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Published on: July 5, 2017
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.
Purpose:
To historically review the technique of impression cytology as a minimally invasive diagnostic tool for ocular surface pathology.
Methods:
A comprehensive review of published literature cited in PubMed since the first description of impression cytology in 1977 up to date has been undertaken.
Results:
A wide range of processing methods have been adapted to the technique of impression cytology (from conjunctiva, cornea or limbus): regular light microscopy with different stainings, transmission and scanning electron microscopy, immunofluorescence, immunocytochemistry, polymerase chain reaction analysis, immunoblotting analyses, or flow cytometry. At present, it is widely used as a non-invasive alternative to the full-thickness biopsy for the obtention of epithelial cells from the ocular surface.
Conclusions:
Impression cytology represents a non- or minimally invasive biopsy of the ocular surface epithelium with no side effects or contraindications. It has demonstrated to be a useful diagnostic aid for a wide variety of processes involving the ocular surface. In addition, and mainly during the last decade, its use as a research tool has experienced an enormous growth and has greatly contributed to the understanding of ocular surface pathology.
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