Corneal Endothelial Cell Change with Different Phacoemulsification Time in Diabetic Patients.

Kim, Chan Joong; Choi, Sang Kyung

doi:2007.48.11.1473

J Korean Ophthalmol Soc > Volume 48(11); 2007 > Article

Original Article

Journal of the Korean Ophthalmological Society 2007;48(11):1473-1478.
DOI: https://doi.org/10.3341/jkos.2007.48.11.1473 Published online November 30, 2007.

Corneal Endothelial Cell Change with Different Phacoemulsification Time in Diabetic Patients.

Chan Joong Kim, Sang Kyung Choi

Department of Ophthalmology, Seoul Veterans Hospital, Seoul, Korea. drskchoi@hanmail.net

당뇨병 환자에서 백내장 수술 후 수정체유화술 시간에 따른 각막내피세포의 변화

김찬중,최상경

Department of Ophthalmology, Seoul Veterans Hospital, Seoul, Korea

Correspondence: Sang Kyung Choi, M.D.

Abstract

PURPOSE
To investigate the difference in corneal endothelial cell loss between diabetic and non-diabetic patients who were divided by the degree of phacoemulsification time after phacoemulsification with intraocular lens implantation. METHODS: Forty eyes of 30 patients with diabetes and 47 eyes of 36 patients without diabetes were divided by phacoemulsification time into 3 groups: less than 40 seconds, from 40 to 80 seconds and over 80 seconds. The corneal endothelial cell density was compared before and 1, 4 and 16 weeks after phacoemulsification by one-way ANOVA. Bivariate correlation analysis was used to identify the correlation between phacoemulsification time and the endothelial density before and 1, 4 and 16 weeks after phcoemulsification. RESULTS: The endothelial cell densities in diabetic and non-diabetic patients with different phacoemulsification time were not significantly different when compared before and 1, 4 and 16 weeks after phacoemulsification (P>0.05). Phacoemulsificaiton time and endothelial cell loss at 1, 4 and 16 weeks also showed no significant correlation. CONCLUSIONS: Diabetes and differences in phacoemulsification time had no significant influence on corneal endothelial cell loss. This result suggests uncomplicated phacoemulsificaion is a safe method for cataract extraction in patients with or without diabetes.

Key Words: Cataract;Cornea;Diabetes;Endothelium;Phacoemulsification