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Updated: Mar 20, 2026

In Vivo Confocal Microscopy in the Diagnosis and Management of Dry Eye: A Focus on Imaging Protocols and Interpretation
Published on: November 11, 2025
Corneal In Vivo Confocal Microscopy: Clinical Applications
Jae Young You1, Paul J Botelho2
1Resident, Division of Ophthalmology, Alpert Medical School of Brown University, Providence, RI.
In vivo confocal microscopy (IVCM) allows cellular-level visualization of the living cornea. This technique aids in understanding corneal health, disease, and changes over time.
Area of Science:
- Ophthalmology
- Biomedical Imaging
- Cell Biology
Background:
- In vivo confocal microscopy (IVCM) is a key imaging modality for studying the human cornea.
- It enables detailed cellular visualization and longitudinal observation of corneal tissue.
- Technological advancements are expanding its utility in ophthalmology.
Purpose of the Study:
- To provide a narrative review of in vivo confocal microscopy (IVCM).
- To highlight the applications of IVCM in understanding the human cornea.
- To discuss the role of IVCM in diagnosing and monitoring corneal diseases.
Main Methods:
- Literature review of studies utilizing IVCM for corneal analysis.
- Synthesis of findings from acquired and inherited corneal diseases.
- Exploration of IVCM in systemic diseases affecting the cornea.
Main Results:
- IVCM offers non-invasive, in-depth cellular imaging of the cornea.
- It facilitates the study of both normal (normative) and diseased corneal states.
- Growing evidence supports IVCM's role in diagnosing and managing various corneal conditions.
Conclusions:
- IVCM is an invaluable tool for in vivo corneal research and clinical practice.
- Its application extends to a wide range of corneal pathologies and systemic conditions.
- Continued technological development promises further advancements in corneal imaging and diagnostics.
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