Imaging Through Opaque Corneas Using Anterior Segment Optical Coherence Tomography

BACKGROUND AND OBJECTIVE: To investigate the capability of the prototype AC Cornea OCT (Ophthalmic Technologies Inc., Toronto, Ontario, Canada) for imaging eyes with opaque corneas. PATIENTS AND METHODS: More than 50 eyes of patients were included in the study. RESULTS: The density of opacification influenced the ability of OCT to reveal anterior segment details. Imaging was limited by shadows cast by abnormal pigmentation or vascularity within the cornea. However, the system's unique coronal perspective capability was helpful in revealing occult spatial relationships. CONCLUSIONS: The AC Cornea OCT is valuable for examining eyes with opaque corneas and provides cross-sectional and coronal views helpful in formulating specific management strategies.