The transparent corneal stroma contains a population of corneal fibroblasts termed keratocytes, which are interspersed between the collagen lamellae. Under normal conditions, the keratocytes are quiescent and transparent. However, after corneal injury the keratocytes become activated and transform into backscattering wound-healing fibroblasts resulting in corneal opacification. At present, the most popular hypothesis suggests that particular abundant water-soluble proteins called enzyme-crystallins are involved in maintaining corneal cellular transparency. Specifically, corneal haze development is thought to be related to low levels of cytoplasmic enzyme-crystallins in reflective corneal fibroblasts. To further investigate this hypothesis, we have used a proteomic approach to identify the most abundant water-soluble proteins in serumcultured human corneal fibroblasts that represent an in vitro model of the reflective wound-healing keratocyte phenotype. Densitometry of one-dimensional gels revealed that no single protein isoform exceeded 5% of the total water-soluble protein fraction, which is the qualifying property of a corneal enzyme-crystallin according to the current definition. This result indicates that wound-healing corneal fibroblasts do not contain enzyme-crystallins. A total of 254 protein identifications from two-dimensional gels were performed representing 118 distinct proteins. Proteins protecting against oxidative stress and protein misfolding were prominent, suggesting that these processes may participate in the generation of cytoplasmic light-scattering from corneal fibroblasts. Molecular & Cellular Proteomics 3:660 -674, 2004.The cornea, the only transparent connective tissue of the body, is responsible for ϳ70% of the total refractive power of visible light in the eye. The corneal stroma (thickness ϳ450 m) mainly consists of collagen lamellae formed by uniform fibrils composed of type I, III, and V collagen (1, 2). The uniform diameter (ϳ30 nm) and regular spacing of the collagen fibrils (ϳ60 nm between the centers) lead to destructive interference of light except in the forward direction and thus optical transparency of the extracellular matrix of the cornea (3, 4). The stroma also contains multiple layers of quiescent corneal fibroblasts, termed keratocytes, which are interspersed between the collagen lamellae. Under normal conditions, the quiescent keratocytes are transparent except for the nuclei when studied in vivo using scanning slit specular microscopy (5), slit-lamp biomicroscopy, or in vivo confocal microscopy (6). This stealth-like invisibility indicates that the refractive index of the keratocyte cytoplasm and cellular processes is similar to that of the extracellular matrix of the corneal stroma (6).The keratocytes have a dynamic potential for proliferation and transformation. Thus, after injury of the cornea such as excimer laser keratectomy for the treatment of myopia, the keratocytes transform into spindle-shaped fibroblastic cells (7,8). The corneal fibroblasts repopulate the d...