TJ-CEO
2008 , Vol 3 , Num 1
Evaluation of Phacoemulsification Surgery’s Effect on Corneal Volume Changes with the Pentacam Imaging System
1İnönü Üniversitesi Tıp Fakültesi Göz Hastalıkları A.D., Araş. Gör. Dr.2İnönü Üniversitesi Tıp Fakültesi Göz Hastalıkları A.D., Doç. Dr. Purpose: To evaluate the central and peripheral corneal volume changes after uneventful phacoemulsification.
Materials and Methods: Forty-two eyes of 34 (26 male and 8 female) patients who, underwent uneventful phacoemulsification, were examinedenrolled in this study. Corneal volumes of 3 mm, 5 mm, and 7 mm corneal volumes were measured using Scheimflug imaging (Pentacam, Oculus, Inc.) preoperatively and postoperatively at after 1st, 3rd, and 6th months. The paired t-test was used to compare preoperative and 1, 3, and 6 months’ postoperative corneal volume measurements.
Results: Mean corneal volumes in 3 mm, preoperatively, and postoperatively at 1st, 3rd, and 6th months postoperatively were 3.84±0.23 mm3, 3.85±0.26 mm3, 3.83±0.25 mm3, and 3.89±0.25 mm3, respectively. Mean corneal volumes measurements in 5 mm preoperatively and postoperatively at 1st, 3rd, and 6th months postoperatively were 11.160± 0.67 mm3, 11.255±0.75 mm3, 11.155±0.75 mm3, and 11.286±0.73 mm3, respectively. Mean corneal volume measurements in 7 mm, preoperatively and postoperatively at 1st, 3rd, and 6th months postoperatively were 23.66±1.52 mm3, 23.89±1.64 mm3, 23.74±1.67 mm3, and 23.79±1.58 mm3, respectively. The mean 3 mm, 5 mm, and 7 mm central corneal volumes measurements did not reveal show any significant change preoperatively and or at postoperative 1, 3, and 6 months (p>0.05).
Conclusion: A positive relationship between endothelial damage and corneal volume was known. So Therefore, corneal volume measurements in 3, 5, and 7 mm taken obtained with Pentacam can be useful to show corneal endothelial changes after phacoemulsification surgery. Keywords : Phacoemulsification, corneal volume, pentacam