The Role of In Vivo Confocal Microscopy in Ocular Allergies

In vivo confocal microscopy (IVCM) is a non-invasive imaging technique used to visualize the layers of the cornea and conjunctiva in real time. In patients with atopic keratoconjunctivitis (AKC) and vernal keratoconjunctivitis (VKC), this technology can be useful in diagnosing and monitoring the dis...

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Main Authors: Cem Şimşek, Takashi Kojima, Murat Doğru
Format: Article
Language:English
Published: Galenos Yayinevi 2024-12-01
Series:Türk Oftalmoloji Dergisi
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Online Access:https://www.oftalmoloji.org/articles/the-role-of-in-vivo-confocal-microscopy-in-ocular-allergies/doi/tjo.galenos.2024.49769
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author Cem Şimşek
Takashi Kojima
Murat Doğru
author_facet Cem Şimşek
Takashi Kojima
Murat Doğru
author_sort Cem Şimşek
collection DOAJ
description In vivo confocal microscopy (IVCM) is a non-invasive imaging technique used to visualize the layers of the cornea and conjunctiva in real time. In patients with atopic keratoconjunctivitis (AKC) and vernal keratoconjunctivitis (VKC), this technology can be useful in diagnosing and monitoring the disease, as well as evaluating the efficacy of treatments. IVCM can reveal subclinical abnormalities in the corneal and conjunctival epithelium such as inflammatory cell infiltrates and tissue damage, which can provide insight into the pathogenesis of AKC. In AKC, IVCM reveals changes around the conjunctival papillae, inflammatory cells around punctate defects in the corneal epithelium, changes in subbasal nerve morphology, and deteriorations in the goblet cells in the meibomian gland are observed. In VKC, alterations can be observed in the diameter, brightness and nucleus/cytoplasm ratio of the superficial epithelial cells in the cornea. The use of IVCM in AKC and VKC can therefore aid in the early detection and management of the disease, as well as contribute to a better understanding of its underlying mechanisms.
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series Türk Oftalmoloji Dergisi
spelling doaj-art-4429fabfb71143a190c92da47e6b82862025-01-07T08:21:22ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612024-12-0154634435310.4274/tjo.galenos.2024.49769The Role of In Vivo Confocal Microscopy in Ocular AllergiesCem Şimşek0https://orcid.org/0000-0001-8003-745XTakashi Kojima1https://orcid.org/0000-0002-5016-0155Murat Doğru2https://orcid.org/0000-0003-1487-2435Muğla Sıtkı Koçman University Faculty of Medicine, Department of Ophthalmology, Muğla, TürkiyeKeio University Faculty of Medicine, Department of Ophthalmology, Tokyo, JapanKeio University Faculty of Medicine, Department of Ophthalmology, Tokyo, JapanIn vivo confocal microscopy (IVCM) is a non-invasive imaging technique used to visualize the layers of the cornea and conjunctiva in real time. In patients with atopic keratoconjunctivitis (AKC) and vernal keratoconjunctivitis (VKC), this technology can be useful in diagnosing and monitoring the disease, as well as evaluating the efficacy of treatments. IVCM can reveal subclinical abnormalities in the corneal and conjunctival epithelium such as inflammatory cell infiltrates and tissue damage, which can provide insight into the pathogenesis of AKC. In AKC, IVCM reveals changes around the conjunctival papillae, inflammatory cells around punctate defects in the corneal epithelium, changes in subbasal nerve morphology, and deteriorations in the goblet cells in the meibomian gland are observed. In VKC, alterations can be observed in the diameter, brightness and nucleus/cytoplasm ratio of the superficial epithelial cells in the cornea. The use of IVCM in AKC and VKC can therefore aid in the early detection and management of the disease, as well as contribute to a better understanding of its underlying mechanisms.https://www.oftalmoloji.org/articles/the-role-of-in-vivo-confocal-microscopy-in-ocular-allergies/doi/tjo.galenos.2024.49769atopic keratoconjunctivitisvernal keratoconjunctivitisin vivo confocal microscopycorneaconjunctivameibomian glands
spellingShingle Cem Şimşek
Takashi Kojima
Murat Doğru
The Role of In Vivo Confocal Microscopy in Ocular Allergies
Türk Oftalmoloji Dergisi
atopic keratoconjunctivitis
vernal keratoconjunctivitis
in vivo confocal microscopy
cornea
conjunctiva
meibomian glands
title The Role of In Vivo Confocal Microscopy in Ocular Allergies
title_full The Role of In Vivo Confocal Microscopy in Ocular Allergies
title_fullStr The Role of In Vivo Confocal Microscopy in Ocular Allergies
title_full_unstemmed The Role of In Vivo Confocal Microscopy in Ocular Allergies
title_short The Role of In Vivo Confocal Microscopy in Ocular Allergies
title_sort role of in vivo confocal microscopy in ocular allergies
topic atopic keratoconjunctivitis
vernal keratoconjunctivitis
in vivo confocal microscopy
cornea
conjunctiva
meibomian glands
url https://www.oftalmoloji.org/articles/the-role-of-in-vivo-confocal-microscopy-in-ocular-allergies/doi/tjo.galenos.2024.49769
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