RT Journal Article SR Electronic T1 In vivo confocal microscopy features and clinicohistological correlation of limbal nerve corpuscles JF British Journal of Ophthalmology JO Br J Ophthalmol FD BMJ Publishing Group Ltd. SP 285 OP 289 DO 10.1136/bjophthalmol-2018-313199 VO 105 IS 2 A1 Mouhamed Ali Al-Aqaba A1 Fady S Anis A1 Imran Mohammed A1 Anjali Dias Samarawickrama Yapa A1 Winfried M Amoaku A1 Harminder Singh Singh Dua YR 2021 UL http://bjo.bmj.com/content/105/2/285.abstract AB Aims To describe the in vivo confocal microscopy (IVCM) features of human limbal nerve corpuscles (LNCs) and correlate these with the histological features.Methods We examined 40 eyes of 29 healthy living subjects (17 female, 12 male; mean age=47.6) by IVCM. Four limbal quadrants were scanned through all epithelial layers and stroma to identify the LNCs and associated nerves. Ten fresh normal human corneoscleral discs from five deceased patients with a mean age of 67 years and 17 eye-bank corneoscleral rims with a mean age of 57.6 years were stained as whole mounts by the acetylcholinesterase (AChE) method to demonstrate LNCs and corneal nerves. Stained tissue was scanned in multiple layers with the NanoZoomer digital pathology microscope. The in vivo results were correlated to the histological findings.Results On IVCM, LNCs were identified in 65% of the eyes studied and were mainly (84%) located in the inferior or superior limbal regions. They appeared either as bright (hyper-reflective) round or oval single structures within the hyporeflective, relatively acellular fibrous core of the palisades or were clustered in groups, often located anterior to the palisades of Vogt. They measured 36 µm in largest diameter (range 20–56 µm). The in vivo features were consistent with the histology, which showed LNCs as strongly AChE positive round or oval structures.Conclusion The strong correlation with histology will enable use of IVCM to study LNCs in normal and disease conditions.