Widefield Optical Coherence Tomography in Pediatric Retina: A Case Series of Intraoperative Applications Using a...

Area of Science:

• Ophthalmology
• Medical Imaging
• Retinal Diseases

Background:

• Optical coherence tomography (OCT) is crucial for diagnosing adult macular diseases.
• Current OCT systems have a narrow field of view (FOV), limiting pediatric retinal disease diagnosis, especially peripheral conditions.
• Wider FOV OCT can improve diagnosis of retinal detachments, proliferative vitreoretinopathy (PVR), intraocular tumors, and associated fluid/traction.

Purpose of the Study:

• To evaluate the utility of a portable widefield (WF) swept-source (SS)-OCT device.
• To assess its application in diagnosing complex pediatric vitreoretinal pathology.
• To explore the potential of WF SS-OCT for improving diagnosis and management of retinal diseases.

Main Methods:

• A case series of pediatric patients with complex vitreoretinal pathology.
• Examinations were performed under anesthesia (EUA).
• A portable widefield (WF) swept-source (SS)-OCT device was utilized.

Main Results:

• The portable WF SS-OCT device was successfully used in pediatric patients.
• It enabled visualization of complex vitreoretinal pathology during examinations under anesthesia.
• Preliminary findings suggest potential for improved diagnostic capabilities in pediatric retinal diseases.

Conclusions:

• Portable widefield swept-source OCT is a promising tool for pediatric retinal examinations.
• This technology can overcome FOV limitations of current OCT systems.
• It has the potential to enhance the diagnosis and management of various pediatric retinal conditions.