Imaging the Infant Retina with a Hand-held Spectral-Domain Optical Coherence Tomography Device

Adrienne W. Scott, Sina Farsiu, Laura B. Enyedi, David K. Wallace, Cynthia A. Toth

Research output: Contribution to journalArticle

109 Citations (Scopus)

Abstract

Purpose: To evaluate and treat infant retina through the use of a hand-held spectral-domain optical coherence tomography (SD OCT) device in selected cases of Shaken Baby syndrome (SBS). Design: Observational case series. Methods: A novel SD OCT system was optimized and evaluated for infant imaging. An adult eye was imaged with both a standard clinical SD OCT system and the hand-held system. Four eyes of two infants with a history of SBS were imaged with the hand-held system. One infant was imaged again during follow-up examinations. Robust image processing algorithms were developed to create high-quality images. Images were assessed for usefulness in demonstrating pertinent morphologic features. Results: The novel SD OCT unit proved effective for data acquisition and comparable with conventional chin-rest SD OCT. Rapid data acquisition limited motion artifact within the B-scan, although there was slight motion between B scans. The SD OCT images provided previously unseen details with regard to the morphologic features of retinal lesions in these infant eyes. This information influenced prognosis and management. Conclusions: As with adults, the hand-held customized SD OCT proved to be an invaluable tool in the differentiation of disease processes or injury in these eyes under study. SD OCT imaging systems may be considered a useful adjunct to RetCam fundus photography for assessment and clinical management in cases of SBS.

Original languageEnglish (US)
Pages (from-to)364-373.e2
JournalAmerican Journal of Ophthalmology
Volume147
Issue number2
DOIs
StatePublished - Feb 2009

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Optical Coherence Tomography
Retina
Hand
Equipment and Supplies
Shaken Baby Syndrome
Eye Injuries
Chin
Photography
Case Management
Artifacts

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Imaging the Infant Retina with a Hand-held Spectral-Domain Optical Coherence Tomography Device. / Scott, Adrienne W.; Farsiu, Sina; Enyedi, Laura B.; Wallace, David K.; Toth, Cynthia A.

In: American Journal of Ophthalmology, Vol. 147, No. 2, 02.2009, p. 364-373.e2.

Research output: Contribution to journalArticle

Scott, Adrienne W. ; Farsiu, Sina ; Enyedi, Laura B. ; Wallace, David K. ; Toth, Cynthia A. / Imaging the Infant Retina with a Hand-held Spectral-Domain Optical Coherence Tomography Device. In: American Journal of Ophthalmology. 2009 ; Vol. 147, No. 2. pp. 364-373.e2.
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