Role of Flying baby optical coherence tomography in Infants
A Study was conducted to report the use of flying baby spectral domain optical coherence tomography (SD-OCT) on infants with advanced retinopathy of prematurity (ROP), where clinical findings alone failed to differentiate between retinoschisis and retinal detachment.

Table-mounted SD-OCT retinal imaging with the child held in the flying baby position under topical ocular anaesthetic alone was conducted to confirm the diagnosis. Findings of spectral optical coherence tomography (SD-OCT) were linked to clinical examination and ultra-wide laser ophthalmoscopy scanning for determining stage and proper management of diseases.

--The flying baby position was well tolerated, and SD-OCT images of central and peripheral retina were successfully obtained in all three cases.

--Additional information provided by the SD-OCT changed the ROP staging from 3 to 4 in one case, which subsequently required surgical treatment.

--In two other cases, clinical suspicion of stage 4 ROP was overruled as SD-OCT revealed tractional retinoschisis rather than full-thickness retinal detachment, thereby avoiding the need for immediate surgical intervention.

Conclusively, flying baby SD-OCT provided a rapid and widely accessible imaging approach that overruled clinical findings and altered classification and management of infants with advanced ROP. The methodology was suitable for outpatient settings with no risks associated with systemic anaesthesia. The increased use of OCT imaging will make apparent how structural information is useful in management of ROP and may influence future classification of the disease.