الفهرس | Only 14 pages are availabe for public view |
Abstract Purpose: To evaluate the effect of of Femtosecond laser assisted cataract surgery on the corneal endothelial cell compaired to conventional phacoemulsification technique. Settings: Al Watany Eye Hospital-Cairo-Egypt Methods: A prospective comparative clinical trial included 20 eyes with senile cataract divided into two groups; each group comprises 10 eyes. Specular microscopy was used to compare safety of both techniques on corneal endothelial cell count. Results: the corneal endothelial cell count was significantly reduced in the femtosecond laser assisted and the manual phacoemulsification groups postoperatively in comparison to the preoperative count. On the other hand, by comparing postoperative endothelial cell count in the femtolaser and manual phacoemulsification groups, the difference was statistically insignificant with slightly greater endothelial cell loss in the femtolaser group in the first week. However, endothelial cell count was recovered in both groups when measured at the 2 month follow up visit. Conclusion: Femtosecond laser assisted cataract surgery and manual phacoemulsification are almost equally safe in case of using surgical techniques that preserve the corneal endothelium (quick chop technique in our study) and in case of conventional straight forward cataract cases. |