CORNEAL ENDOTHELIAL CELL DENSITY AFTER VITRECTOMY WITH SILICONE OIL FOR COMPLEX RETINAL DETACHMENTS

Autor: Rudy M. Nuijts, Fleur Goezinne, Diana W.J.K. Cals, Tos T. J. M. Berendschot, Igor J. Lundqvist, Ellen C. La Heij, Albert T.A. Liem, Fred Hendrikse
Přispěvatelé: Oogheelkunde, RS: NUTRIM - R1 - Metabolic Syndrome, RS: MHeNs - R3 - Neuroscience
Rok vydání: 2014
Předmět:
Male
Proliferative vitreoretinopathy
ANGLE-CLOSURE GLAUCOMA
genetic structures
medicine.medical_treatment
Cell Count
Vitrectomy
Phakic intraocular lens
chemistry.chemical_compound
silicone oil tamponade
Silicone Oils
Postoperative Period
Prospective Studies
ANTERIOR-CHAMBER
SPECULAR MICROSCOPY
endothelial cell density
endothelial cell loss
Endothelium
Corneal
PHAKIC INTRAOCULAR-LENS
Retinal detachment
General Medicine
Middle Aged
Silicone oil
Female
Tamponade
medicine.medical_specialty
silicone oil
Endotamponade
PROLIFERATIVE VITREORETINOPATHY
Ophthalmology
medicine
Humans
Aged
Phacoemulsification
PARS-PLANA VITRECTOMY
business.industry
aphakia
rhegmatogenous retinal detachment
Retinal Detachment
technology
industry
and agriculture
Retinal
Corneal Endothelial Cell Loss
equipment and supplies
medicine.disease
eye diseases
Surgery
chemistry
RISK-FACTORS
IMPLANTATION
sense organs
FOLLOW-UP
business
Zdroj: Retina-The Journal of Retinal and Vitreous Diseases, 34(2), 228-236. LIPPINCOTT WILLIAMS & WILKINS
ISSN: 0275-004X
DOI: 10.1097/iae.0b013e3182979b88
Popis: PURPOSE: To evaluate the endothelial cell density changes in eyes with silicone oil tamponade after vitrectomy for complex rhegmatogenous retinal detachment. METHODS: A prospective controlled study with 81 eyes with complex rhegmatogenous retinal detachment undergoing vitrectomy and silicone oil tamponade. Fellow eyes that fulfilled specific inclusion criteria served as controls. Endothelial cell density (in cells per square millimeter), coefficient of variance (standard deviation per mean cell area x 100), percentage of hexagonal cells, and corneal thickness were documented preoperatively and compared with values obtained at 3, 6, and 12 months postoperatively. For the purpose of the study analysis, all study eyes were divided into 5 groups, according to their lens status during the follow-up. RESULTS: High endothelial cell density loss was found in Group 3, (eyes that underwent an additional phacoemulsification procedure) and Group 4 (eyes that underwent lens and/or intraocular lens removal during the follow-up) at 12 months with a mean cell loss of 19% and 39%, respectively (P < 0.001). CONCLUSION: An intact natural or artificial lens-iris diaphragm may provide a protective barrier against corneal endothelial cell damage from long-term silicone oil tamponade.
Databáze: OpenAIRE
Externí odkaz: