Impression cytology of the ocular surface: a review

Margarita Calonge1, Yolanda Diebold, Victoria Sáez

  • 1Instituto Universitario de Oftalmobiología Aplicada (IOBA), University of Valladolid, Ramón y Cajal, 7, E-47005 Valladolid, Spain. calonge@ioba.med.uva.es

Insights

Impression cytology offers a minimally invasive method for diagnosing ocular surface conditions. This technique, a valuable alternative to traditional biopsies, aids in understanding eye surface diseases.

Area of Science:

  • Ophthalmology
  • Cell Biology
  • Histopathology

Background:

  • Ocular surface pathology requires accurate diagnostic methods.
  • Traditional biopsies can be invasive and carry risks.
  • Minimally invasive techniques are needed for ocular surface evaluation.

Purpose of the Study:

  • To provide a historical review of impression cytology.
  • To highlight its role as a minimally invasive diagnostic tool for ocular surface pathology.

Main Methods:

  • Comprehensive literature review of impression cytology since 1977.
  • Analysis of various processing methods for ocular surface cells.

Main Results:

  • Impression cytology is a widely adopted non-invasive alternative to full-thickness biopsy.
  • Techniques include light microscopy, electron microscopy, immunofluorescence, PCR, and flow cytometry.
  • It allows for the obtention of epithelial cells from conjunctiva, cornea, or limbus.

Conclusions:

  • Impression cytology is a safe, minimally invasive biopsy of ocular surface epithelium.
  • It serves as a valuable diagnostic aid for diverse ocular surface conditions.
  • Its use as a research tool has significantly advanced understanding of ocular surface pathology.
Abstract