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Monitoring ocular disease by impression cytology

Abstract

The technique for obtaining and processing conjunctival impression cytology is described. The method of grading the stained samples is outlined. Our findings in various ocular conditions with particular emphasis on; alkali burns, uveitis, hypopyon ulcer and Botulinum toxin protective ptosis are shown. Cytology from severely damaged eyes is highly abnormal, improving as the ocular disease settles. In alkali burns a return to normal cytology does not correlate with return of corneal clarity. Loss of goblet cells is a common finding in the ocular diseases demonstrated, and appears to be a non-specific indicator of ocular problems.

References

  1. Egbert PR, Lauber MA, Maurice DM : A simple conjunctival biopsy. Am J Ophthalmol 1987; 84: 798–801.

    Article  Google Scholar 

  2. Nelson JD, Havener VR, Cameron JD : Cell-ulose acetate impressions of the ocular surface. Dry Eye States. Arch Ophthalmol 1983; 101: 1869–72.

    CAS  Article  Google Scholar 

  3. Shapiro SM, Friend J, Thoft RA : Corneal reepithelialization from the conjunctiva. Invest Ophthalmol Vis Sci 1982; 21: 135 42.

    Google Scholar 

  4. Lemp MA, Guimaraes RG, Mahmood MA, Wong S, Blackman HJ : In vivo surface morphology of the human cornea by colour microscopy. Comea 1983; 6: 295–97.

    Google Scholar 

  5. Bron AJ : Vortex patterns of the corneal epithelium. Trans Ophthalmol Soc UK 1973; 93: 455–72.

    CAS  PubMed  Google Scholar 

  6. Adams GGW, Kirkness CM, Lee JP : Botulinum toxin A induced protective ptosis. Eye 1987; 1: 603–8.

    Article  Google Scholar 

  7. Nelson JD, and Wright JC : Impression cytology of the ocular surface in keratoconjunctivitis sicca. In Holly FJ ed The preocular Tear Film Dry Eye Institute, Lubbock Texas 1986: 140–52.

  8. Kinoshita S, Kiorpes TC, Friend J, Thoft RA : Goblet cell density in ocular surface disease. Arch Ophthalmol 1983; 101: 1284–7.

    CAS  Article  Google Scholar 

  9. Nelson JD and Wright JC : Conjunctival goblet cell densities in ocular surface disease. Arch Ophthalmol 1984; 102: 1049–51.

    CAS  Article  Google Scholar 

  10. Tseng SCG, Hirst LW, Maumenee AE, Kenyon KR, Sun T-T, Green WR : Possible mechanisms for the loss of goblet cells in Mucin-deficient disorders. Ophthalmology 1984; 91: 545–52.

    CAS  Article  Google Scholar 

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Presented at the Annual Congress of the Ophthalmological Studies of the United Kingdom, April 1988.

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Adams, G., Dilly, P. & Kirkness, C. Monitoring ocular disease by impression cytology. Eye 2, 506–516 (1988). https://doi.org/10.1038/eye.1988.100

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  • DOI: https://doi.org/10.1038/eye.1988.100

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