Long-term Changes of Endothelial Cell Density after Pars Plana Vitrectomy with Fragmentation.
10.3341/jkos.2017.58.4.408
- Author:
Soo Youn CHOI
1
;
Ji Yun HAN
;
Youngsub EOM
;
Seong Woo KIM
Author Information
1. Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. vitreokim@gmail.com
- Publication Type:Original Article
- Keywords:
Cornea endothelial cell density;
Pars plana vitrectomy with fragmentation
- MeSH:
Cornea;
Endothelial Cells*;
Humans;
Microscopy;
Retrospective Studies;
Vitrectomy*
- From:Journal of the Korean Ophthalmological Society
2017;58(4):408-414
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the long-term changes in cornea endothelial cell density (ECD) after pars plana vitrectomy (PPV) with fragmentation. METHODS: Twenty patients (20 eyes) who underwent PPV with fragmentation and who were followed up for 2 years were enrolled in this retrospective study. The cornea ECD, coefficient of variation (CV), and hexagonality (HA) were calculated using a specular microscopy at 1, 3, 6, 12 months, and 2 years after surgery. RESULTS: The preoperative mean ECD was 1,782 ± 623 cells/mm², and the postoperative mean ECD did not significantly change at 1, 3, 6, and 12 months. Additionally, there were no significant changes in CV or HA. At 2 years after surgery, the mean ECD was 1,722 ± 532 cells/mm², the mean CV was 35.50 ± 3.03%, and the mean HA was 53.00 ± 4.91%. There were no significant changes in ECD, CV, or HA preoperatively and postoperatively at 1, 3, 6, and 12 months. CONCLUSIONS: In this study, the mean ECD did not significantly decrease after PPV with fragmentation at 2 years after surgery. A PPV with fragmentation was an appropriate surgical procedure for patients with low cornea endothelial cell density.