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Amphetamine-Type Substance Testing in Vitreous Fluid

Published: August 9, 2026Updated: August 16, 2026

This test detects amphetamine-type substances in the vitreous fluid of the eye, commonly used in forensic and clinical toxicology.

Quick summary

{"Measures amphetamine and related stimulants in eye fluid","Used to detect drug use or overdose in forensic cases","Vitreous fluid provides stable sample for drug analysis"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
27263-3
Short code
Amphetamines Vitf-mCnc
Synonyms
Amphetamines Vitf-mCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

This test detects and identifies amphetamine-type substances, such as amphetamine, methamphetamine, and related stimulant drugs, in a sample of vitreous fluid, which is the clear gel that fills the inside of the eye.

The Amphetamines in Vitreous Fluid test is a laboratory analysis that detects and measures amphetamine-type stimulants in the vitreous humor—the clear, gel-like substance that fills the space between the lens and retina of the eye. This test uses mass/volume concentration to determine the presence of drugs like amphetamine, methamphetamine, MDMA (ecstasy), and related substances.

A vitreous fluid sample is collected with a fine needle and syringe, usually through a small puncture near the front of the eye. The procedure is most often performed by a trained medical examiner, pathologist, or other qualified professional in a controlled setting.

A healthcare professional collects a small sample of vitreous fluid from the eye using a thin needle. This procedure, called vitreous aspiration, is typically performed by an ophthalmologist or trained medical professional. The sample is then sent to a laboratory for analysis using specialized techniques such as mass spectrometry.

Vitreous fluid is often used because it is relatively protected from contamination and from the chemical changes that occur after death, so drug levels there can remain more stable and may better reflect substances that were present around the time of death.

Vitreous fluid is an excellent sample for drug testing because it is relatively isolated from the bloodstream and less susceptible to contamination. It also remains stable for longer periods after collection, making it particularly valuable in forensic investigations, postmortem examinations, and cases where blood or urine samples are not available.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test is primarily used in forensic toxicology to investigate suspected drug overdose, poisoning, or in autopsy cases. It can help determine if a person has been using amphetamine-type stimulants, which include recreational drugs like methamphetamine ('ice') and MDMA ('ecstasy'). The results can assist in understanding the cause of death or unexplained symptoms, and may be used in legal investigations.

In clinical settings, this test may be used when other samples (blood or urine) are not obtainable, or to confirm results from other drug tests. It can also help healthcare providers understand drug exposure in cases of suspected toxicity or when monitoring patients in substance abuse treatment programs.

Frequently asked questions

Is this test painful?
The vitreous fluid collection is performed by a trained specialist using local anesthesia to minimize discomfort. You may feel some pressure, but the procedure is generally well-tolerated.
How long does it take to get results?
Results typically take several days to a week, as the analysis requires specialized laboratory equipment and expertise.
What do positive results mean?
A positive result indicates the presence of amphetamine-type substances in the vitreous fluid. This suggests recent use or exposure to stimulants like amphetamine, methamphetamine, or related drugs. Your healthcare provider will interpret the results in the context of your medical history and symptoms.
Can this test distinguish between different amphetamines?
Yes, advanced laboratory techniques can often identify specific amphetamine-type substances and reliably distinguish between the different drugs in this class.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy