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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  = 10), 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  = 15), 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.

Application of Anterior Segment Optical Coherence Tomography in Pediatric Ophthalmology