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Journal of Ophthalmology
Volume 2012, Article ID 313120, 6 pages
http://dx.doi.org/10.1155/2012/313120
Clinical Study

Application of Anterior Segment Optical Coherence Tomography in Pediatric Ophthalmology

1Department of Ophthalmology, Federal University of São Paulo (UNIFESP), 04023-062 São Paulo, Brazil
2Fleury Medicina e Saúde, Ophthalmology Diagnostic Center, 04501-900 São Paulo, Brazil
3Department of Ophthalmology, Santa Casa de Misericórdia de São Paulo, 01221-020 São Paulo, Brazil
4Department of Ophthalmology & Visual Sciences, University of Illinois at Chicago, Chicago 60612, USA

Received 27 November 2011; Accepted 16 May 2012

Academic Editor: Charles J. Pavlin

Copyright © 2012 Ricardo Salles Cauduro et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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 = 1 0 ), 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 = 1 5 ), 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.