[Pathologically reduced endothelial cell number despite normal slit-lamp microscopic corneal findings. An important result before cataract surgery].

BACKGROUND

A reduced number of endothelial cells increases the risk of corneal decompensation after cataract surgery. It is difficult to quantify the number of endothelial cells using slit-lamp microscopy since normal corneas may also show a reduced number of endothelial cells.

MATERIALS AND

METHODS

We compared the number of endothelial cells pre- and postoperatively in a group of 500 consecutive patients.

RESULTS

Corneas diagnosed preoperatively with corneae guttata by slit-lamp microscopy may reveal more than 1800 endothelial cells/mm2. These corneas may decompensate after surgery.

CONCLUSION

We consider the routine use of endothelial microscopy to be a helpful diagnostic tool prior to cataract surgery.