Corneal endothelial protection during manual small-incision cataract surgery: A narrative review.

Another study has reported RL to be cornea-safe (EC density, CV, and central corneal thickness) as BSS Plus for atraumatic PE, but it showed a trend toward lower postoperative EC density for surgeries with longer PE time and higher irrigation volumes if RL was used.[ 31 ] Lesser EC loss was observed (15.4%) with BSS Plus compared to BSS (22.7%), according to Kline et al .’s[ 33 ] study comparing the two during ECCE surgery.

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