Corneal endothelial cell changes after phacoemulsification cataract surgery in eyes with different anterior chamber depth: A specular microscopy study

Background: Phacoemulsification surgery is performed in a limited space, therefore, anatomy and procedural parameters, such as sufficient anterior chamber depth (ACD), are essential for protecting endothelial cells during surgery from mechanical and heat damage. Specular microscope is a useful non-contact investigational technique that photographs the human corneal endothelium. Methods: This a prospective comparative cohort non-randomized study included sixty eyes of phacoemulsification cataract surgery were collected from the outpatient clinics of Tanta University Hospitals and were admitted to Ophthalmology Department. Cases were divided into three groups according to ACD. All cases were subjected to: history taking, examination [visual acuity (VA), slit lamp examination, ACD measurement using IOL master