Three-dimensional digital visualization of phacoemulsification and intraocular lens implantation

Zhuyun Qian, Hongxia Wang, Hua Fan, Dong Lin, Wensheng Li, Zhuyun Qian, Hongxia Wang, Hua Fan, Dong Lin, Wensheng Li

Abstract

Purpose: To evaluate the feasibility and safety of heads-up three-dimensional (3D) vision system for phacoemulsification and intraocular lens (IOL) implantation surgery.

Methods: In this prospective, randomized controlled study, 20 eyes with age-related cataract received phacoemulsification and IOL implantation and were randomly divided into "heads-up" 3D vision group and conventional surgery group. Ocular and surgical parameters such as surgery time, pre and postoperative best-corrected visual acuity (BCVA), and corneal endothelial cells density were recorded and statistically analyzed.

Results: The result showed significant postoperative improvement of BCVA in both groups. There was no difference in either mean surgery time or postoperative mean endothelial cell density between the 3D group and the conventional group. No major complication occurred during surgery in either group.

Conclusion: The heads-up 3D vision system is suitable and safe for cataract phacoemulsification and IOL implantation. This technique can be of widespread use.

Keywords: 3D-surgery; IOL implantation; phacoemulsification.

Conflict of interest statement

None

Figures

Figure 1
Figure 1
Anterior segment photography of patients presented transparent cornea and silent anterior segment in both groups 24 hours after surgery
Figure 2
Figure 2
In a case of cataract surgery NGENUITY 3D system was used for capsulorhexis. There was no need for the surgeon to lean forward or even to sit straight up

References

    1. Yonekawa Y, Thanos A, Abbey AM, Thomas BJ, Todorich B, Faia LJ, et al. Hybrid 25- and 27-gauge vitrectomy for complex vitreoretinal surgery. Ophthalmic Surg Lasers Imaging Retina. 2016;47:352–5.
    1. Yonekawa Y, Thomas BJ, Hassan TS. New self-retaining sutureless cellulose flanged disposable contact viewing system for vitreoretinal surgery. Retina. 2015;35:834–7.
    1. Eckardt C, Paulo EB. Heads-up surgery for vitreoretinal procedures: an experimental and clinical study. Retina. 2016;36:137–47.
    1. Barakat M. Learning to use a stereoscopic display with retinal surgery does not increase surgical time or negatively affect outcomes. Poster presented at: 2016 Association for Research in Vision and Ophthalmology annual meeting, Seattle, WA. 2016 May 4;
    1. Chhaya N, Helmy O, Piri N, Palacio A, Schaal S. Comparison of 2D and 3D video displays for teaching vitreoretinal surgery. Retina. 2018;38:1556–61.
    1. Yoshihiro Y. Seeing the world through 3-D glasses: Grab some pearls for the coming world of 3-D heads-up surgery. Retina Today. 2016:54–60.

Source: PubMed

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