Workshop 16

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Best Practice Patterns: How to Effectively Use OCT in Pediatric Ophthalmology

Allison R. Loh; Leah G. Reznick; J. Peter Campbell; William L. Hills; Beth Edmunds
Oregon Health and Science University
Portland, OR

Purpose/Relevance: As Optical Coherence Tomography (OCT) technology has advanced, it has become more widely utilized in pediatric ophthalmology. 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. The purpose of this workshop is to review basic OCT interpretation and discuss recent advances in OCT technology, including OCT angiography.  We will discuss the pearls and pitfalls in utilizing OCT in the evaluation and management of pediatric glaucoma, optic neuropathies, and pediatric retinal pathology.

Target Audience: Pediatric ophthalmologists, researchers

Current Practice: There are unique challenges to the application of OCT technology in the pediatric practice and few resources to help pediatric ophthalmologists apply 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 pediatric ophthalmologists being educated by experts in OCT, a standard of practice will be developed for integration of OCT into the clinical care of pediatric ophthalmic conditions.

Expected Outcomes: Participants will gain skills in interpreting OCT scans of the optic nerve head, retinal nerve fiber layer and macula. With these interpretative skills, ophthalmologists can responsibly and effectively incorporate OCT into patient management.

Format: 1) Panel presentations (60 minutes) Each presenter on the panel will provide didactic training as well as an interactive case discussion for the audience to evaluate their understanding and ability to interpret OCT’s.
2) Open question and answer forum (15 minutes)

Summary: This workshop will discuss: 1) Fundamentals of OCT interpretation 2) OCT pediatric normative data   3) Role of OCT in pediatric neuroophthalmology  4) Role of OCT in managing pediatric glaucoma  and 5) Role of OCT in understanding the retinal pathology.

References: Bhoiwala DL, Simon JW, Raghu P, et al. Optic nerve morphology in normal children. J AAPOS. 2015;19(6):531-534.
2.         Campbell JP, Nudleman E, Yang J, et al. Handheld Optical Coherence Tomography Angiography and Ultra-Wide-Field Optical Coherence Tomography in Retinopathy of Prematurity. JAMA Ophthalmol. 2017;135(9):977-981. doi:10.1001/jamaophthalmol.2017.2481.3.
3.     Ely AL, El-Dairi MA, Freedman SF. Cupping reversal in pediatric glaucoma–evaluation of the retinal nerve fiber layer and visual field. Am J Ophthalmol. 2014;158(5):905-915.

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