Workshop 18

Mar 04, 2017 by AAPOS editor in  Workshop

What Pediatric Ophthalmologists Need to Know about OCTs:  Pearls and Pitfalls for Clinical Care

Leah G. Reznick; Allison R/ Loh; John P. Campbell; David Y. Huang; Bibiana J. Reiser; Beth Edmunds

Oregon Health Sciences University — Casey Eye Institute
Portland, OR


Purpose/Relevance:  As Optical Coherence Tomography (OCT) technology has advanced, it has increased availability and utility in pediatric practices.   As the technology becomes an integral part of clinical care, it is critical for pediatric ophthalmologists to understand how to incorporate OCT into their clinical flow, interpret results, and make clinical decisions based on OCT findings.  Our panel is composed of one of the co-inventors of OCT (David Huang, MD) as well as innovators of OCT imaging of the anterior segment. The purpose of this workshop is to provide fundamental information about OCT interpretation and describe recent advances in OCT.  With this basic information, we will be able to explore pearls and pitfalls in utilizing OCT for anterior segment, pediatric glaucoma management, and retinal pathology.

Target Audience:  pediatric ophthalmologists, researchers

Current Practice:  There are unique challenges to the application of OCT technology in a pediatric practice and few resources to help ophthalmologists adapt novel technology to the clinical care of children. By educating pediatric ophthalmologists about OCT, children will benefit from the diagnostic and management information provided by this valuable resource.

Best Practice:  With experts in OCT educating pediatric ophthalmologists on OCT, a standard of practice will emerge for integration of OCT into care of pediatric ocular problems.

Expected Outcomes:  Participants will understand how to interpret OCT findings of the anterior segment, optic nerve, and macula.  Ophthalmologists can accurately and effectively incorporate OCT into patient management.

Format:  1) Panel presentations (60 minutes) – each presenter will provide didactic training and an interactive case discussion to test the audience’s understanding
2) Open question and answer forum (15 minutes)

Summary:  This workshop will discuss fundamentals of OCT interpretation and recent advances in OCT technology.  The presenters will then apply this knowledge to OCT for the anterior segment, pediatric glaucoma management, and retinal pathology.   With these skills, pediatric ophthalmologists can confidently incorporate OCT into clinical care.

References:  1. Bhoiwala DL, Simon JW, Raghu P, et al. Optic nerve morphology in normal children. J AAPOS. 2015;19(6):531-534.
2.    Gao SS, Jia Y, Zhang M, et al. Optical Coherence Tomography Angiography. Invest Ophthalmol Vis Sci. 2016;57(9):OCT27-36.
3.     Lee H, Proudlock FA, Gottlob I. Pediatric Optical Coherence Tomography in Clinical Practice-Recent Progress. Invest Ophthalmol Vis Sci. 2016;57(9):OCT69-79.

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