“…Other hypothesis includes oxidative or nitrative stress, both at the level of trabecular meshwork (Sacca et al, 2007) and 21 retinal ganglion cells (Aslan et al, 2008;Tezel, 2006); autoimmune reactions in which an individual's immune system facilitate somatic/axonal degeneration of retinal ganglion cells (Wax and Tezel, 2009); glutamate toxicity (Vorwerk et al, 1999); loss of neurotrophic factors (Pease et al, 2000), etc. However, a various combination of these factors may be involved.The glial cells in the optic nerve head region (lamina cribrosa cells) (Quill et al, 2011), and in particular the astrocytes, the principal glial cells, have been proposed to play an important role in the glaucomatous change in the extracellular matrix in around the ganglion cells (Hernandez, 2000;Hernandez et al, 2008). In primates, alterations in the expression of metalloproteinases (MMPs) and their inhibitors (TIMPs) occur in the optic nerve head of experimental glaucoma (Agapova et al, 2003a).…”