Optical Coherence Tomography (OCT) imaging technology has become an essential component of ophthalmic examinations globally. Its range of applications and analytical capabilities are continuously expanding and optimizing as the understanding among ophthalmologists worldwide advances. It is crucial to recognize that OCT technology is not only exceptionally beneficial for the objective assessment of retinal structure and function but also plays a significant role in evaluating the anterior segment, including the anterior chamber angle, lens, and cornea. When integrated with surgical microscopes, OCT is vital for optimizing surgical decision-making and refining intraoperative strategies. Nonetheless, every ophthalmologist must be cognizant of the limitations associated with OCT, such as imaging range, depth, and penetration capabilities. In this era of rapid technological advancement, integrating multimodal OCT imaging with artificial intelligence is poised to showcase substantial advantages. ?This combination facilitates objective and accurate diagnoses and significantly enhances diagnostic and therapeutic efficiency, optimizing the overall treatment process.