Autoimmunity at the ocular surface: Pathogenesis and regulation

M. E. Stern, C. S. Schaumburg, R. Dana, M. Calonge, J. Y. Niederkorn, S. C. Pflugfelder

Research output: Contribution to journalReview articlepeer-review

103 Scopus citations


A healthy ocular surface environment is essential to preserve visual function, and as such the eye has evolved a complex network of mechanisms to maintain homeostasis. Fundamental to the health of the ocular surface is the immune system, designed to respond rapidly to environmental and microbial insults, whereas maintaining tolerance to self-antigens and commensal microbes. To this end, activation of the innate and adaptive immune response is tightly regulated to limit bystander tissue damage. However, aberrant activation of the immune system can result in autoimmunity to self-antigens localized to the ocular surface and associated tissues. Environmental, microbial and endogenous stress, antigen localization, and genetic factors provide the triggers underlying the immunological events that shape the outcome of the diverse spectrum of autoimmune-based ocular surface disorders.

Original languageEnglish (US)
Pages (from-to)425-442
Number of pages18
JournalMucosal Immunology
Issue number5
StatePublished - Sep 2010

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology


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