Integrated intraoperative OCT improves surgical decision-making in pediatric cataract cases

Integrated intraoperative OCT (i2OCT) is a valuable tool in pediatric cataract surgery, providing real-time, detailed imaging that aids in surgical decision-making, according to a study.

The retrospective analysis included 32 surgeries performed on children aged 6 months to 9 years. The study aimed to evaluate the real-world utility of i2OCT during cataract surgery or membranectomy for visual axis opacification.

Detailed imaging of the anterior and posterior capsule and vitreolental surfaces was possible with i2OCT, providing critical insights that were not always apparent in preoperative evaluations. In 31.3% of cases, surgeons adjusted their surgical plans based on i2OCT findings.

The study concluded that i2OCT is a valuable adjunct to preoperative assessments, particularly in complex cases like white cataracts.

Reference
Kaur S, Sukhija J, Nischal KK. Real-world use of integrated intraoperative OCT in pediatric cataract. Indian J Ophthalmol. 2024;doi: 10.4103/IJO.IJO_1478_24. Epub ahead of print. PMID: 39728731.