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  5. FP0758 : Comparison of Corneal Endothelial Morphology pre-op & post-op; Phacotrab v/s Phacoemulsification

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Chief & Presenting Author: Dr.Ayush Punia

Co Author(s): Dr.Prakriti Chourasia

Abstract

Study Design
A prospective, cross-sectional, interventional study lasting 15 months, 60 participants split in 2 groups: Group A(Phacotrabeculectomy) and Group B (Phacoemulsification).
Purpose
To evaluate the changes in corneal endothelial morphology, including central corneal thickness, corneal endothelial cell density, coefficient of variance, and hexagonality in patients of Gp A& B.
Methods
CEM 530 NIDEK Specular Microscope and SP200 Tomey Ultrasound Pachymetry were used to measure ECD, CCT, CV, and hexagonality preop and at 7d, 1m, and 3m postop.
Results showed a significant increase in CCT at 7 days and 1 month in both groups, followed by a decrease at 3 months. A significant decrease in ECD and hexagonality, and an increase in CV, were observed in both groups over time. However, Group B showed higher ECD and CV at 7 days, while IOP was significantly lower in Group A postoperatively.
Conclusion
Corneal Endothelial Cells loss is more in phacotrabeculectomy than phacoemulsification.