Sandali Otman, Tahiri Joutei Hassani Rachid, Armia Balamoun Ashraf, El Sanharawi Mohamed, Borderie Vincent
Centre Hospitalier National d'Ophtalmologie des XV-XX, Pierre & Marie Curie University Paris 06, ResearchTeam 968, Institut de laVision, 75571 Paris, France.
Service de Chirurgie Ambulatoire, Hôpital Guillaume-de-Varye, 18230 Bourges, France.
J Clin Med. 2022 Mar 28;11(7):1865. doi: 10.3390/jcm11071865.
To assess the utility of the 3D viewing system in tilted microscope positions for the performance of cataract surgery in challenging positions, for patients with difficulty remaining supine.
Prospective, single-center, single-surgeon, consecutive case series of patients undergoing surgery in an inclined position.
21 eyes of 15 patients who had undergone surgery at inclined positions at angles of 20° to 80°, with a mean angle of 47.62°. Surgeon comfort was considered to be globally good. The surgeon rated red reflex perception and the impression of depth as good and stable in all cases. The operating time was slightly longer for patients inclined at angles of more than 50°. On the first day after surgery, BSCVA was 20/25 or better in all cases. No ocular complications occurred in any of the interventions.
Due to the ocular-free design of the 3D system, the surgical procedure and the positioning of the surgeon remained almost identical to that for patients undergoing surgery in a supine position, maintaining the safety of the standard surgical approach.
评估三维观察系统在倾斜显微镜位置用于为难以保持仰卧位的患者在具有挑战性的位置进行白内障手术的效用。
对在倾斜位置接受手术的患者进行前瞻性、单中心、单术者、连续病例系列研究。
15例患者的21只眼在20°至80°的倾斜角度下接受了手术，平均角度为47.62°。总体而言，术者舒适度良好。术者在所有病例中对红光反射感知和深度印象的评价均为良好且稳定。对于倾斜角度超过50°的患者，手术时间稍长。术后第一天，所有病例的最佳矫正视力（BSCVA）均为20/25或更好。所有干预均未发生眼部并发症。
由于三维系统的无目镜设计，手术过程和术者的定位与仰卧位手术患者几乎相同，保持了标准手术方法的安全性。
