Intraoperative OCT for the assessment of posterior capsular integrity in pediatric cataract surgery

Abstract

In this study, the morphology of the posterior lens cortex and posterior capsules in pediatric patients with posterior lens opacities was assessed and characterized using intraoperative optical coherence tomography.

Application of Intraoperative Optical Coherence Tomography Technology in Anterior Segment Surgery

“…In cases of posterior polar cataracts, iOCT can be a valuable tool to improve the safety of the surgery by detecting pre-existing posterior capsular dehiscence during cataract surgery and preventing lens drop [56]. In pediatric patients with posterior lens opacities, iOCT can allow the categorization of the morphology of the posterior capsule and the posterior lens cortex, as well as the determination of the integrity of the posterior capsule, which can provide guidance for surgical strategy and increase the safety of the surgery [57]. Similarly, iOCT can be useful for categorization of the white cataract into four types and predicting the intraoperative dynamics according to the type, which can provide valuable information for the selection of surgical strategies for safe surgery, particularly in cases of uneventful completion of capsulorhexis [58].…”