the purpose of this study was to determine if transient cell membrane disruptions (tpMDs) in single keratocytes can trigger signaling events in neighboring keratocytes. Stromal cells were cultured from human corneas (HcSc) and mouse corneas (McSc). tpMDs were produced using a multiphoton microscope in Cal-520-AM loaded cells. TPMD-induced calcium increases (Ca ++ i ) were measured in ca ++containing and ca ++ -free solutions containing thapsigargin, ryanodine, BAPTA-AM, 18-α-glycyrrhetinic acid (18α-GA), apyrase, BCTC, AMG 9810, or AMTB. Fluorescence intensity was recorded as the number of cells responding and the area under the fluorescence versus time curve. The maximum distance of responding neighboring cells in ex vivo human corneas was measured. Connexin 43 protein in HCSC and MCSC was examined using immunofluorescence staining, and corneal rubbing was applied to confirm whether TPMDs occur following mechanical manipulation. Our results demonstrate that single cell tpMDs result in ca ++ waves in neighboring keratocytes both in culture and within ex vivo corneas. the source of ca ++ is both intra-and extra-cellular, and the signal can be mediated by ATP and/or gap junctions, and is species dependent. Stromal rubbing confirmed that TPMDs do occur following mechanical manipulation. Keratocyte tpMDs and their associated signaling events are likely common occurrences following minor or major corneal trauma.The cornea is the anterior-most segment of the eye, and is the most powerful refractive element of the eye. Histologically, the cornea contains an outwardly-facing epithelium, a stroma containing keratocytes and nerves, and in inner-facing endothelium. Stromal keratocytes are dispersed among stromal collagen fibers, forming a network of cells interconnected via gap junctions 1-4 . Keratocytes are typically quiescent under normal physiological conditions. Following corneal injury, keratocytes activate and become myofibroblasts, which migrate to the wound area and are heavily involved in the wound repair process.In many cell types, including gastrointestinal tract cells, myocytes, and osteocytes, physiological mechanical loading can create transient micro-tears in the cell membrane termed transient plasma membrane disruptions (TPMDs) 5-8 , which is a common form of cell injury. These TPMDs are typically repaired rapidly (within 10 to 60 seconds) to allow for continued cell survival. Importantly, TPMDs foster molecular flux across cell membranes and promote tissue adaptation by initiating cellular mechanotransduction signaling. A TPMD facilitates rapid extracellular calcium influx at the site of membrane injury, which can trigger a number of downstream intra-and extracellular signaling events.TPMDs and their associated intercellular signaling responses may occur frequently in corneal keratocytes as a result of mechanical stimulation initiated by, for example, eye rubbing and minor or major corneal trauma. Mechanical stimulation has been postulated to be the source of TPMDs in bone osteocytes, which reside in bony ...