Department of Ophthalmology, Institute of Vision Research, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
Fatima Eye Clinic, 320 Woni-daero, Seongsan-gu, Changwon-si, Gyeongsangnam-do, 51408, Republic of Korea.
Sci Rep. 2024 Sep 30;14(1):22681. doi: 10.1038/s41598-024-68630-1.
The three-dimensional heads-up display system (3D HUDS) is increasingly utilized by ophthalmologists and suggested to offer ergonomic benefits compared to conventional operating microscopes. We aimed to quantitatively assess the surgeon's neck angle and musculoskeletal discomfort during cataract surgery using commercially available 3D HUDS and conventional microscope. In this single-center comparative observational study, the surgeon conducted routine phacoemulsification surgeries using Artevo® 800 and Opmi Lumera® 700 (both from Carl Zeiss Meditec, Jena, Germany). The surgeon's intraoperative neck angle was measured using the Cervical Range of Motion device. Postoperative musculoskeletal discomfort was assessed using the Visual Analog Scale (VAS) score after each surgery. A total of 80 cataract surgeries were analyzed, with 40 using Artevo® 800 and 40 using Opmi Lumera® 700. The neck angle was extended when using Artevo® 800 and flexed when using Opmi Lumera® 700 during continuous curvilinear capsulorhexis (CCC), phacoemulsification, and intraocular lens (IOL) placement (- 8.18 ± 2.85° vs. 8.27 ± 2.93° in CCC, - 7.83 ± 3.30° vs. 8.87 ± 2.83° in phacoemulsification, - 7.43 ± 3.80° vs. 7.67 ± 3.73° in IOL placement, respectively; all p < 0.001). The VAS score was significantly lower in surgeries performed with Artevo® 800 (1.27 ± 0.55 vs. 1.73 ± 0.64, p < 0.001). The findings suggest that 3D HUDS help reduce neck flexion and lower work-related musculoskeletal discomfort through ergonomic improvements.
三维平视显示系统（3D HUDS）越来越多地被眼科医生使用，并被认为与传统手术显微镜相比具有人体工程学优势。我们旨在使用商业上可用的 3D HUDS 和传统显微镜定量评估白内障手术过程中外科医生的颈部角度和肌肉骨骼不适。在这项单中心比较观察性研究中，外科医生使用 Artevo®800 和 Opmi Lumera®700（均来自卡尔蔡司医疗技术公司，德国耶拿）进行常规的超声乳化白内障手术。使用 Cervical Range of Motion 设备测量外科医生手术过程中的颈部角度。使用视觉模拟量表（VAS）评分在每次手术后评估术后肌肉骨骼不适。总共分析了 80 例白内障手术，其中 40 例使用 Artevo®800，40 例使用 Opmi Lumera®700。在连续环形撕囊（CCC）、超声乳化和人工晶状体（IOL）植入过程中，使用 Artevo®800 时颈部角度伸展，使用 Opmi Lumera®700 时颈部角度弯曲（CCC 时分别为-8.18±2.85°和 8.27±2.93°，超声乳化时分别为-7.83±3.30°和 8.87±2.83°，IOL 植入时分别为-7.43±3.80°和 7.67±3.73°；所有 p 值均<0.001）。使用 Artevo®800 进行的手术 VAS 评分显著较低（1.27±0.55 与 1.73±0.64，p<0.001）。研究结果表明，3D HUDS 通过改善人体工程学，有助于减少颈部弯曲并降低与工作相关的肌肉骨骼不适。
