Serotonin (5-hydroxytryptamine, 5-HT) is a biogenic amine which has a
multitude of more or less clearly established effects on peripheral ve
ssels. It influences blood viscosity, platelet aggregation, and vasoco
nstruction and -dilatation, it enhances capillary permeability, it is
the precursor of melatonin (a hormone with diurnal production in the e
ye). Because of these actions a role for serotonin in the development
of glaucoma and diabetic retinopathy might be suspected. In a series o
f pilot studies on rats the effects of serotonin on the anterior and p
osterior segments of the eye were studied. Serotonin had marked influe
nce on the retinal and choroidal vasculature. The optic disk seemed to
be very sensitive to serotonin. Possibly it had an influence on the b
lood-retinal barrier. It caused transient cataracts, probably by decre
asing the production of aqueous. It blocked tropicamin-induced mydrias
is. The techniques and provisional results of measurement of serotonin
in human aqueous are also described.