Jurnal Oftalmologi Indonesia
ISSN 1693-2587
Vol. 7 / No. 5 / Published : 2011-06
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Original Article :
The role of ascorbic acid on endothelial cell damage in phacoemulsification
Author :
- Nika Bellarinatasari*1
- Wasisdi Gunawan*2
- Tri Wahyu Widayanti*3
- Hartono*4
- Department of Ophthalmology, Faculty of Medicine, Gadjah Mada University/Dr. Sardjito General Hospital, Yogyakarta
Abstract :
The objective of this study is to compare the corneal endothelial cell loss due to phacoemulsification surgery in ascorbic acidgroup and placebo group. This was a clinical study with double blinds randomized controlled trial. There were 66 subjects enrolled, divided into 2 groups: ascorbic acid group that was given 2 g orally with divided doses 500 mg four times at night, morning, afternoon and 2 hours before surgery (n = 32) and placebo group (n = 34). Endothelial cell counts was performed before and 7 days after phacoemulsification surgery. Administration of 2g ascorbic acid in divided doses of 500 mg given 4 times before phacoemulsification surgery caused less corneal endothelial cell loss 229,27 ± 191,58 cells/mm2(9.10% ± 6.88%) compared with the administration of placebo which had endothelial cell loss 364,64 ± 255,25 cells/mm2 (14.85% ± 10.54%). There was statistically significantly different in endothelial cell loss between the two groups (p < 0.05), but no clinically significantly different. The baseline characteristic between the both groups was similar. Administration of 2 g ascorbic acid in divided doses of 500 mg given 4 times before phacoemulsification surgery can reduce the corneal endothelial cell loss.
Keyword :
phacoemulsification, ascorbic acid, endothelial cell loss,
References :
Istiantoro S, Johan AH,(2004) Transisi Menuju Fakoemulsifikasi Jakarta : Granit
Gardner JM, Aust SD,(2009) Quantification of hydroxyl radical produced during phacoemulsification Amerika : J Cataract Refract Surg
Takahashi, H,(2005) Free radical development in phacoemulsification cataract surgery - : J Nippon Med Sch
Nemet AY, Assia EI, Meyerstein D, Meyerstein N, Gedanken A, Topaz M,(2007) Protective effect of free-radical scavengers on corneal endothelial damage in phacoemulsification - : J Cataract Refract Surg
Rose RC, Richer ST, Bode AM,(1999) Ocular oxidants and antioxidant protection - : Society for Experimental Biology and Medicine
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