The usefulness of enzyme histochemical methods for the localization of
enzymes as catalysts of molecular interactions in the cells and tissu
es of healing corneal wounds is shown in rabbits. The current data on
corneal wound healing in humans as well as in rabbits with particular
reference to serine proteases are reviewed. Some inflammatory mediator
s are also discussed. Plasmin is a serine protease which is absent (or
present only in very low concentration) in the tear fluid, and its ac
tivity appears under various pathological conditions in humans or foll
owing experimental injuries in rabbits. The role of increasing pIasmin
activity in the tear fluid in the depending upon the severity of corn
eal injury is evaluated. Great attention is devoted to conditions lead
ing to long-lasting elevated levels of plasmin activity in the tear fl
uid correlated with corneal ulceration. The differences between the hi
stochemical pattern of untreated corneas or corneas treated with some
serine protease inhibitors are shown, and the efficacy of these drugs
is discussed in light of present knowledge.