Integrated Intraoperative Optical Coherence Tomography for Pediatric Lamellar Corneal Transplant Surgery

Area of Science:

• Ophthalmology
• Surgical Technology
• Pediatric Cornea

Background:

• Pediatric lamellar corneal transplantation requires precise surgical techniques.
• Congenital corneal opacities and endothelial disorders present unique surgical challenges in children.
• Intraoperative imaging can improve surgical outcomes in complex pediatric cases.

Purpose of the Study:

• To demonstrate the utility of integrated intraoperative anterior segment optical coherence tomography (AS-OCT) in pediatric lamellar corneal transplant surgery.
• To showcase AS-OCT application across a spectrum of pediatric corneal diseases.
• To highlight the benefits of real-time imaging for anterior segment surgical procedures in infants and children.

Main Methods:

• Utilizing integrated intraoperative AS-OCT during pediatric corneal transplant procedures.
• Applying AS-OCT in surgeries for Peters' anomaly (types I and II).
• Employing AS-OCT for limbal dermoid excision and selective keratoplasty (DALK, DSEK).

Main Results:

• AS-OCT provides valuable real-time visualization during complex pediatric corneal surgeries.
• The technology facilitates precise tissue dissection and graft placement in lamellar keratoplasty.
• AS-OCT aids in managing diverse pediatric corneal pathologies, including opacities, scarring, and endothelial dystrophies.

Conclusions:

• Integrated intraoperative AS-OCT is an indispensable tool for pediatric corneal surgeons.
• This imaging modality enhances the management of congenital corneal diseases and endothelial disorders in children.
• AS-OCT improves surgical accuracy and outcomes in pediatric lamellar corneal transplantation.