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Vol 4 (2019): Continuous Publishing
ORIGINAL PAPERS
Published online: 2019-05-21
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Hypertension and cerebrovascular diseases are related to corneal endothelial insufficiency — a retrospective study

Oguz Guvenmez, Asim Kayiklik
DOI: 10.5603/OJ.2019.0001
·
Ophthalmol J 2019;4:11-14.

open access

Vol 4 (2019): Continuous Publishing
ORIGINAL PAPERS
Published online: 2019-05-21

Abstract

Background: Corneal endothelium has an important role on the clarity of the cornea. Cataract surgery may cause corneal endothelial damages and serious vision problems. In this study, we aimed to investigate hypertension, cerebrovascular diseases, and trauma in patients who developed corneal endothelial insufficiency (CEI) after cataract surgery.

Material and methods: The study was performed in the Department of Ophthalmology in Adana Ortadogu Hospital between October 2017 and October 2018. 24 patients who developed CEI after cataract surgery and 24 patients who did not develop CEI after cataract surgery were included to the study. Eye trauma, systemic hypertension, cerebrovascular diseases were investigated in the patients’ own history. The findings were compared statistically.

Results: The percent of cerebrovascular diseases was 54.2% in patients with CEI and 16.6% in patients without CEI. 58.3% of the patients with CEI had a systemic hypertension history. Hypertension was presented in 25% of the patients who did not develop CEI. The rate of trauma history in patients with CEI was 29.2% and 12.5% in those without CEI. The history of cerebrovascular disease and hypertension were significantly higher in patients with CEI.

Conclusion: Hypertension and cerebrovascular diseases appeared to be linked with CEI.

Abstract

Background: Corneal endothelium has an important role on the clarity of the cornea. Cataract surgery may cause corneal endothelial damages and serious vision problems. In this study, we aimed to investigate hypertension, cerebrovascular diseases, and trauma in patients who developed corneal endothelial insufficiency (CEI) after cataract surgery.

Material and methods: The study was performed in the Department of Ophthalmology in Adana Ortadogu Hospital between October 2017 and October 2018. 24 patients who developed CEI after cataract surgery and 24 patients who did not develop CEI after cataract surgery were included to the study. Eye trauma, systemic hypertension, cerebrovascular diseases were investigated in the patients’ own history. The findings were compared statistically.

Results: The percent of cerebrovascular diseases was 54.2% in patients with CEI and 16.6% in patients without CEI. 58.3% of the patients with CEI had a systemic hypertension history. Hypertension was presented in 25% of the patients who did not develop CEI. The rate of trauma history in patients with CEI was 29.2% and 12.5% in those without CEI. The history of cerebrovascular disease and hypertension were significantly higher in patients with CEI.

Conclusion: Hypertension and cerebrovascular diseases appeared to be linked with CEI.

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Keywords

hypertension; cerebrovascular disease; trauma; cataract; corneal endothelial insufficiency

About this article
Title

Hypertension and cerebrovascular diseases are related to corneal endothelial insufficiency — a retrospective study

Journal

Ophthalmology Journal

Issue

Vol 4 (2019): Continuous Publishing

Pages

11-14

Published online

2019-05-21

DOI

10.5603/OJ.2019.0001

Bibliographic record

Ophthalmol J 2019;4:11-14.

Keywords

hypertension
cerebrovascular disease
trauma
cataract
corneal endothelial insufficiency

Authors

Oguz Guvenmez
Asim Kayiklik

References (14)
  1. Morikubo S, Takamura Y, Kubo E, et al. Corneal changes after small-incision cataract surgery in patients with diabetes mellitus. Arch Ophthalmol. 2004; 122(7): 966–969.
  2. Bourne RRA, Minassian DC, Dart JKG, et al. Effect of cataract surgery on the corneal endothelium: modern phacoemulsification compared with extracapsular cataract surgery. Ophthalmology. 2004; 111(4): 679–685.
  3. Mishima S, Mishima S. Clinical investigations on the corneal endothelium-XXXVIII Edward Jackson Memorial Lecture. Am J Ophthalmol. 1982; 93(1): 1–29.
  4. Williams K. Correlation of Histologic Corneal Endothelial Cell Counts With Specular Microscopic Cell Density. Arch Ophthalmol. 1992; 110(8): 1146.
  5. Geroski DH, Matsuda M, Yee RW, et al. Pump function of the human corneal endothelium. Effects of age and cornea guttata. Ophthalmology. 1985; 92(6): 759–763.
  6. Kim EK, Cristol SM, Kang SJ, et al. Viscoelastic protection from endothelial damage by air bubbles. J Cataract Refract Surg. 2002; 28(6): 1047–1053.
  7. Cameron MD, Poyer JF, Aust SD. Identification of free radicals produced during phacoemulsification. J Cataract Refract Surg. 2001; 27(3): 463–470.
  8. Hayashi K, Hayashi H, Nakao F, et al. Risk factors for corneal endothelial injury during phacoemulsification. J Cataract Refract Surg. 1996; 22(8): 1079–1084.
  9. Lundberg B, Jonsson M, Behndig A. Postoperative corneal swelling correlates strongly to corneal endothelial cell loss after phacoemulsification cataract surgery. Am J Ophthalmol. 2005; 139(6): 1035–1041.
  10. Díaz-Valle D, Benítez del Castillo Sánchez JM, Castillo A, et al. Endothelial damage with cataract surgery techniques. J Cataract Refract Surg. 1998; 24(7): 951–955.
  11. McCarey BE, Polack FM, Marshall W. The phacoemulsification procedure. I. The effect of intraocular irrigating solutions on the corneal endothelium. Invest Ophthalmol. 1976; 15(6): 449–457.
  12. Sahu PK, Das GK, Agrawal S, et al. Comparative Evaluation of Corneal Endothelium in Patients with Diabetes Undergoing Phacoemulsification. Middle East Afr J Ophthalmol. 2017; 24(2): 74–80.
  13. Cankurtaran V, Tekin K. Cumulative Effects of Smoking and Diabetes Mellitus on Corneal Endothelial Cell Parameters. Cornea. 2019; 38(1): 78–83.
  14. Olsen T. Is there an association between Fuchs' endothelial dystrophy and cardiovascular disease? Graefes Arch Clin Exp Ophthalmol. 1984; 221(5): 239–240.

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