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Updated: Aug 8, 2026

Impression Cytology of the Lid Wiper Area
Published on: August 9, 2016
Modification of impression cytology for in-office use
C G Connor1, J B Campbell, W W Tirey
1Contact Lens Clinic, Southern College of Optometry, Memphis, TN 38104.
Insights
Impression cytology is an in-office technique for assessing eye surface cells, including goblet cells and immune cells. Collecting three samples per eye enhances cell yield and technique reproducibility for better ocular surface evaluation.
Area of Science:
- Ophthalmology
- Cell Biology
- Biomedical Science
Background:
- The ocular surface requires regular assessment for various conditions.
- Impression cytology offers a minimally invasive method for evaluating ocular surface cells.
Purpose of the Study:
- To describe an in-office impression cytology procedure.
- To detail methods for improving cell harvest and reproducibility.
- To discuss applications and potential challenges of the technique.
Main Methods:
- Impression cytology involves collecting samples from the conjunctival epithelium.
- Three samples are collected from each eye to maximize cell yield.
- The procedure assesses goblet cells, mucin, and immune cells.
Main Results:
- The described protocol enhances cell harvest efficiency.
- Increased sample collection improves the reproducibility of impression cytology.
- The technique is suitable for in-office assessment of ocular surface health.
Conclusions:
- Impression cytology is a valuable tool for in-office ocular surface examination.
- Optimized sampling strategies improve the reliability of the diagnostic method.
- The technique has broad applications in diagnosing and monitoring eye conditions.
Abstract:
An in-office procedure for assessment of the conjunctival epithelium, goblet cells, mucin and immune cells is described. The collection of three samples from each eye greatly improves cell harvest and increases reproducibility of the technique called impression cytology. The protocol and its pitfalls are discussed as well as the numerous applications of impression cytology.

