Purpose: To assess and compare the corneal endothelial affection during phacoemulsification
when using irrigating fluid of either balanced salt solution (BSS) or Ringer's lactate (RL) during
the procedure of managing dense brunescent cataract in old age.
Design: Randomized controlled clinical trial
Methods: The study included fifty eyes of 45 patients of? 68 years. All patients had senile
nuclear cataract of grade > IV undergoing phacoemulsification. They were equally divided into
group A, where the surgery was performed using BSS infusion fluid, and group B using RL
Observations made included specular microscopy to evaluate endothelial cell density (ECD) and
endothelial cell size variability (CV), corneal pachymetry for central corneal thickness (CCT),
and any other complications. Evaluation was done preoperatively and 1 week and 6-8 weeks
postoperatively. |
