The scarcity of aqucous humour and uveal tissues from living patients has hampered studies on the immunological aspects of human eye diseases. There are many autopsy studies investigating the niature and amount of proteins in human aqueous, but it is known that the composition of aqueous humour changes very rapidly after death so that the validity of the results of these autopsy studies on the composition of aqueous humour is in doubt (Hemmingsen and Other, I967; Dieckhues, I967; Allansmith, Whitney, McClellan, and Newman, I973). Application of radial immunodiffusion (Mlancini, Carbonara, and Heremans, I965) has enabled us to estimate quantitatively IgG, IgMl, and IgA in the aqueous humour obtained before surgery from patients suffering from: (i) Active chronic endogenous uveitis, (ii) Narrow-angle glaucoma with no active inflammation, (iii) Senile cataracts.Small pieces of iris were also available from these patients for immunohistochemical study.
Material and methodsSamples of aqueous humour collected just before surgery, taking care not to contaminate the aqueous with blood, were centrifuged in small glass test-tubes (6 mm. diameter with conical bottom) at i,ooo G. max. for I o min. to get rid of cells and tissue debris (if any). The clear supernatant was subjected to radial immunodiffusion in plates (Hyland Laboratories, California). Using a numbei of reference standards supplied by the Hyland Laboratories and the World Health Organization (W.H.O. Standard 67 87), the lowest protein concentrations which could be reliably measured by this method were: IgG, 5 mg./I00 ml.; 1gM, 4 mg. I00 ml.; IgA, 4 mg./ I00 ml.To assess the reproducibility of this method of immunoglobulin determination, ten repeated measurements of each of the three immunoglobulin classes were performed on a diluted pooled specimen of normal human serum. The coefficient of variation (standard deviations/mean concentration x ioo) of the IgG, IgM, and IgA determinations respectively were ±6, ±4, and ±7 pel cciet. Whenever the volume of aqueous humour was insufficient, the aqueous was subjected to immunoelectrophoresis against an antibody to whole human serum for qualitative detection of immunoglobulin fractions.Freshly excised pieces of iris (about 2 CU. mm.) were snapfiozen in a slurry of liquid nitrogen and isopentane (-i6oC.) and stored at 70°C. Air-dried unfixed 2 to 3 L cryostat sections of iris as well as parallel sections fixed in 5 per cent. glacial acetic acid in ethanol at -20°C. for I5 min.(Hijmans, Schuit, and Klein, I969) were washed three times in phosphate buffered saline (PBS,