Three-dimensional digital heads-up microscope for ophthalmic microsurgery
Keywords:Imaging, Three-Dimensional, Microscopy, Microsurgery, Ophthalmologists
The use of the three-dimensional (3D) digital heads-up microscope is increasingly popular in ophthalmology. Its advantages include improved depth of field, excellent visualization, lower illumination requirements, better ergonomics, and more effective teaching. A pilot study involving 18 ophthalmologists was conducted to compare the 3D microscope with the traditional optical microscope in performing microsurgical steps. Although the mean total operating time to complete five tasks was longer using the 3D microscope than the optical microscope (545 vs 410 seconds, p=0.0009), a downward trend was observed for the mean duration for each task using the 3D microscope. The rapid learning curve reflects the ease of learning and fast adaptation to the new instrument. Operating times may improve with more practice.
Eckardt C, Paulo EB. Heads-up surgery for vitreoretinal procedures: an experimental and clinical study. Retina 2016;36:137-47.
Martínez-Toldos JJ, Fernández-Martínez C, Navarro-Navarro A. Experience using a 3D head-mounted display system in ophthalmic surgery. Retina 2017;37:1419-21.
Weinstock RJ. Operate with your head up. Cataract Refract Surg Today 2011;66:8.
Galvis V, Berrospi RD, Arias JD, Tello A, Bernal JC. Heads up Descemet membrane endothelial keratoplasty performed using a 3D visualization system. J Surg Case Rep 2017;2017:rjx231.
Hamasaki I, Shibata K, Shimizu T, Kono R, Morizane Y, Shiraga F. Lights-out surgery for strabismus using a heads-up 3D vision system. Acta Med Okayama 2019;73:229-33.
Palácios RM, de Carvalho ACM, Maia M, Caiado RR, Camilo DAG, Farah ME. An experimental and clinical study on the initial experiences of Brazilian vitreoretinal surgeons with heads-up surgery. Graefes Arch Clin Exp Ophthalmol 2019;257:473-83.
Adam MK, Thornton S, Regillo CD, Park C, Ho AC, Hsu J. Minimal endoillumination levels and display luminous emittance during three-dimensional heads-up vitreoretinal surgery. Retina 2017;37:1746-9.
Ehlers JP, Modi YS, Pecen PE, et al. The DISCOVER study 3-year results: feasibility and usefulness of microscope-integrated intraoperative OCT during ophthalmic surgery. Ophthalmology 2018;125:1014-27.
Moura-Coelho N, Henriques J, Nascimento J, Medeiros MD. Three-dimensional display systems in ophthalmic surgery: a review. Eur Ophthalmic Rev 2019;13:31-6.
Prinz A, Bolz M, Findl O. Advantage of three dimensional animated teaching over traditional surgical videos for teaching ophthalmic surgery: a randomised study. Br J Ophthalmol 2005;89:1495-9.
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