Application of anterior segment optical coherence tomography in pediatric ophthalmology

Purpose. application of anterior segment optical coherence (as-oct) in pediatric ophthalmology. methods. retrospective clinical study case series of 26 eyes of 19 pediatric patients throughout a 21-month period,presenting anterior segment pathologies,were submitted to as-oct examination (oct visante,1310 nm,zeiss),noncontact technique,no sedation requirement. results. as-oct images were obtained from 19 patients (range: 2 months to 12 years). clinical diagnosis of anterior segment abnormalities included cornea disease (n = 7),congenital anterior segment conditions (n = 10),ocular trauma (n = 1),anterior segment surgeries (n = 2),iridocorneal angle abnormalities (n = 4),intermediate uveitis (n = 2). the most common oct findings were corneal hyperreflectivity and thickening (n = 15),shallow anterior chamber with iris-lens diaphragm anterior displacement (n = 4),atypical corneal curvature (n = 4),corneal thinning (n = 4),peripheral synechiae with angle closure (n = 3),increased anterior chamber depth (n = 2),and proximal portion of glaucoma drainage tube (n = 2). conclusion. in the present study,noncontact as-oct demonstrated to be a feasible technique to evaluate the anterior segment providing anatomic details and useful to clarify diagnosis in the pediatric population. © 2012 ricardo salles cauduro et al.