Corneal Decompensation After Argon Laser Iridectomy

National Survey on Bullous Keratopathy in Japan

“…Although the disorder ha s been reported, [34][35][36][37][38][39] no one noted such a large number. The difference in the rate of LI-related BK between Japan and other western countries is probably attributable to the difference in prevalence of angle-closure glaucoma.…”

“…Although not conclusive, the use of the YAG laser may be advisable for LI, especially for patients who are susceptible to endothelial damage such as those with guttae, diabetes mellitus, or a history of glaucoma attack. 36,37,46 Bigar and Witmer reported corneal endothelial loss in acute angle closure patients that had no surgery, along with an association of corneal guttatae in these patients. 34 No data was available in this study regarding the presence/absence of such risk factors.…”

New findings in the diagnosis and treatment of primary angle-closure glaucoma

“…About the possible complications described in this procedure, postoperative transient focal lenticular and corneal endothelial burns are common. It still discussed the association between this practice and undesired events such as cataract progression, progressive corneal edema, and ciliochoroidal effusion (Lim et al, 2005;Sakai et al, 2003;Schwartz et al, 1988;Yip et al, 2010a,b).…”

Corneal triple procedure

“…Schwartz et al reported 3 cases of corneal decompensation after ALI. 20 These cases are not so rare in Japan, and multiple factors including inflammation and pressure elevation with acute attack, pre-existing corneal guttate, diabetes, herpetic endotheliitis, unnecessarily large size of iridotomy, and high-laser energy were related with bullous keratopathy after ALI. 21 It is still unknown why patients with bullous keratopathy after ALI are abundant in Japan.…”