Ocular immune system
Ocular immune system refers to the immune mechanisms that protect the eye and its associated tissues from pathogens while maintaining vision. The ocular immune system is a part of the body's overall immune system, but it has unique features that distinguish it from the immune responses in other parts of the body.
Anatomy of the Ocular Immune System
The ocular immune system consists of several components, including the cornea, conjunctiva, sclera, choroid, retina, and vitreous humor. These structures work together to protect the eye from infection and inflammation.
Cornea
The cornea is the clear, dome-shaped surface that covers the front of the eye. It serves as the eye's primary defense against pathogens, thanks to its physical barrier and the presence of antimicrobial peptides.
Conjunctiva
The conjunctiva is a thin, transparent tissue that covers the white part of the eye and the inner surface of the eyelids. It contains lymphocytes and macrophages, which play a crucial role in the ocular immune response.
Sclera
The sclera is the white outer layer of the eye. It provides structural support and protection for the eye, and it also contains immune cells that can respond to pathogens.
Choroid
The choroid is a layer of blood vessels and connective tissue between the sclera and the retina. It provides oxygen and nutrients to the outer layers of the retina.
Retina
The retina is the innermost layer of the eye, containing light-sensitive cells that send signals to the brain. It has its own unique immune environment, with resident immune cells called microglia.
Vitreous Humor
The vitreous humor is a clear, gel-like substance that fills the space between the lens and the retina. It provides structural support for the eye and also contributes to immune privilege by preventing the movement of immune cells.
Immune Responses in the Eye
The ocular immune system is characterized by a phenomenon known as immune privilege, which means that the immune responses in the eye are regulated to prevent inflammation that could damage vision. This is achieved through several mechanisms, including the physical barrier of the cornea, the presence of anti-inflammatory molecules in the eye, and the lack of blood vessels in certain parts of the eye.
Despite the immune privilege, the eye can still mount an immune response to pathogens. This involves the activation of immune cells in the eye, such as macrophages and lymphocytes, as well as the production of antibodies by B cells.
Diseases of the Ocular Immune System
Dysfunction of the ocular immune system can lead to various diseases, including uveitis, keratitis, and retinitis. These conditions are characterized by inflammation in different parts of the eye and can lead to vision loss if not treated promptly.
See Also
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Contributors: Prab R. Tumpati, MD