Corneal edema after phacoemulsification

Indian J Ophthalmol. 2017 Dec;65(12):1381-1389. doi: 10.4103/ijo.IJO_871_17.


Phacoemulsification is the most commonly performed cataract surgery in this era. With all the recent advances in investigations and management of cataract through phacoemulsification, most of the patients are able to achieve excellent visual outcome. Corneal edema after phacoemulsification in the immediate postoperative period often leads to patient dissatisfaction and worsening of outcome. Delayed onset corneal edema often warrants endothelial keratoplasty. This review highlights the etiopathogenesis, risk factors, and management of corneal edema in the acute phase including descemet's membrane detachment (DMD) and toxic anterior segment syndrome. Various investigative modalities such as pachymetry, specular microscopy, anterior segment optical coherence tomography, and confocal microscopy have been discussed briefly.

Publication types

  • Review

MeSH terms

  • Corneal Edema / etiology*
  • Humans
  • Phacoemulsification / adverse effects*
  • Postoperative Complications*