The Effects of Anterior Chamber Depth to Endothelial Cell Loss Using Tranversal Phacoemulsification

Background: Phacoemulsification surgery is the most frequent cataract performed in developed countries because of its effectiveness and safety. However, some degree endothelial loss inevitable any type surgery, including phacoemulsification. Anterior chamber depth (ACD) could be considered as one important anatomical parameters for preserving from mechanical thermal damage that can occur during procedure. Purpose: To evaluate effects ACD on cell density, hexagonality, coefficient variation (CV) central corneal thickness (CCT) at four weeks after phacoemulsification using transversal ultrasound. Method: This was a prospective study conducted Cicendo National Eye Hospital Indonesia April to August 2018, where we 148 patients with < 3 mm group, ≥ group. Specular microscopy examination prior repeated surgery. The changes percentage CV CCT between two groups were evaluated compared. Result: Mean (SD) density group 1-week evaluation 1761.9 (503.3) 1966.1 (530.6) cells/mm2 respectively, p value 0.030. At 4-week evaluation, 1537.8 (504.9) 1798.7 (554.0) 0.010. There no statistical difference regarding both evaluation. Endothelial also higher Conclusion: significantly lower compared