Integrated Intraoperative Optical Coherence Tomography in Pediatric Glaucoma Surgery

Area of Science:

• Ophthalmology
• Surgical Technology
• Pediatric Glaucoma

Background:

• Integrated intraoperative optical coherence tomography (i2OCT) is established for retinal and corneal surgeries.
• Its application beyond these subspecialties represents an underutilized opportunity in ophthalmology.

Purpose of the Study:

• To describe the utility of i2OCT in pediatric glaucoma surgery.
• To highlight its role in identifying critical anatomical landmarks and assessing surgical success.

Main Methods:

• Case series describing the application of i2OCT during pediatric glaucoma procedures.
• Utilized i2OCT to visualize Schlemm's canal, Barkan's membrane, corneal pathology, and iris hypoplasia.
• Assessed i2OCT's ability to evaluate drainage blebs and identify complications like suture effects.

Main Results:

• i2OCT successfully identified Schlemm's canal and Barkan's membrane.
• Demonstrated utility in visualizing corneal pathology (Haab's striae) and iris hypoplasia in Axenfeld-Rieger anomaly.
• Enabled assessment of filtering blebs, drainage tube function, and identification of suture ligation effects.

Conclusions:

• i2OCT is a valuable tool for pediatric glaucoma surgery, offering enhanced visualization of anatomical structures.
• It aids in surgical planning, intraoperative guidance, and assessment of surgical outcomes.
• The technology can augment surgical techniques and improve training in managing pediatric glaucoma.