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Open AccessJournal ArticleDOI

In vivo confocal microscopy, an inner vision of the cornea - a major review.

TLDR
The main part of the paper describes the clinical applications emphasizing the anatomy of the normal and pathological cornea, and illustrates side‐effects of topical medication, contact lens wear, cross‐linking and refractive surgery.
Abstract
The demands of modern ophthalmology have evolved from descriptive findings from the slit lamp to in vivo assessment of cellular level changes. Nowadays, the latter can be provided by in vivo confocal microscopy. This article gives an overview of confocal principles using tandem scanning, scanning slit and laser scanning techniques used in ophthalmology. The main part of the paper describes the clinical applications emphasizing the anatomy of the normal and pathological cornea, and illustrates side-effects of topical medication, contact lens wear, cross-linking and refractive surgery. Finally, a summary about experimental applications, including animal studies, surface characterization and volume rendering as well as future developments, is given.

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Citations
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Journal ArticleDOI

Inflammation and the nervous system: the connection in the cornea in patients with infectious keratitis.

TL;DR: There is a strong and significant correlation between the increase in DC numbers and the decreased subbasal corneal nerves, suggesting a potential interaction between the immune and nervous system in the cornea.
Journal ArticleDOI

In vivo confocal microscopy of the ocular surface: from bench to bedside.

TL;DR: In vivo confocal microscopy is particularly useful in the study of corneal nerves, enabling description of the morphology, density, and disease- or surgically induced alterations of nerves, particularly the subbasal nerve plexus.

In vivo confocal microscopy of the ocular surface : from bench to bedside

TL;DR: In vivo confocal microscopy (IVCM) is an emerging technology that provides minimally invasive, high resolution, steady-state assessment of the ocular surface at the cellular level.
Journal ArticleDOI

Ocular surface epithelial thickness evaluation with spectral-domain optical coherence tomography.

TL;DR: Anterior segment SD-OCT can provide a noninvasive evaluation of ocular surface epithelial thickness and was modified in dry eye patients and patients using IOP-lowering eye drops, whereas aging seemed to have no effect.
Journal ArticleDOI

In vivo structural imaging of the cornea by polarization-resolved second harmonic microscopy

TL;DR: P polarization-resolved SHG imaging is performed of rat corneas and achieved structural imaging of corneal stroma without any labeling, which should extend to other organs and become a new diagnosis tool for collagen remodeling.
References
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BookDOI

Handbook of biological confocal microscopy

TL;DR: Methods for Three-Dimensional Imaging and Tutorial on Practical Confocal Microscopy and Use of the Confocal Test Specimen.
Journal ArticleDOI

Corneal nerves: structure, contents and function.

TL;DR: A revised interpretation of human corneal nerve architecture is presented based on recent observations obtained by in vivo confocal microscopy (IVCM), immunohistochemistry, and ultrastructural analyses of serial-sectionedhuman corneas.
Journal ArticleDOI

Induction of cross-links in corneal tissue.

TL;DR: The biomechanical behaviour of the cornea can be altered by glutaraldehyde, Karnovsky's solution, and with riboflavin and UV-irradiation which offers the potential of a conservative treatment of keratoconus.
Journal ArticleDOI

Confocal optical microscopy

TL;DR: The confocal optical microscopy technique as discussed by the authors is a technique for increasing the contrast of microscope images, particularly in thick specimens, by restricting the observed volume, the technique keeps overlying or nearby scatterers from contributing to the detected signal.
Journal ArticleDOI

Confocal scanning laser ophthalmoscope.

TL;DR: In this paper, a 1-mm avalanche photodiode at a pupillary plane is preceded by interchangeable stops at an image (retinal) plane, which can reject scattered light to a degree unusual for viewing the retina.
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