Giansanti Fabrizio, Nicolosi Cristina, Bacherini Daniela, Soloperto Federica, Sarati Federica, Giattini Dario, Vicini Giulio
Eye Clinic, Neuromuscular and Sense Organs Department, Careggi University Hospital, 50134 Florence, Italy.
Department of Neurosciences, Psychology, Drug Research and Child Health, University of Florence, 50121 Florence, Italy.
Life (Basel). 2023 May 31;13(6):1289. doi: 10.3390/life13061289.
To describe the experience of our centre (Careggi University Hospital, Florence, Italy) in using a heads-up three-dimensional (3D) surgical viewing system in vitreoretinal surgery, making a comparison with the conventional microscope surgery.
We retrospectively analyzed data taken from 240 patients (240 eyes) with surgical macular diseases (macular hole and epiretinal membrane), retinal detachment or vitreous hemorrhage who underwent vitreoretinal surgeries, by means of the NGENUITY 3D Visualization System (Alcon Laboratories Inc., Fort Worth, TX, USA), in comparison with 210 patients (210 eyes) who underwent vitreoretinal surgeries performed using a conventional microscope. All surgeries were performed with standardized procedures by the same surgeons. We analyzed data over a follow-up period of 6 months, comparing the surgical outcomes (best-corrected visual acuity, anatomical success rate and postoperative complication rate) between the two groups.
the 3D group included 74 patients with retinal detachment, 78 with epiretinal membrane, 64 with macular hole and 24 with vitreous hemorrhage. There were no significant differences in the demographic and clinical characteristics between the 3D group and the conventional group. We found no significant differences in outcome measures at three and six months follow-up between the two groups (-value ≥ 0.05 for all comparisons). Surgery durations were similar between the two groups.
In our experience, a heads-up 3D surgical viewing system provided comparable functional and anatomical outcomes in comparison with conventional microscope surgery, proving to be a valuable tool for vitreoretinal surgery in the treatment of different retinal diseases.
描述我们中心（意大利佛罗伦萨卡雷吉大学医院）在玻璃体视网膜手术中使用抬头式三维（3D）手术观察系统的经验，并与传统显微镜手术进行比较。
我们回顾性分析了240例（240只眼）患有手术性黄斑疾病（黄斑裂孔和视网膜前膜）、视网膜脱离或玻璃体出血并接受玻璃体视网膜手术的患者的数据，这些手术借助了NGENUITY 3D可视化系统（美国德克萨斯州沃思堡的爱尔康实验室公司），并与210例（210只眼）接受传统显微镜下玻璃体视网膜手术的患者进行比较。所有手术均由同一位外科医生按照标准化程序进行。我们分析了6个月随访期内的数据，比较了两组之间的手术结果（最佳矫正视力、解剖成功率和术后并发症发生率）。
3D组包括74例视网膜脱离患者、78例视网膜前膜患者、64例黄斑裂孔患者和24例玻璃体出血患者。3D组和传统组在人口统计学和临床特征方面没有显著差异。我们发现两组在术后3个月和6个月随访时的结果指标没有显著差异（所有比较的P值≥0.05）。两组的手术时间相似。
根据我们的经验，与传统显微镜手术相比，抬头式3D手术观察系统在功能和解剖学结果方面相当，证明是治疗不同视网膜疾病的玻璃体视网膜手术的一种有价值的工具。
