Widefield imaging-guided treatment of Pediatric Vitreoretinal diseases

R ecent years have ushered in many advances in retinal imaging. From spectral-domain optical coherence tomography to ultra-widefield fundus imaging, the new modalities are proving to be an integral part in the evaluation of pediatric retinal conditions. One of the biggest perceived hurdles in managing pediatric retinal patients is the challenging clinical examination; most adult patients can cooperate with the dilated funduscopic examination more easily than a 2-year-old in the office. The traditional approach to examining young children would be examination under anesthesia (EUA) and retinal drawings to document and monitor retinal pathology. This general paradigm remains common practice, but advanced imaging technologies are now able to complement the EUA, and, perhaps most appealing, can be employed in the outpatient setting for selected disorders and age groups.