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Saline solutions, specifically intraocular saline, are used as an inert control or placebo in clinical trials to maintain scientific rigor. In a prospective interventional randomized controlled study conducted by Cairo University, saline is injected intracamerally at the conclusion of phacoemulsification in diabetic patients. This intervention serves as a volume-matched comparator to evaluate the safety and efficacy of intracameral dexamethasone in reducing corneal endothelial cell loss and preventing corneal endothelial decompensation. As a sterile sodium chloride solution, it lacks active pharmacological properties but is essential for assessing the relative benefit of therapeutic interventions in ophthalmic surgery.
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