Purpose: The aim of the study was to evaluate the effect of viscotrabeculotomy on corneal endothelial cells density in patients with primary open angle glaucoma.
Design: a prospective interventional uncontrolled study.
Patients and Methods: This study included 42 eyes of 42 patients diagnosed with POAG attending Mansoura ophthalmic center in the period of January2021-December2021. They underwent viscotrabeculotomy. Indirect specular microscopy (Tomey EM3000 corporation,Nagoya,Japan) was performed on central corneas and endothelial images were acquired. Endothelial cell density, area and cell counts were analyzed.
Results: Corneal endothelial cell density decreased in the 1st week postoperative with a statistically significant differences (P<0.001).The mean±SD was 2398.7± 222.8 at 1st week and preoperatively was 2492.7±183.7 . At 2nd week follow up there was stability in CECD with no further decrease till 3rd month visit. Mean±SD was 2406.6±221.9 and 2402.9±203.7 at 2nd week and 3rd month respectively.
Conclusion: In our study there was no statistically significant change in corneal endothelial cell density after viscotrabeculotomy at the mean follow-up of 3 months duration.