[The immunity of patients with keratoconus]

L N Tarasova1, E N Gorskova, S N Teplova

  • 1Department of Ophthalmology of Uralsk Advanced Training Institute for Doctors, Cheliabinsk

Insights

Immune system imbalances were found in keratoconus patients, affecting T-lymphocytes and immunoglobulin levels. These findings suggest compromised immune homeostasis in individuals with this corneal disease.

Area of Science:

  • Immunology
  • Ophthalmology
  • Corneal Diseases

Background:

  • Keratoconus is a progressive thinning of the cornea.
  • Immune system dysregulation may play a role in keratoconus pathogenesis.
  • Understanding immune changes is crucial for managing keratoconus.

Purpose of the Study:

  • To investigate cellular and humoral immunity in patients with keratoconus.
  • To assess immune homeostasis at different stages of the disease.
  • To identify specific immune markers associated with keratoconus.

Main Methods:

  • Studied cellular and humoral immunity parameters.
  • Analyzed T-lymphocytes and their subpopulations.
  • Measured immunoglobulin levels, complement components (C3, C4), and lysozyme activity.
  • Assessed NBT-positive and phagocytic cells.

Main Results:

  • Impaired immune homeostasis observed in keratoconus patients.
  • Shifts in T-lymphocyte populations noted.
  • Dysgammaglobulinemia with elevated primary immune response immunoglobulins.
  • Increased C3 and C4 complement components with reduced total hemolytic activity.
  • Elevated NBT-positive and phagocytic cells, decreased serum lysozyme activity.

Conclusions:

  • Keratoconus is associated with significant alterations in immune parameters.
  • Both local corneal involvement and systemic immune shifts are evident.
  • Immune dysregulation contributes to the pathophysiology of keratoconus.