在白内障超声乳化手术中，使用集成术中光学相干断层扫描（OCT）的新型数字显微镜与Ngenuity 3D可视化系统的比较。

Comparison of novel digital microscope using integrated intraoperative OCT with Ngenuity 3D visualization system in phacoemulsification.

作者信息

Savastano Alfonso, Ripa Matteo, Savastano Maria Cristina, De Vico Umberto, Caporossi Tomaso, Kilian Raphael, Rizzo Stanislao

机构信息

Ophthalmology Unit, Fondazione Policlinico Universitario A. Gemelli Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy; Catholic University "Sacro Cuore," Rome, Italy.

出版信息

Can J Ophthalmol. 2023 Apr;58(2):162-167. doi: 10.1016/j.jcjo.2021.08.017. Epub 2021 Sep 22.

DOI:10.1016/j.jcjo.2021.08.017

PMID:34562380

Abstract

OBJECTIVE

To compare surgical efficiency, visual and physical comfort, and safety profile of the ARTEVO 800 Digital Microscope (Carl Zeiss Meditec AG, Jena, Germany) and the Ngenuity 3D Visualization System (Alcon Laboratories Inc, Fort Worth, TX) in cataract surgery.

DESIGN

Cross-sectional study.

PARTICIPANTS

One hundred consecutive phacoemulsification cataract surgeries performed by five surgeons from June 1, 2020, to November 1, 2020.

METHODS

For each case, the surgeons answered a 2-section questionnaire (before and after intervention) to collect data on cataract severity or grade, surgical risk, chosen three-dimensional (3D) visualization system, surgical complications, and the visual or physical discomfort experienced during the procedure.

RESULTS

Each of the 5 surgeons performed 20 surgeries (N = 100) using either the ARTEVO 800 Digital Microscope (N = 50) or the Ngenuity Visualization System (N = 50). Mean duration of the surgical procedure was 17.07 ± 4.80 minutes, and none of the surgeons ever switched to the classical microscope. In addition, 40% of surgeries were considered at low risk, 30% at intermediate risk, and 30% at high risk. The Zoom, Focus, and XY commands were used 1-3 times, respectively, during 76 (p = 0.34), 73 (p = 0.49), and 76 (p = 0.64) interventions. Surgical uncertainty and operative fluency were similar using both systems (p = 0.53 and p = 0.19). We observed 14 intraoperative complications, 9 using Ngenuity and 5 using the ARTEVO 800. Surgeon's visual comfort (p = 0.79), colour or brightness perception (p = 0.82), and visual impairment (p = 0.62) during surgery were similar for both systems. Headache, backache, and other musculoskeletal problems were reported, respectively, after 14 (p = 0.79), 11 (p = 0.99), and 8 (p = 0.44) procedures.

CONCLUSION

Both the Ngenuity 3D Visualization System (Alcon Laboratories Inc) and the ARTEVO 800 Digital Microscope (Carl Zeiss Meditec AG) provided comparable operative speed and overall surgical comfort during cataract surgery.

摘要

目的

比较ARTEVO 800数字显微镜（德国耶拿卡尔蔡司医疗技术公司）和Ngenuity 3D可视化系统（美国德克萨斯州沃思堡爱尔康实验室公司）在白内障手术中的手术效率、视觉和身体舒适度以及安全性。

设计

横断面研究。

参与者

2020年6月1日至2020年11月1日期间，由五位外科医生连续进行的100例超声乳化白内障手术。

方法

对于每例手术，外科医生在干预前后回答一份两部分的问卷，以收集有关白内障严重程度或分级、手术风险、所选三维（3D）可视化系统、手术并发症以及手术过程中经历的视觉或身体不适的数据。

结果

5位外科医生每人使用ARTEVO 800数字显微镜（n = 50）或Ngenuity可视化系统（n = 50）进行了20例手术（N = 100）。手术平均持续时间为17.07±4.80分钟，没有外科医生改用传统显微镜。此外，40%的手术被认为风险较低，30%为中等风险，30%为高风险。在76次（p = 0.34）、73次（p = 0.49）和76次（p = 0.64）干预过程中，缩放、聚焦和XY命令分别使用了1 - 3次。两种系统的手术不确定性和操作流畅性相似（p = 0.53和p = 0.19）。我们观察到14例术中并发症，使用Ngenuity的有9例，使用ARTEVO 800的有5例。两种系统在手术过程中外科医生的视觉舒适度（p = 0.79）、颜色或亮度感知（p = 0.82）以及视觉损伤（p = 0.62）相似。分别有14例（p = 0.79）、11例（p = 0.99）和8例（p = 0.44）手术后报告了头痛、背痛和其他肌肉骨骼问题。