Sandali Otman, Tahiri Joutei Hassani Rachid, Armia Balamoun Ashraf, Franklin Alan, Sallam Ahmed B, Borderie Vincent
Centre Hospitalier National d'Ophtalmologie des XV-XX 28, Rue de Charenton, 75012 Paris, France.
Service de Chirurgie Ambulatoire, Hôpital Guillaume-de-Varye, 18230 Bourges, France.
J Clin Med. 2023 Mar 16;12(6):2300. doi: 10.3390/jcm12062300.
To describe the feasibility of intraoperative digital visualization and its contribution to the enhancement of macular pigmentation visualization in a prospective series of macular surgery interventions.
A prospective, single-center, single-surgeon study was performed on a series of 21 consecutive cases of vitrectomy for various types of macular surgery using a 3D visualization system. Two optimized filters were applied to enhance the visualization of the macular pigment (MP). For filter 1, cyan, yellow, and magenta color saturations were increased. Filter 2 differed from filter 1 only in having a lower level of magenta saturation for the green-magenta color channel.
Optimized digital filters enhanced the visualization of the MP and the pigmented epiretinal tissue associated with the lamellar and macular holes. In vitreomacular traction surgery, the filters facilitated the assessment of MP integrity at the end of surgery. Filter 1 enhanced MP visualization most strongly, with the MP appearing green and slightly fluorescent. Filter 2 enhanced MP visualization less effectively but gave a clearer image of the retinal surface, facilitating safe macular peeling.
Optimized digital filters could be used to enhance MP and pigmented epiretinal tissue visualization during macular surgery. These filters open new horizons for future research and should be evaluated in larger series and correlated with intraoperative OCT.
在一系列前瞻性黄斑手术干预中，描述术中数字可视化的可行性及其对增强黄斑色素沉着可视化的作用。
使用3D可视化系统对一系列连续21例因各种类型黄斑手术而进行玻璃体切除术的病例进行了一项前瞻性、单中心、单术者研究。应用了两种优化滤镜以增强黄斑色素（MP）的可视化。对于滤镜1，增加了青色、黄色和品红色的色彩饱和度。滤镜2与滤镜1的不同之处仅在于绿色 - 品红色通道的品红色饱和度较低。
优化后的数字滤镜增强了MP以及与板层孔和黄斑孔相关的色素性视网膜前组织的可视化。在玻璃体黄斑牵引手术中，这些滤镜有助于在手术结束时评估MP的完整性。滤镜1对MP可视化的增强作用最强，MP呈现绿色且略带荧光。滤镜2对MP可视化的增强效果较差，但能提供更清晰的视网膜表面图像，便于安全地进行黄斑剥离。
优化后的数字滤镜可用于在黄斑手术中增强MP和色素性视网膜前组织的可视化。这些滤镜为未来的研究开辟了新视野，应在更大规模的系列研究中进行评估，并与术中光学相干断层扫描（OCT）相关联。
