Purpose: To study the factors affecting specular microscopic changes in corneal endothelium in relation to cataract surgery. Material and Methods: Four hundred fifty seven patients were included in this study, the patients who underwent cataract surgery. The patients were examined before surgery & after 6 weeks of surgery on follow up visits. Corneal endothelial examination was done with non-contact Specular Microscope (TopconSP- 2000P) after detailed ocular examination. Result: ACS increased in all three types of surgery. Maximum increase in ACS was seen in ACIOL patients (131.5± 222.6μ m2) least increase in ACS was seen in patients undergoing ECCE (67.4 ± 141.2μ m2). Conclusion: In absence of significant corneal changes the visual recovery after cataract surgery was satisfactory.
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