methods: This is a prospective, comparative case series study assessing the corneal endothelial status in 20 diabetics and 20 non diabetics before, after 1 day, 1 week and 1 month of uneventful phacoemulsification using phaco-chop technique. Central corneal thickness (CCT), as well as endothelial cell density (ECD), coefficient of variation (CV) and percentage of polymegathism or hexagonality were measured by specular microscopy. The corneal thickness at 0, 2 and 4 mm from center of the cornea and corneal volume at 3, 5 and 7 mm from the center of the cornea. Changes were compared between both groups using pentacam in the same follow up period. Results: Preoperative CCT was found to be significantly higher in diabetic than in non-diabetic group. ECD and CV were insignificantly higher in diabetics in contrast with the percentage of hexagonality, which was found to be insignificantly lower preoperatively. Diabetics showed insignificant higher loss in endothelial cell count as compared to non-diabetics. Furthermore, the diabetics showed a slower recovery trend in the endothelial healing response as evidenced by lower change in the CV%. Postoperative CCT measurements demonstrated no significant variations between groups evidenced by specular microscopy as well as changes in corneal thickness and volume evidenced by pentacam. Conclusion: The present study revealed no significant differences between preoperative and postoperative values neither in terms of mean ECD values, nor in corneal thickness and corneal volume between diabetic patients and nondiabetic patients undergoing phacoemulsification employing phaco-chop technique.

DOI

10.21608/ejhm.2020.82462

Keywords

cataract surgery, Corneal Thickness, Endothelial changes, Specular microscopy, pentacam, Diabetes mellitus

Authors

First Name

Motaz Bellah Abdel Hameed

Last Name

Erfan

MiddleName

-

Affiliation

Department of Ophthalmology, Faculty of Medicine, Misr University for Science and Technology

Email

-

City

-

Orcid

-

First Name

Hossam El-Den Mohamed

Last Name

Khalil

MiddleName

-

Affiliation

Department of Ophthalmology, Faculty of Medicine, Beni-Suef University

Email

-

City

-

Orcid

-

First Name

Hazem Effat

Last Name

Haroun

MiddleName

-

Affiliation

Department of Ophthalmology, Faculty of Medicine, Beni-Suef University

Email

-

City

-

Orcid

-

First Name

Ahmed

Last Name

Tharwat

MiddleName

-

Affiliation

Department of Ophthalmology, Faculty of Medicine, Misr University for Science and Technology

Email

a.teyeclinic@yahoo.com

City

-

Orcid

-

Volume

79

Article Issue

1

Related Issue

11585

Issue Date

2020-04-01

Receive Date

2020-04-14

Publish Date

2020-04-01

Page Start

489

Page End

496

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_82462.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=82462

Order

22

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Evaluation of the Corneal Thickness and Endothelial Changes Following Uncomplicated Phacoemulsification in Diabetic and Non-Diabetic Patients by Pentacam and Specular Microscopy

Details

Type

Article

Created At

22 Jan 2023