Endothelial morphometric findings in cataract surgery. Extracapsular/intercapsular prospective study Hallazgos morfométricos endoteliales en cirugía de catarata. Estudio comparativo extracapsular vs. intercapsular
Academic Article in Scopus
In a prospective study of 60 patients with senile cataracts, a group of 30 was submitted to intercapsular extraction. The control group received extracapsular surgery to determine corneal endothelial damage. In all the cases sodium hyaluronate was used and a posterior chamber (IOL) was implanted. The purpose of this work is to evaluate the role that the intercapsular technique plays in cell loss prevention taking into account the anterior capsule's role during cataract surgery. When analyzing both groups, it could be concluded that with intercapsular surgery there was a 7% cell damage while extracapsular reached a 17% epithelial loss. In both cases there is destruction but the differences between procedures are statistically significant. Having in mind the results, it would be of great importance to observe long-term behavior of endothelial morphology for permanent cell damage.