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  1. S Kinoshita,
  2. L P K Ang,
  3. H Higashihara,
  4. C Sotozono
  1. Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan
  1. Dr S Kinoshita, Department of Ophthalmology, Kyoto Prefectural University of Medicine, 999 Kyoto, Kyoto Prefecture 602-0841, Japan; shigeruk{at}

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We greatly appreciate the recent response to our article by Wang et al entitled “Management of angle closure glaucoma in East Asian eyes: a response to Argon laser iridotomy-induced bullous keratopathy—a growing problem in Japan,” in which they reaffirmed the need to address the worrying increase in ocular decomposition resulting from argon laser iridotomy (ALI)-induced complications in Asian countries. It has long been believed that ALI does not change corneal endothelial cell density;1 2 however, that does not seem to be correct in eyes with a pigmented iris. As was noted in our recent article,3 …

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  • Competing interests: None.

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