Toxic endothelial cell destruction of the cornea after routine extracapsular cataract surgery

Autor: Breebaart, A. C., Nuyts, R. M., Pels, E., Edelhauser, H. F., Verbraak, F. D.
Přispěvatelé: Other departments
Jazyk: angličtina
Rok vydání: 1990
Předmět:
Zdroj: Archives of ophthalmology, 108(8), 1121-1125. American Medical Association
ISSN: 0003-9950
Popis: Eighteen patients developed an acute corneal decompensation following normal intraocular surgery (cataract extraction in 17 patients), characterized by star-shaped endothelial folds, a twofold increase in corneal thickness, and a visual acuity of counting fingers during several postoperative days. In some cases, there was an additional iritis and transient hypotony. There was no effect of topical and/or subconjunctival corticosteroids on the course of the decompensation. Endothelial morphometric analysis showed a mean endothelial cell loss of 72%. Endothelial wound healing, as determined by coefficient of variation and percentage hexagonals, stabilized 6 months postoperatively. We coined the term toxic endothelial cell destruction for this syndrome. Epidemiological evaluation revealed the toxic endothelial cell destruction syndrome to be linked with the 10-fold increase of a detergent solution in the ultrasonic bath for cleaning the surgical instruments
Databáze: OpenAIRE