Application of Anterior Segment Optical Coherence Tomography in Pediatric Ophthalmology
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2012-01-01
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Cauduro, Ricardo Salles [UNIFESP]
Ferraz, Caroline do Amaral
Avila Morales, Maira Saad [UNIFESP]
Garcia, Patricia Novita [UNIFESP]
Lopes, Yara Cristina [UNIFESP]
Souza, Paulo Henrique [UNIFESP]
Allemann, Norma [UNIFESP]
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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.
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Journal of Ophthalmology. New York: Hindawi Publishing Corporation, 6 p., 2012.