Abstract
Consecutive patients undergoing intracapsular cataract surgery with and without lens implantation were included in one of three groups of fifteen patients for postoperative corneal thickness measurement. One group underwent cataract extraction alone, another group had cataract extraction and lens implantation using iris supported posterior chamber implants, and another group underwent lens implantation with the use of sodium hyaluronate to reform the anterior chamber after cataract extraction. Maximal increase in corneal thickness occurred within the first 24 hours of surgery in all groups. No significant difference in corneal thickness between the implant and non-implant group was found at any time. When sodium hyaluronate was used to reform the anterior chamber prior to lens implantation the increase in corneal thickness was significantly less than in the group not on sodium hyaluronate (0.01 less than p less than 0.02 on the third postoperative day). In the long term all patients' corneas returned to preoperative levels within 28 days of surgery.
Full text
PDF




Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Cheng H., Sturrock G. D., Rubinstein B., Bulpitt C. J. Endothelial cell loss and corneal thickness after intracapsular extraction and iris clip lens implantation: a randomised controlled trial (interim report). Br J Ophthalmol. 1977 Dec;61(12):785–790. doi: 10.1136/bjo.61.12.785. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Miller D., Dohlman C. H. Effect of cataract surgery on the cornea. Trans Am Acad Ophthalmol Otolaryngol. 1970 Mar-Apr;74(2):369–374. [PubMed] [Google Scholar]
- Miller D., Stegmann R. Use of sodium hyaluronate in human IOL implantation. Ann Ophthalmol. 1981 Jul;13(7):811–815. [PubMed] [Google Scholar]
- Mishima S., Hedbys B. O. Measurement of corneal thickness with the Haag-Streit pachometer. Arch Ophthalmol. 1968 Dec;80(6):710–713. doi: 10.1001/archopht.1968.00980050712005. [DOI] [PubMed] [Google Scholar]
- Norn M. S. Pachometric study on the influence of corneal endothelial vital staining. Corneal thickness after cataract extraction studied by vital staining with trypan blue. Acta Ophthalmol (Copenh) 1973;51(5):679–686. doi: 10.1111/j.1755-3768.1973.tb08260.x. [DOI] [PubMed] [Google Scholar]
- Olsen T. Corneal thickness and endothelial damage after intracapsular cataract extraction. Acta Ophthalmol (Copenh) 1980 Jun;58(3):424–433. doi: 10.1111/j.1755-3768.1980.tb05743.x. [DOI] [PubMed] [Google Scholar]
- Pape L. G., Balazs E. A. The use of sodium hyaluronate (Healon) in human anterior segment surgery. Ophthalmology. 1980 Jul;87(7):699–705. doi: 10.1016/s0161-6420(80)35185-3. [DOI] [PubMed] [Google Scholar]
- Pearce J. L. Long-term results of the Binkhorst iris clip lens in senile cataract. Br J Ophthalmol. 1972 Apr;56(4):319–331. doi: 10.1136/bjo.56.4.319. [DOI] [PMC free article] [PubMed] [Google Scholar]

