Retina Unit, Ophthalmology Department, Pierre-Paul Riquet Hospital, Toulouse University Hospital (CHU Toulouse), Place Baylac, 31059, Toulouse Cedex, France.
Centre Monticelli Paradis, 433 bis rue Paradis, 13008, Marseille, France.
Sci Rep. 2021 May 11;11(1):10031. doi: 10.1038/s41598-021-88993-z.
Heads-up three-dimensional (3D) surgical visualization systems allow ophthalmic surgeons to replace surgical microscope eyepieces with high-resolution stereoscopic cameras transmitting an image to a screen. We investigated the effectiveness and safety of the heads-up NGENUITY 3D Visualization System in a retrospective evaluation of 241 consecutive vitreoretinal surgeries performed by the same surgeon using conventional microscopy (CM group) over a 1-year period versus the NGENUITY System (3D group) over a consecutive 1-year period. We included for study vitreoretinal surgeries for treatment of retinal detachment (RD) (98 surgeries), macular hole (MH) (48 surgeries), or epiretinal membrane (ERM) (95 surgeries). A total of 138 and 103 eyes were divided into 3D and CM groups, respectively. We found no differences in 3-month postoperative rates of recurrence of RD (10% versus 18%, p = 0.42), MH closure (82% versus 88%, p = 0.69), or decrease in central macular thickness of ERMs (134 ± 188 µm versus 115 ± 105 µm, p = 0.57) between the 3D and CM groups, respectively. Surgery durations and visual prognosis were also similar between both groups. We consolidate that the NGENUITY System is comparable in terms of visual and anatomical outcomes, giving it perspectives for integration into future robotized intervention.
头戴式三维（3D）手术可视化系统允许眼科外科医生用高分辨率的立体摄像机替换手术显微镜目镜，将图像传输到屏幕上。我们通过回顾性评估，研究了在同一位外科医生使用传统显微镜（CM 组）进行的 241 例连续玻璃体视网膜手术后，使用 NGENUITY 3D 可视化系统（3D 组）进行的 241 例连续玻璃体视网膜手术的有效性和安全性。我们将治疗视网膜脱离（RD）（98 例手术）、黄斑裂孔（MH）（48 例手术）或视网膜前膜（ERM）（95 例手术）的玻璃体视网膜手术纳入研究。共有 138 只眼和 103 只眼分别分为 3D 组和 CM 组。我们发现，术后 3 个月 RD 复发率（10%对 18%，p=0.42）、MH 闭合率（82%对 88%，p=0.69）或 ERM 中心黄斑厚度降低（134±188μm 对 115±105μm，p=0.57）在 3D 组和 CM 组之间无差异。两组的手术时间和视力预后也相似。综上所述，NGENUITY 系统在视觉和解剖结果方面具有可比性，为其集成到未来的机器人干预中提供了前景。
