Background: Nitric oxide (NO) reacts rapidly with the superoxide anion to g
enerate peroxynitrite, which has been found in the aqueous humor in eyes wi
th uveitis. We evaluated the functional and anatomic effects of peroxynitri
te on rabbit cornea. Methods: One eye of each rabbit received an anterior c
hamber injection of 3-morpholino-sydonimine N-ethylcarbamide (SIN-1), which
simultaneously generates both NO and the superoxide anion. The corneal thi
ckness was measured using an ultrasonic pachymeter before and after the inj
ection. The eyes were fixed and the corneal specimens were prepared for ele
ctron microscopy. Results: Anterior chamber injections of SIN-1 caused a si
gnificant increase in the corneal thickness (25.1+/-3.0 mu m) 30 min after
injection. Transmission electron microscopy showed swollen mitochondria and
large vacuoles in the cytoplasm, and scanning electron micros copy reveale
d obscuring of the mosaic pattern by increased ruffling of endothelial cell
surface and borders. Conclusions: The results suggest that peroxynitrite g
enerated in the aqueous humor may cause corneal endothelial cell damage, wh
ich leads to transient corneal edema.