Cataract surgery induced stabilization of corneal endothelial loss following laser iridotomy

Accession number;04A0241644
Title;Cataract surgery induced stabilization of corneal endothelial loss following laser iridotomy
Author; SONODA HIDEO (Labour Welfare Corp., Tsubame Rosai Hospital, JPN) NAKATSUE TOMOKO (Labour Welfare Corp., Tsubame Rosai Hospital, JPN) NEMOTO DAISHI (Labour Welfare Corp., Tsubame Rosai Hospital, JPN)
Journal Title;Japanese Journal of Clinical Ophthalmology
Journal Code:Z0515B
ISSN:0370-5579
VOL.58;NO.3;PAGE.325-328(2004)
Figure&Table&Reference;FIG.7, REF.16
Pub. Country;Japan
Language;Japanese
Abstract;Laser iridotomy was performed for narrow angle in both eyes of a 58-year-old woman. Bullous keratopathy was present in her right eye when seen again 8 years later. Both eyes had shallow anterior chamber with pupil block. The corneal endothelial cell population was 407/mm2 right and 644/mm2 left. We performed cataract surgery and intraocular lens implantation 4 months later. Corneal edema disappeared 3 months later. The corneal endothelial cells have stabilized during 4 years and 6 months of follow up. Ten years after the initial laser iridotomy, her left eye developed bullous keratopathy with the corneal endothelial cells reduced to 250/mm2. Corneal edema disappeared 3 months after cataract surgery. Two years after surgery, the corneal endothelial cells had increased to 380/mm2. This case illustrates that cataract surgery may induce stabilization of corneal endothelial loss secondary to laser iridotomy. Aqueous flow into the anterior chamber through the site of iridotomy and not through the pupil seemed to be the cause of observed loss of corneal endothelial cells. (author abst.)