Urban Beata, Bakunowicz-Łazarczyk Alina
Klin Oczna. 2013;115(3):208-12.
To evaluate the anterior eye segment in children and adolescents after unilateral ocular trauma, using optical coherence tomography Visante OCT.
19 patients (17 boys and 2 girls), hospitalized in Department of Pediatric Ophthalmology due to ocular trauma, were examined. Mean age was 12.6 years (6-17 years). 12 patients had blunt ocular trauma, and 7 patients had a penetrating injury.
Hyphaema impeded the view in 5 eyes, so Visante OCT was helpful for the right treatment. The anterior chamber shallowing was diagnosed in 9 cases, and anterior chamber deepening in 5 cases. Lens pathology (subluxation, cataract) was recognized in 4 patients. OCT was useful in diagnosis of corneal wound (1 case) and in foreign body removal (1 case).
Visante OCT provides easy visualization and high-resolution documentation. Its ability to image the anterior segment structures despite corneal opacification seems particularly important. This technique can be very useful in children and adolescents with ocular trauma.
使用光学相干断层扫描Visante OCT评估儿童和青少年单侧眼外伤后的眼前节情况。
对因眼外伤入住小儿眼科的19例患者（17例男孩和2例女孩）进行检查。平均年龄为12.6岁（6 - 17岁）。12例患者为钝性眼外伤，7例患者为穿透性损伤。
前房积血妨碍了5只眼的观察视野，因此Visante OCT有助于正确治疗。诊断出前房变浅9例，前房加深5例。4例患者发现晶状体病变（半脱位、白内障）。OCT有助于诊断角膜伤口（1例）和取出异物（1例）。
Visante OCT提供了易于观察和高分辨率的记录。尽管存在角膜混浊，但其对眼前节结构成像的能力似乎尤为重要。该技术在儿童和青少年眼外伤患者中可能非常有用。
