Lab on Printed Circuit Boards (Lab-on-PCB) technology has emerged as a promising platform, offering miniaturization, integration, and cost-effective fabrication for a wide range of sensing applications. This review explores the most common optical detection techniques implemented on printed circuit boards (PCBs), including absorbance, fluorescence, and chemiluminescence, discussing their working principles, advantages, and limitations in the context of PCB-based sensing. Additionally, evanescent wave generation is considered as an alternative optical approach with benefits for specific applications. Elements such as excitation sources, photodetectors, and the distinguishing characteristics of each method are analyzed to provide a comprehensive, but concise, overview of the field. Emphasis is placed on how the PCB platform influences the performance, sensitivity, and feasibility of these detection methods, highlighting relevant design considerations. This work aims to provide a solid foundation for researchers interested in optical sensing within this technology, serving as a reference for future developments and applications in PCB-based optical detection.