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MICS, phaco led to similar early endothelial cell loss in study
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Microincision cataract surgery and phacoemulsification resulted in statistically similar visual outcomes and early endothelial cell loss in a comparative study, according to researchers in Poland.
M. Wilczynski and colleagues at the Medical University of Lodz prospectively compared the surgeries in 40 eyes of 40 patients. Half of the patients underwent MICS, and half underwent standard phaco and implantation with a foldable IOL. The authors excluded patients with corneal disorders, previous ocular surgery, contact lenses and a history of ocular trauma.
No surgical complications occurred, the authors said. At 10 days postop, patients who received MICS had a statistically similar mean best corrected visual acuity compared to the phaco group (0.94 vs. 0.9; P > .05).
Both groups showed significant decreases in postop endothelial cell density, but the losses were statistically similar, the authors said. The MICS patients lost an average of 9.5% of cells for a mean postop endothelial cell density of 2,235 cells/mm². The phaco patients lost an average of 7.6% of cells for a mean postop endothelial cell density of 2,079 cells/mm² (P > .05), according to the study.
The study is published in the November/December issue of the European Journal of Ophthalmology.