Abstract
We determined biochemically the plasmin concentration in tear fluid from 50 externally healthy eyes and from 49 eyes during contact lens (CL) wear. After cessation of CL wear, samples were collected again from 41 of the 49 eyes. Plasmin was detected more frequently (P < 0.0001) in the CL-wearing group (75.5%) than in the control group (20%). After the cessation of CL wear (3–21 days), the frequency of plasmin detection in tear fluid decreased significantly (P < 0.0006) but was still higher (39%) than in the control group. We conclude that the occurrence of plasmin in tear fluid is correlated with CL wear. The proteolytic activity of plasmin may contribute to the development of corneal epithelial pathology associated with CL wear.
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References
Allansmith MR (1986) Wie das Tragen von Kontaktlinsen die Augenoberfläche angreift (How contact lens wear insults the ocular surface). Contactologia 8D:42–45
Allansmith MR, Korb DR, Greiner JV, Henriquez AS, Simon MA, Finnemore VM (1977) Giant papillary conjunctivitis in contact lens wearers. Am J Ophthalmol 83:697–708
Arentsen JJ (1986) Corneal neovascularization in contact lens wearers. Int Ophthalmol Clin 26:15–23
Auran JD, Starr MB, Jacobiec FA (1987) Acanthamoeba keratitis: A review of the literature. Cornea 6:2–26
Bergmanson JPG, Ruben M, Chu LW-F (1984) Corneal epithelial response of the primate eye to gas permeable corneal contact lenses: a preliminary report. Cornea 3:109–113
Berman M (1978) Regulation of collagenase. Trans Ophthalmol Soc UK 98:397–405
Berman M, Leary R, Gage J (1980) Evidence for a role of the plasminogen activator-plasmin system in corneal ulceration. Invest Ophthalmol Vis Sci 19:1204–1221
Berman M, Manseau E, Law M, Aiken D (1983) Ulceration is correlated with degradation of fibrin and fibronectin at the corneal surface. Invest Ophthalmol Vis Sci 24: 1358–1366
Bohigian GM (1979) Management of infections associated with soft contact lens. Ophthalmology 86:1138–1141
Chalupa E, Swarbrick HA, Holden BA, Sjøstrand J (1987) Severe corneal infections associated with contact lens wear. Ophthalmology 94:17–22
Chan KY (1986) Release of plasminogen activator by cultured corneal epithelial cells during differentiation and wound closure. Exp Eye Res 42:417–431
Cooper RL, Constable IJ (1977) Infective keratitis in soft contact lens wearers. Br J Ophthalmol 61:250–254
Danø K, Andreasen PA, Grøndahl-Hansen J, Kristensen P, Nielsen LS, Skriver L (1985) Plasminogen activators and cancer. Adv Cancer Res 44: 139–266
Donzis PB, Mondino BJ, Weissman BA, Bruckner DA (1987) Microbial contamination of contact lens care systems. Am J Ophthalmol 104:325–333
Farris RL (1986) Tear analysis in contact lens wearers. CLAO J 12:106–111
Fujikawa LS, Foster CS, Harrist TJ, Lanigan JM, Colvin RB (1981) Fibronectin in healing rabbit corneal wounds. Lab Invest 45:120–129
Galentine PG, Cohen EJ, Laibson PR, Adams CP, Michaud R, Arentsen JJ (1984) Corneal ulcers associated with contact lens wear. Arch Ophthalmol 102: 891–894
Lantz E, Andersson A (1982) Release of fibrinolytic activators from the cornea and conjunctiva. Graefe's Arch Clin Exp Ophthalmol 219:263–367
Lantz E, Pandolfi M (1986) Fibrinolysis in cornea and conjunctiva: evidence of two types of activators. Graefe's Arch Clin Exp Ophthalmol 224:393–396
Lohman LE (1986) Corneal epithelial response to contact lens wear. CLAO J 12:153–156
Saksela O (1981) Radial caseinolysis in agarose: a simple method for detection of plasminogen activator in the presence of inhibitory substances and serum. Anal Biochem 111:276–282
Salonen E-M, Tervo T, Törmä E, Tarkkanen A, Vaheri A (1987) Plasmin in tear fluid of patients with corneal ulcers: basis for a new therapy. Acta Ophthalmol (Copenh) 65:3–12
Stolze HH, Groteklaes G (1986) Zusammensetzung der Tränenflüssigkeit bei Kontaktlinsenträgern. Contactologia 8D:17–20
Vaheri A, Salonen E-M, Vartio T (1985) Fibronectin in formation and degradation of the pericellular matrix. Ciba Found Symp 114:111–126
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Tervo, T., van Setten, G.B., Andersson, R. et al. Contact lens wear is associated with the appearance of plasmin in the tear fluid — preliminary results. Graefe's Arch Clin Exp Ophthalmol 227, 42–44 (1989). https://doi.org/10.1007/BF02169824
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DOI: https://doi.org/10.1007/BF02169824