1999
DOI: 10.1111/j.1444-0938.1999.tb06777.x
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Secretory immunoglobulin A in tears: functions and changes during contact lens wear

Abstract: INTRODUCTION: Secretory immunoglobulin A (sIgA) is the predominant immunoglobulin in tears. The role of sIgA in defending the eye against pathogens has not been established clearly. There have been conflicting reports about the effect of contact lens wear on the concentration of sIgA in tears. This study was conducted to elucidate the role of sIgA in ocular defence and to determine the effect of contact lens wear on sIgA concentration. METHODS: Tears were collected from contact lens wearers and non-wearers usi… Show more

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Cited by 35 publications
(13 citation statements)
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“…16 It has been speculated that potential mechanisms of CL-related dry eye include increased evaporation of the tear film, ocular surface inflammation, reduced ability to produce adequate tears with concurrent increase in tear osmolarity, dewetting related to lack of biocompatibility of the lens surface, or any combination of these. [17][18][19][20][21][22][23][24][25][26][27] The true etiology of CL-related dry eye remains elusive. We believe that successful CL wear depends on a stable tear film, including the production and maintenance in each of its layers.…”
Section: Discussionmentioning
confidence: 99%
“…16 It has been speculated that potential mechanisms of CL-related dry eye include increased evaporation of the tear film, ocular surface inflammation, reduced ability to produce adequate tears with concurrent increase in tear osmolarity, dewetting related to lack of biocompatibility of the lens surface, or any combination of these. [17][18][19][20][21][22][23][24][25][26][27] The true etiology of CL-related dry eye remains elusive. We believe that successful CL wear depends on a stable tear film, including the production and maintenance in each of its layers.…”
Section: Discussionmentioning
confidence: 99%
“…156 Contact lens-wear decreases the levels of sIgA in tear fluid, 157 and extended wear of contact lenses, which is associated with a greater risk of corneal infections, also decreases tear concentrations of sIgA epitopes. 158 It can be hypothesized that decreased levels of sIgA inhibits proper modulation of ocular surface flora, whereby pathogenic/opportunistic organisms colonize the ocular surface.…”
Section: Dry Eye Innate Immune System and Endogenous Antimicrobmentioning
confidence: 99%
“…It has been suggested that potential mechanisms of contact lens-related dry eye include increased evaporation of the tear film15, inflammation1618, reduced ability to produce adequate tears with concurrent increased osmolality19, 20, dewetting related to lack of biocompatibility of the lens surface21–25, or any above mentioned combination. In the current study’s cohort, we previously reported that high water content contact lenses, rapid pre-lens tear film thinning, limbal injection, and an increased tear film osmolality were significant factors associated with contact lens-related dry eye 26.…”
mentioning
confidence: 99%