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

Frontiers in Medicine

Susan Ostmo¹  Thanh-Tin P. Nguyen¹  J. Peter Campbell¹  Yali Jia²  David Huang²  Yifan Jian²  Shanjida Khan²  Shuibin Ni²  Guangru Liang²  Xiang Wei²  Alison Skalet³  Michael F. Chiang⁶ 

[1] Casey Eye Institute, Oregon Health and Science University, Portland, OR, United States;Department of Biomedical Engineering, Oregon Health and Science University, Portland, OR, United States;Department of Dermatology, Oregon Health and Science University, Portland, OR, United States;Department of Radiation Medicine, Oregon Health and Science University, Portland, OR, United States;Knight Cancer Institute, Oregon Health and Science University, Portland, OR, United States;National Eye Institute, National Institutes of Health, Bethesda, MD, United States;

关键词: retina;    pediatric retina;    optical coherence tomography;    handheld optical coherence tomography;    optical coherence tomography with angiography;   

DOI  :  10.3389/fmed.2022.860371

来源: DOAJ

【 摘 要 】

Optical coherence tomography (OCT) has changed the standard of care for diagnosis and management of macular diseases in adults. Current commercially available OCT systems, including handheld OCT for pediatric use, have a relatively narrow field of view (FOV), which has limited the potential application of OCT to retinal diseases with primarily peripheral pathology, including many of the most common pediatric retinal conditions. More broadly, diagnosis of all types of retinal detachment (exudative, tractional, and rhegmatogenous) may be improved with OCT-based assessment of retinal breaks, identification of proliferative vitreoretinopathy (PVR) membranes, and the pattern of subretinal fluid. Intraocular tumors both benign and malignant often occur outside of the central macula and may be associated with exudation, subretinal and intraretinal fluid, and vitreoretinal traction. The development of wider field OCT systems thus has the potential to improve the diagnosis and management of myriad diseases in both adult and pediatric retina. In this paper, we present a case series of pediatric patients with complex vitreoretinal pathology undergoing examinations under anesthesia (EUA) using a portable widefield (WF) swept-source (SS)-OCT device.

【 授权许可】

Unknown