Table 2.

Procedures for vitreous sampling and analysis

Before samplingTechnique for samplingEye samplesAnalysis of sample
Discussion with the pathologist for prompt processing of the sample Gentle diagnostic vitrectomy
(low cutting speed) 
Pure vitreous Cytology
Immunocytochemistry, flow cytometry
Preferably without a fixative and processed within 2 h after the reception; if a fixative is required, HOPE fixation is preferred 
At least 4 cytospins
2 cytospots for cytomorphological evaluation after MGG coloration
2 cytospots for immunocytochemistry
Use the total amount of available material 
Cytokines (IL-10 and IL-6) without a fixative Storage at −80°C
Measure of cytokine levels in thawed samples 
Vitreous diluted in BSS during the surgical procedure Preferably without a fixative and processed within 2 h after the reception; if fixative is required, HOPE fixation is preferred 
Immunocytochemistry, flow cytometry, molecular biology 2 cytospots for cytomorphological evaluation after MGG coloration
2 cytospots for immunocytochemistry
Remaining slides stored at −30°C 
Before samplingTechnique for samplingEye samplesAnalysis of sample
Discussion with the pathologist for prompt processing of the sample Gentle diagnostic vitrectomy
(low cutting speed) 
Pure vitreous Cytology
Immunocytochemistry, flow cytometry
Preferably without a fixative and processed within 2 h after the reception; if a fixative is required, HOPE fixation is preferred 
At least 4 cytospins
2 cytospots for cytomorphological evaluation after MGG coloration
2 cytospots for immunocytochemistry
Use the total amount of available material 
Cytokines (IL-10 and IL-6) without a fixative Storage at −80°C
Measure of cytokine levels in thawed samples 
Vitreous diluted in BSS during the surgical procedure Preferably without a fixative and processed within 2 h after the reception; if fixative is required, HOPE fixation is preferred 
Immunocytochemistry, flow cytometry, molecular biology 2 cytospots for cytomorphological evaluation after MGG coloration
2 cytospots for immunocytochemistry
Remaining slides stored at −30°C 

Data adapted.24,27,99

BSS, balanced salt solution; HOPE, herpes Gglutamic acid buffer-mediated organic solvent protection effect; MGG, May-Grünwald-Giemsa.

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