Br J Ophthalmol doi:10.1136/bjophthalmol-2012-301658
  • Editorial

Normative optical coherence tomography measurements in children

  1. Joel S Schuman1,2
  1. 1UPMC Eye Center, Eye & Ear Institute, Ophthalmology and Visual Science Research Center, Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
  2. 2Department of Bioengineering, Swanson School of Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
  1. Correspondence to Professor Joel S Schuman, UPMC Eye Center, Department of Ophthalmology, University of Pittsburgh School of Medicine, 203 Lothrop Street, Eye and Ear Institute, Suite 816, Pittsburgh, PA 15213, USA; schumanjs{at}
  1. Contributors GW and JSS have contributed equally to the editorial.

  • Accepted 22 February 2012
  • Published Online First 17 March 2012

Optical coherence tomography (OCT) has gained popularity in clinical ophthalmic management by providing detailed visualisation and quantification of ocular structures. The most common clinical use of this technology is in glaucoma, retina diseases, neuro-ophthalmology and anterior segment applications. Recent technological improvement leads to the introduction of spectral-domain OCT (SD-OCT) that offers higher scanning speeds, higher scan densities and better resolution than earlier generations of this technology. The ability to visualise areas of interest with a high acquisition rate SD-OCT imager along with the ability to quantify structures expands the utility of OCT to new clinical territories, such as children and other poorly compliant populations. In order to make full use of the OCT information, a comparison with population-derived normative data is needed to identify deviations from the normal range. Unfortunately, only limited information is available for persons <18 years of age for any of the commercially available OCTs.

Several studies have demonstrated that the retina and optic nerve change with ageing. This finding …

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