Dr. SAVLEEN KAUR

Dr. JASPREET SUKHIJA, Dr. PARUL CHAWLA GUPTA, Dr.JAGAT RAM

Abstract

Grading of cataract in clinical practice is routinely done on slit lamp. In children, it is not possible mostly due to the uncooperativeness of the child, which is natural due to the age of the patient, further limited by the metrics built for adult eyes. We extrapolated the use of OCT to analyze pediatric cataracts both qualitatively and quantitatively. Twenty children with average age 35.2 ± 33 months scheduled to undergo cataract surgery underwent imaging of the lens preoperatively on the OCT. Whole lens densities and nuclear densities could be quantified using automated software in pediatric cataractous lens. It is the first study to report the use of Anterior segment optical coherence tomography (ASOCT) to study the pediatric lens in vivo. We propose an objective assessment of pediatric lens opacification on the ASOCT which can be extrapolated to use of AI based platforms for cataract (Photo)documentation (screening) and quantification in neonates and aid in surgical management.

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