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Tytuł pozycji:

Efficacy of 3D digital visualization in minimizing coaxial illumination and phototoxic potential in cataract surgery: pilot study.

Tytuł :
Efficacy of 3D digital visualization in minimizing coaxial illumination and phototoxic potential in cataract surgery: pilot study.
Autorzy :
Rosenberg ED; From the Department of Ophthalmology, Weill Cornell Medical College, New York, New York, USA.
Nuzbrokh Y
Sippel KC
Pokaż więcej
Źródło :
Journal of cataract and refractive surgery [J Cataract Refract Surg] 2021 Mar 01; Vol. 47 (3), pp. 291-296.
Typ publikacji :
Journal Article
Język :
English
Imprint Name(s) :
Publication: 2020- : [Hagerstown, MD] : Wolters Kluwer on behalf of ASCRS and ESCRS
Original Publication: [Fairfax, Va.] : American Society of Cataract and Refractive Surgery, [c1986-
References :
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Entry Date(s) :
Date Created: 20201003 Latest Revision: 20210427
Update Code :
20210427
DOI :
10.1097/j.jcrs.0000000000000448
PMID :
33009280
Czasopismo naukowe
Purpose: To compare the coaxial light intensity required during cataract surgery and rate of postoperative visual recovery, with surgical visualization achieved with a traditional analog operating microscope compared with a 3D digital visualization system.
Setting: Weill Cornell Medical Center, New York Presbyterian Hospital, New York, New York.
Design: Retrospective, consecutive, single-surgeon series.
Methods: Patients undergoing femtosecond laser-assisted cataract surgery were retrospectively grouped into either: (1) visualization using the binoculars of a standard operating microscope (traditional group) or (2) visualization using a 3D digital visualization system affixed to the same operating microscope (digital group). Note was made in each case of light intensity used, light exposure time, intraoperative and/or postoperative complications, and postoperative visual acuities.
Results: The study comprised 24 eyes in the traditional group and 27 eyes in the digital group. There were no intraoperative or postoperative complications in either group and no difference in mean light exposure time, but the mean light intensity used in the digital group was significantly less (18.5% ± 1.5%) than that in the traditional group (43.3% ± 3.7%; P < .001). Furthermore, the digital group achieved a postoperative day 1 visual acuity that was within 2 lines of the postoperative month 1 visual acuity a greater percentage of time than that in the traditional group (81.5% of eyes vs 54.2% of eyes; P = .04).
Conclusions: Light intensity was significantly decreased in patients who underwent cataract surgery assisted by the 3D digital visualization platform without an increase in complications or surgical time and possibly with a faster postoperative visual recovery.
(Copyright © 2021 Published by Wolters Kluwer on behalf of ASCRS and ESCRS.)

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