White-light and laser confocal microscopic findings of rabbit conjunctiva.

BACKGROUND AND OBJECTIVE To report laser and white-light confocal microscopic findings of ex vivo rabbit conjunctiva to investigate the potential application of these confocal microscopes as diagnostic devices for normal and pathologic conjunctiva. MATERIALS AND METHODS Three male albino rabbits were killed and six eyeballs were removed with as much bulbar conjunctiva as possible. The bulbar conjunctiva approximately 5 mm away from the limbus was then subjected to an ex vivo laser and white-light confocal microscopic analysis. RESULTS Using laser confocal microscopy, conjunctival epithelial cells, subepithelial conjunctival vessels, and sclera were clearly observed. By contrast, white-light confocal microscopy yielded images of conjunctival epithelium, subepithelial layers, and sclera that were not clearly defined. CONCLUSIONS This study indicates that laser confocal microscopy has a superior ability to visualize ex vivo, non-fixed conjunctiva when compared with white-light confocal microscopy. It also suggests that the laser confocal microscope might be a useful, non-invasive, in vivo, "quasi-cytological" device for observing and diagnosing the conjunctival condition in humans.