Objective: To assess the participation of cone matrix sheaths, which a
re domains of the cone photoreceptor-associated interphotoreceptor mat
rix that extend from the neural retina to the surface of the retinal p
igment epithelium (RPE), in retinal adhesion. Methods: Monkey and huma
n retinas were partially peeled from the RPE, and the tissues were exa
mined by lectin histochemistry to determine the effects of physical se
paration on the cone matrix sheath. Results: A firm attachment of cone
matrix sheaths to both the RPE and the neural retina that was strong
enough to cause detachment of sheets of RPE cells from Bruch's membran
e or tearing of the sheaths as a result of retinal peeling was observe
d. Cone matrix sheaths can stretch considerably and contract following
tearing. Their integrity was compromised rapidly after the first post
mortem minute. Conclusion: Cone matrix sheath glycoconjugates are like
ly to play a major role in mediating retinal adhesion by forming a mol
ecular bridge betwen the neural retina and the RPE.