DR. AMAR PUJARI

Abstract

Purpose: To explore the potential role of swept source anterior segment optical coherence tomography in strabismus subspecialty.

Methods: A total of 108 strabismic eyes were imaged on swept source anterior segment optical coherence tomography with various clinical indications. Operated eyes undergoing re-surgery, slipped recti muscles and traumatized recti muscles were included in the imaging protocol. Pre-operatively, the imaging dictated information was used to plan a sound surgical planning, and an intraoperative confirmation of the same was exercised.

Results: The ASOCT reliably predicted the recessed and/or the resected nature of the extra ocular muscle in all eyes. The ASOCT and intra-operative readings lied within 2-3 millimeters of actual distances. In post-traumatic eyes, the ASOCT reliably predicted the insertion portion of the muscle in all eyes.

Conclusions: ASOCT helps in optimal surgical planning of complex strabismic eyes undergoing surgery.