[Anterior segment examination of a post-traumatic, multioperated eye with Visante OCT. A case report]

The optical coherence tomography (OCT) exploration of the retina has become almost routine and its semiology is well known. In contrast, the OCT exploration of the anterior segment is still in its preliminary stages.

We report the clinical aspects and the OCT Visante((R)) imaging of the anterior segment in a 35-year-old patient, victim of a penetrating injury of the left eye who required several operations including iterative vitrectomy for recurrent retinal detachment caused by proliferative vitreoretinopathy, use of high-density silicone oil, cataract surgery with in-the-bag intraocular lens implantation, and YAG-laser capsulotomy.

The correlation between slit lamp examination and OCT imaging is very good. We debate in a nonexhaustive manner the different imaging possibilities of this new technology and discuss its advantages in the postsurgical exam and its value in medicolegal expert reports as well as in comparison with pictures acquired by OCT normally used to image the posterior segment.

Future research will undoubtedly confirm the contribution of this new tool to explore the anterior segment in numerous contexts, including ophthalmological trauma medicine.