The blood-aqueous barrier breakdown in eyes with endothelial decompensation after argon laser iridotomy.

摘要

Argon laser iridotomy-induced bullous keratopathy (ALI-BK) is a growing medical problem in Asian countries. This disease is a common reason for either Descemet's stripping automated endothelial kerato-plasty or penetrating keratoplasty surgery in Japan. Our experience with penetrating keratoplasty, combined with cataract extraction and intraocular lens implantation in eyes with ALI-BK, is typically characterised by an aggressive anterior-chamber inflammatory response, both intraoperatively and postoperatively, as compared with pseudo-phakic and aphakic BK, corneal opacity, and corneal scarring. Therefore, we speculate that in eyes with ALI-BK, the disease tends to weaken the blood-aqueous barrier. We quantitatively evaluated the blood-aqueous barrier in eyes with early endothelial decompensation following All using iris fluorescein angiography (IFA) and fluorophotometry.