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Abstract Background: Corneal Cataract surgery is also traumatic to the corneal epithelium. Scarring and opacity is the commonest cause of blindness. Objective: To investigate the epithelial thickness in the cornea in different corneal conditions using anterior segment optical coherence tomography. Patients and Methods: In our study we used AS-OCT epithelial mapping to document changes in epithelial thickness in cataract patients pre and 1 month after phacoemulsification, patients with corneal scarring and patients with pterygium. Results: The results of our study showed a significant increase in epithelium thickness in patients with corneal scarring and pterygium and in cataract patients, there is significant decrease in thickness in the 1 month post operative follow up in area (0_2) mm in the map, there is significant increase in the thickness in 1 month post operative (7_9) mm in the map and there is no statistically significant change in areas (2_5) & (5_7). Conclusion: There is a significant increase in epithelium thickness in patients with corneal scarring and pterygium and in cataract patients, there is significant decrease in thickness in the 1 month post operative follow up in area (0_2) mm in the map, there is significant increase in the thickness in 1 month post operative (7_9) mm in the map and there is no statistically significant change in areas (2_5) & (5_7). |