Huang Jordan J, Waldner Derek, Huang Jaxon J, Huang Joshua M, Huang Paul, Teichman Joshua C, Darvish-Zargar Mahshad, Gooi Patrick
Cumming School of Medicine, University of Calgary, Calgary, AB.
Cumming School of Medicine, University of Calgary, Calgary, AB; Division of Ophthalmology, University of Calgary, Calgary, AB.
Can J Ophthalmol. 2024 Aug;59(4):e338-e342. doi: 10.1016/j.jcjo.2023.06.003. Epub 2023 Jun 24.
To survey ophthalmic surgeons' opinions comparing a novel three-dimensional (3D) heads-up display system with a conventional surgical microscopy for minimally invasive glaucoma surgery (MIGS) on an artificial eye model.
Twenty-one ophthalmologists at the 2021 Canadian Ophthalmological Society Annual Meeting in Halifax, Nova Scotia, underwent a 90-minute skills-transfer course on MIGS. Using an artificial eye model (SimulEYE iTrack Model; InsEYE LLC, Westlake Village, Calif.), participants engaged in hands-on practice of MIGS via both a 3D heads-up display system (3D HUDS) (Zeiss Artevo 800; Carl Zeiss Meditec, Jena, Germany) and a conventional surgical microscope. Following completion, participants and instructors answered a 16-question survey comparing the 2 systems (3D HUDS vs conventional surgical microscope). Survey responses were recorded on a 9-point double-headed Likert scale ranging from strongly favour 3D HUDS (1) to strongly favour conventional surgical microscopy (9). Mann-Whitney U nonparametric analysis was used to compare instructor versus participants and experts versus nonexperts.
Survey ratings favoured the 3D HUDS over the conventional surgical microscopy, with respondent ratings for all survey questions ranging from a response of 1 (strongly favour 3D HUDS) to 5 (equal). Mann-Whitney U statistical analysis revealed no significant difference between instructor versus participant as well as between expert versus nonexpert. Most ratings for the 3D HUDS were received for ergonomic setup of the surgical modality, depth of field (or) field of view, and usefulness in training residents for MIGS. Equal ratings for the 3D HUDS and conventional surgical microscope were received for system malfunctions and lag during surgery.
The 3D HUDS was favoured over conventional microscopy for the performance of simulated MIGS by ophthalmologists with varying levels of experience. The survey results suggest that the 3D HUDS in an artificial eye model is useful for teaching minimally invasive glaucoma surgery, particularly with the advent of competency-based ophthalmology education programs.
在人工眼模型上，调查眼科医生对一种新型三维（3D）平视显示系统与传统手术显微镜用于微创青光眼手术（MIGS）的看法。
2021年在新斯科舍省哈利法克斯举行的加拿大眼科学会年会上的21名眼科医生参加了为期90分钟的MIGS技能培训课程。使用人工眼模型（SimulEYE iTrack模型；InsEYE有限责任公司，加利福尼亚州西湖村），参与者通过3D平视显示系统（3D HUDS）（蔡司Artevo 800；德国耶拿卡尔蔡司医疗技术公司）和传统手术显微镜进行MIGS的实践操作。完成后，参与者和教员回答了一项比较这两种系统（3D HUDS与传统手术显微镜）的16个问题的调查问卷。调查问卷的回答记录在一个9分的双头李克特量表上，范围从强烈支持3D HUDS（1）到强烈支持传统手术显微镜（9）。使用曼-惠特尼U非参数分析来比较教员与参与者以及专家与非专家。
调查问卷评分显示，与传统手术显微镜相比，3D HUDS更受青睐，所有调查问卷问题的受访者评分范围从1（强烈支持3D HUDS）到5（相同）。曼-惠特尼U统计分析显示，教员与参与者之间以及专家与非专家之间没有显著差异。3D HUDS在手术方式的人体工程学设置、景深（或）视野以及对住院医师进行MIGS培训的有用性方面获得了大多数评分。3D HUDS和传统手术显微镜在手术期间的系统故障和延迟方面获得了相同的评分。
对于不同经验水平的眼科医生进行模拟MIGS操作，3D HUDS比传统显微镜更受青睐。调查结果表明，人工眼模型中的3D HUDS对于微创青光眼手术教学很有用，特别是随着基于能力的眼科教育项目的出现。
