Changes in Corneal Epithelial Barrier Function and Zonula Occludens-1 Distribution with Concomitant Use of Silver Nitrate and Latanoprost in Rabbits.

PURPOSE: This study investigated the effects of silver nitrate (AgNO3), a preservative in ophthalmic solution, alone and in combination with latanoprost (LP), on corneal epithelial barrier function and zonula occludens-1 (ZO-1) distribution in the corneal epithelium of rabbits.

METHODS

Twelve adult male albino New Zealand white rabbits (weighing 3.0-3.5 kg) were the subjects in this study. These mature rabbits received five instillations at 5-min intervals of AgNO3 (0.01, 0.1, or 1%), benzalkonium chloride (BAK 0.02%), LP (0.005%) alone, or LP combined with AgNO3 (0.01 or 1%). Corneal resistance (CR) was measured, and histological analyses were performed.

RESULTS

AgNO3 1% increased CR (108.2%); however, CR significantly decreased when combined with LP (P < 0.05). Marked CR reduction was observed in the eyes administered BAK and LP + AgNO3 1%. Immunostaining showed preserved ZO-1 in the eyes that received AgNO3 1% and LP + AgNO3 0.01%, whereas those that received BAK, LP alone, and LP + AgNO3 1% demonstrated disrupted ZO-1.

CONCLUSIONS

A high concentration of AgNO3 with LP exacerbated corneal epithelial barrier impairment, which highlights the importance of preservative concentration control in ophthalmic formulations.