a b s t r a c tExcessive Ca 2þ can be detrimental to cells and raised levels of Ca 2þ in human lenses with cortical cataract have been found to play a major role in the opacification process. Ca 2þ homeostasis is therefore, recognised as having fundamental importance in lens pathophysiology. Furthermore, Ca 2þ plays a central role as a second messenger in cell signalling and mechanisms have evolved which give cells exquisite control over intracellular Ca 2þ ([Ca 2þ ] i ) via an array of specialised regulatory and signalling proteins. In this review we discuss these mechanisms as they apply to the lens. Ca 2þ levels in human aqueous humour are approximately 1 mM and there is a large, 10,000 fold, inwardly directed gradient across the plasma membrane. In the face of such a large gradient highly efficient mechanisms are needed to maintain low [Ca 2þ ] i . The Na þ /Ca 2þ exchanger (NCX) and plasma membrane Ca 2þ -ATPase (PMCA) actively remove Ca 2þ from the cells, whereas the sarco(endo)plasmic reticulum Ca 2þ -ATPase (SERCA) sequesters Ca 2þ in the endoplasmic reticulum (ER) Ca 2þ store. In lens epithelial cells the dominant role is played by the ATPases, whilst in the fibre cells NCX activity appears to be more important. Usually, [Ca 2þ ] i can be increased in a number of ways. Ca 2þ influx through the plasma membrane, for example, is mediated by an array of channels with evidence in the lens for the presence of voltage-operated Ca 2þ channels (VOCCs), receptor-operated Ca 2þ channels (ROCCs) and channels mediating store-operated Ca 2þ entry (SOCE). Ca 2þ signalling is initiated via activation of G-protein-coupled receptors (GPCRs) and receptor tyrosine kinases (RTK) of which the lens expresses a surprisingly diverse array responding to various neurotransmitters, hormones, growth factors, autocoids and proteases. Downstream of plasma membrane receptors are IP 3 -gated channels (IP 3 Rs) and ryanodine receptors (RYRs) located in the ER, which when activated cause a rapid increase in [Ca 2þ ] i and these have also been identified in the lens. Through an appreciation of the diversity and complexity of the mechanisms involved in Ca 2þ homeostasis in normal lens cells we move closer to an understanding of the mechanisms which mediate pathological Ca 2þ overload as occurs in the process of cataract formation.