Prospective, interventional case control study. Sixty-nine eyes were randomized into 3 groups, 23 eyes each : 2groups received intracameral dexamethasone and triamcinolone (TA) respectively, while controls didn't receive any intraoperative steroids.

Intracameral steroids at the conclusion of phacoemulsification significantly improved corneal edema and spared corneal endothelium.

Purpose: Investigating the effect of intracameral steroids at the end of phacoemulsification on corneal edema and endothelial count.

Methods: Prospective, interventional case control study. Sixty-nine eyes were randomized into 3 groups, 23 eyes each : 2groups received intracameral dexamethasone and triamcinolone (TA) respectively, while controls didn't receive any intraoperative steroids.

On the first postoperative day corneal edema in control compared to dexamethasone and TA groups respectively.

One month later, the mean increase of corneal thickness in control compared to intracameral dexamethasone and TA groups, respectively.

mean endothelial cell loss in control compared to intracameral dexamethasone and TA groups respectively.

Inclusion Criteria:

• Cataract grades 2 to 5 nuclear cataract (LOCS III scale)
• uneventful phacoemulsification operation

Exclusion Criteria:

• extremely hard cataract grade 6 nuclear cataract (LOCS III scale)
• soft cataract
• subluxated lenses or zonular dehiscence
• associated ocular pathology such as glaucoma
• any signs of uveitis
• trauma
• retinal detachment
• vitrectomized or silicone filled eyes
• corneal disease such as Fuch's dystrophy, corneal opacity
• previous refractive corneal surgery
• Cases that developed ruptured posterior capsule and vitreous loss
• those lost to follow up were excluded and randomly replaced by the next chronological patient