The effects of low- and hyper-Dk contact lenses on corneal epithelial homeostasis

Ophthalmol Clin North Am. 2003 Sep;16(3):311-25. doi: 10.1016/s0896-1549(03)00044-0.

Abstract

Contact lens were and eyelid suturing diminish overall Bcl-2 expression in the corneal epithelium, yet nuclear Bcl-2 in the exposed surface epithelial cells seems to be retained for longer periods when compared with the retention in control eyes. This observation may explain why there is a decrease in surface cell exfoliation during CTL wear, because nuclear Bcl-2 loss needs to precede apoptotic surface cell exfoliation. In addition, if the hypothesis is true that Bcl-2 also has a regulatory function in the proliferation and differentiation of tissues, the overall reduced expression of Bcl-2 (nuclear plus cytoplasmic) may clarify the decrease in proliferation of the corneal epithelium seen during CTL wear. Future studies should clarify the role of Bcl-2 in the homeostatic dynamics of the corneal epithelium. CTL wear and eyelid suturing provide excellent noninflammatory models to advance knowledge of Bcl-2 and its regulatory roles. Additionally, these models should help researchers gain a better understanding of the CTL-associated effects on corneal epithelium.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Animals
  • Cell Death
  • Cell Differentiation
  • Cell Division
  • Cell Survival
  • Contact Lenses* / adverse effects
  • Corneal Ulcer / etiology
  • Corneal Ulcer / microbiology
  • Cyclin D1 / metabolism
  • Epithelium, Corneal / physiopathology*
  • Homeostasis*
  • Humans
  • Keratitis / microbiology
  • Oxygen*
  • Permeability
  • Pseudomonas Infections / etiology

Substances

  • Cyclin D1
  • Oxygen