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 (=7), congenital anterior segment conditions (=10), ocular trauma (=1), anterior segment surgeries (=2), iridocorneal angle abnormalities (=4), intermediate uveitis (=2). The most common OCT findings were corneal hyperreflectivity and thickening (=15), shallow anterior chamber with iris-lens diaphragm anterior displacement (=4), atypical corneal curvature (=4), corneal thinning (=4), peripheral synechiae with angle closure (=3), increased anterior chamber depth (=2), and proximal portion of glaucoma drainage tube (=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.