“…Likewise, herpes simplex virus in human tears has been shown to flow through the lacrimal canaliculi into the nasal cavity (Yoshida and Hondo, 1992); (2) intranasal, oral, or gastric administration of bacteria, viruses, or other antigens may induce the accumulation of specific tear IgA antibodies and the generation of ocular surface protection (Mestecky et al, 1978;Nichols et al, 1978;Montgomery et al, 1983Montgomery et al, , 1984aBergmann et al, 1986;Waldman and Bergmann, 1987;Czerkinsky et al, 1987;Van Zaane et al, 1987;Peppard et al, 1988;Peppard and Montgomery, 1990;Davidson et al, 1993;Carr et al, 1996;Noriega et al, 1996;Montgomery and Rafferty, 1998;Ridley Lathers et al, 1998;Gill and Montgomery, 2002). On the other hand, recent studies now indicate that particulate antigen can be taken up by the conjunctiva and transported to the draining lymph nodes, showing that NALT is not an absolute requirement for the induction of rat tear IgA responses (Gill et al, 2010).…”