Background: Intumescent, mature, and hypermature lenses constitute a significant proportion of cataracts. Regardless of its etiology, a white cataract can be defined as totally opacified lens matter precluding visualization of the red reflex. Although in general, phacoemulsification has become the procedure of choice in the management of cataract, it has been considered unsafe to use in eyes with white cataract. For phacoemulsification to be beneficial, removal of white cataract must be safe.
Objective: To asses corneal astigmatism, central corneal thickness and endothelial cell density after white cataract surgery using phacoemulsification.
Patients and methods: Prospective interventional randomized and analytical study that was conducted to asses corneal astigmatism, central corneal thickness and endothelial cell density after white cataract surgery using phacoemulsification, The study was included 15 eyes of 15 patients who had white cataract and attended the outpatient clinic of the Mansoura Ophthalmic Center and underwent phacoemulsification from January 2020 to January 2021.
Results: there was statistically highly significant difference between pre-operative and all consecutive follow up visits in central corneal thickness, endothelial cell density and visual acuity with no statistically significant difference in corneal astigmatism.
Conclusion: phacoemulsification is safe and effective in management of white cataract on anatomical and refractive bases.