From the University Hospital Ayr, Ayr, Scotland, United Kingdom (Srinivasan); University of West of Scotland, Ayr, Scotland, United Kingdom (Srinivasan); Alcon Research LLC, Fort Worth, Texas (Tripathi, Suryakumar).
J Cataract Refract Surg. 2023 Sep 1;49(9):988-995. doi: 10.1097/j.jcrs.0000000000001216.
The recent development of high-resolution, heads-up, 3D visualization microscopy systems has provided new technical and visualization options for ophthalmic surgeons. In this review, we explore the evolution of microscope technologies, the science behind modern 3D visualization microscopy systems, and the practical benefits (as well as disadvantages) that these systems provide over conventional microscopes for intraocular surgical practice. Overall, modern 3D visualization systems reduce the requirements for artificial illumination and provide enhanced visualization and resolution of ocular structures, improving ergonomics, and facilitating a superior educational experience. Even when considering their disadvantages, such as those related to technical feasibility, 3D visualization systems have an overall positive benefit/risk ratio. It is hoped these systems will be adopted into routine clinical practice, pending further clinical evidence on the benefits they may provide on clinical outcomes.
近年来，高分辨率、抬头显示、3D 可视化显微镜系统的发展为眼科医生提供了新的技术和可视化选择。在这篇综述中，我们探讨了显微镜技术的发展、现代 3D 可视化显微镜系统背后的科学原理，以及这些系统相对于传统显微镜在眼内手术实践中提供的实际优势（以及劣势）。总的来说，现代 3D 可视化系统降低了对人工照明的要求，并提供了对眼部结构的增强可视化和分辨率，改善了手术操作的舒适度，并且有助于提供更好的教育体验。即使考虑到它们的缺点，如与技术可行性相关的缺点，3D 可视化系统的整体正受益/风险比仍然是有利的。希望这些系统能够被常规应用于临床实践，而进一步的临床证据则需要关注它们可能在临床结果方面带来的益处。
