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R. M. Rich, A. Berrocal, J. Parel, J. Tutiven, S. Gayer, M. Vigoda; The Bascom Palmer Eye Institute Pediatric OCT System - Our Initial Experience. Invest. Ophthalmol. Vis. Sci. 2007;48(13):2585.
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© ARVO (1962-2015); The Authors (2016-present)
To report our initial experience with OCT imaging of anesthetized infants.
A pediatric OCT system was created by modifying a Stratus Zeiss-Humphrey OCT-3 with a custom built adjustable stage and infant carrier with 2 axis of rotation to allow examination of the retinal structures of anesthetized infants and designed with safety in mind and to allow easy access to the child in the face of an emergency (A.N. Moshfeghi, ARVO 2006). Following endotracheal intubation and examination, the infants were secured in the carrier and rotated into position for OCT examination.
There were no patient complications related to positional changes, oxygen saturation, or body temperature stability. The maculae in all patients and periphery in some patients were effectively imaged. In one case, a diagnosis of X-linked retinoschisis was confirmed in a 4 month child on the basis of OCT evaluation.
The pediatric OCT imaging system appears to be a safe and innovative system to evaluate the structure of normal and abnormal retinas in premature and full-term infants. Future studies employing this system may shed light on retinal structure in retinopathy of prematurity, amblyopia, or other abnormal pediatric retinal conditions as well as establish normal qualitative and quantitative retinal data in healthy infants.
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