Comparison of cornea endothelial cell counts after combined phacovitrectomy versus pars plana vitrectomy with fragmentation

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• 作者：Youngsub Eom ; Seong-Woo Kim ; Jaemoon Ahn…
• 关键词：Cornea endothelial cell counts ; Combined phacovitrectomy ; Pars plana vitrectomy with fragmentation
• 刊名：Graefe's Archive for Clinical and Experimental Ophthalmology
• 出版年：2013
• 出版时间：September 2013
• 年：2013
• 卷：251
• 期：9
• 页码：2187-2193
• 全文大小：155KB
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• 作者单位：Youngsub Eom (1)
  Seong-Woo Kim (1) (2)
  Jaemoon Ahn (1)
  Jee Taek Kim (1)
  Kuhl Huh (1)
  
  1. Department of Ophthalmology, Korea University College of Medicine, Seoul, South Korea
  2. Department of Ophthalmology, Ansan Hospital, Korea University College of Medicine, 516, Gojan-dong, Danwon-gu, Ansan-si, Kyunggi-do, 425-707, South Korea
  
• ISSN：1435-702X

文摘

Background To compare postoperative cornea endothelial cell loss between combined phacovitrectomy and pars plana vitrectomy (PPV) with fragmentation. Methods Eighty-eight consecutive patients (92 eyes) who underwent combined phacovitrectomy (53 eyes from 50 patients) or PPV with fragmentation (39 eyes from 38 patients) were enrolled in this retrospective study. Endothelial cell density (ECD) was calculated with specular microscopy at 1 and 3?months after surgery. Results At 3?months after surgery, the mean ECD decreased significantly from 2,646?±-96 cells/mm2 to 2,422?±-47 cells/mm2 in the combined phacovitrectomy group (P-lt;-.001). However, the PPV with fragmentation group did not show any significant changes in ECD during the same period (from 2,123?±-28 cells/mm2 to 2,073?±-74 cells/mm2). The mean endothelial cell loss in the combined phacovitrectomy group (7.9 and 9.5?%) was significantly higher than that in the PPV with fragmentation group (0.7 and 2.4?%) both at 1 and 3?months postoperatively (P--.001 and P--.001 respectively). Conclusion In this study, corneal endothelial cell loss during the early postoperative period was significantly higher after combined phacovitrectomy than after PPV with fragmentation.