Microscope‐integrated intraoperative OCT in ophthalmological examination of pediatric patients under anesthesia: 3 cases

Abstract

Introduction: The examination of certain patients in con‐ sultation, due to their young age, lack of collaboration or associated pathologies can be very complicated or insuffi‐ cient. In cases of suspected diagnosis, an examination under sedation in the operating room is necessary. Classic tests such as sciascopy, renography, biometry or keratometry are very useful, however, microscope integrated intraoperative optical coherence tomography allows examining structures that are easily evaluable in clinical routine but not in this type of examination with sedation. Case report: We report three cases of pediatric patients, examined under sedation. In these cases, intraoperative Optical Coherence Tomography (OCT) has been essential to reach the diagnosis. Conclusion: Intraoperative OCT is very useful as part of the pediatric examination under sedation. It allows the eval‐ uation of structures and issues that could not be explored under their appearance and therefore, it helps to diagnose more precisely.