Paediatric Optical Coherence Tomography (OCT) stands at the forefront of non-invasive imaging technologies, revolutionizing the field of Paediatric ophthalmology by providing high-resolution, cross-sectional images of ocular structures. Developed as a sophisticated diagnostic tool, Paediatric OCT utilizes low-coherence interferometry to capture micrometer-level details of the eye, offering clinicians unparalleled insights into the anatomical and pathological characteristics specific to Paediatric patients. This technology plays a pivotal role in the early detection and management of various ocular conditions, such as retinopathy of prematurity, congenital glaucoma, amblyopia, and Paediatric macular disorders. Its non-contact nature and rapid imaging capabilities make it particularly well-suited for examining the delicate eyes of infants and children, minimizing discomfort and anxiety associated with traditional examination methods. The versatility of Paediatric OCT extends beyond structural imaging, enabling functional assessments by incorporating features like angiography, allowing for the evaluation of blood flow and vascular abnormalities. As a vital component of comprehensive Paediatric eye care, Paediatric OCT not only aids in early diagnosis but also facilitates personalized treatment plans, contributing to improved visual outcomes and long-term quality of life for young patients. Its integration into routine clinical practice holds the promise of advancing our understanding of Paediatric eye diseases, fostering research endeavors, and ultimately shaping the future of Paediatric ophthalmology. With ongoing technological advancements, Paediatric OCT continues to evolve, pushing the boundaries of precision imaging and diagnostic capabilities, solidifying its status as an indispensable tool in the quest to safeguard and enhance the vision of the youngest members of our population.