Digitally assisted three-dimensional surgery – Beyond vitreous
Purpose: The aim of this study was to evaluate the application and safety of three-dimensional (3D) visualization system in varied anterior segment procedures and Scleral Buckle. Methods: This was a prospective observational study of 313 eyes. Patients undergoing phacoemulsification (PE) with intrao...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=7;spage=1793;epage=1800;aulast=Bawankule |
| _version_ | 1818916065503084544 |
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| author | Prashant K Bawankule Shilpi H Narnaware Moumita Chakraborty Dhananjay Raje Rinkle Phusate Richa Gupta Kaustubh Rewatkar Anurag Chivane Suraj Sontakke |
| author_facet | Prashant K Bawankule Shilpi H Narnaware Moumita Chakraborty Dhananjay Raje Rinkle Phusate Richa Gupta Kaustubh Rewatkar Anurag Chivane Suraj Sontakke |
| author_sort | Prashant K Bawankule |
| collection | DOAJ |
| description | Purpose: The aim of this study was to evaluate the application and safety of three-dimensional (3D) visualization system in varied anterior segment procedures and Scleral Buckle. Methods: This was a prospective observational study of 313 eyes. Patients undergoing phacoemulsification (PE) with intraocular lens (IOL), trabeculectomies, glaucoma triple procedure (GTP), scleral fixated (SF) IOL, and scleral buckle (SB) were included in the study. Cases were randomly distributed in 3D visualization system (learning and post-learning phase) and conventional microscope group. Parameters studied were complications (intraoperative and early postoperative), surgical outcomes, and surgeon's perspective on various parameters (through a validated questionnaire) like surgical time, time lag, learning curve, ease of doing various steps and its value as an educational tool, for both groups [Questionnaires 1 and 2]. Results: Complications rates were not different in two groups. Surgical outcomes (anatomical and physiological) were similar in both the groups. Mean duration of surgery in PE+IOL, Trabeculectomy, GTP in learning stage by 3D was significantly higher than Microscope, which became insignificant in postlearning stage. For, SB and SFIOL, duration between two groups were insignificantly different. There was significant learning struggle in PE+IOL, SB, and Trabeculectomy. Image resolution, depth perception, illumination and postural comfort was graded higher for 3D surgery across the stages. Time lag, poor color contrast, and field of view were appreciated during the learning stage. Educational relevance of 3D was higher, as appreciated by resident and nurses. Conclusion: 3D surgery is as safe, faster, and predictable after initial learning struggle. Even in anterior segment procedure, no apparent lag was appreciated after learning curve. |
| first_indexed | 2024-12-20T00:12:15Z |
| format | Article |
| id | doaj.art-4dacf6b24bbe4ec88d245f6682e8a424 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-12-20T00:12:15Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-4dacf6b24bbe4ec88d245f6682e8a4242022-12-21T20:00:27ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892021-01-016971793180010.4103/ijo.IJO_3111_20Digitally assisted three-dimensional surgery – Beyond vitreousPrashant K BawankuleShilpi H NarnawareMoumita ChakrabortyDhananjay RajeRinkle PhusateRicha GuptaKaustubh RewatkarAnurag ChivaneSuraj SontakkePurpose: The aim of this study was to evaluate the application and safety of three-dimensional (3D) visualization system in varied anterior segment procedures and Scleral Buckle. Methods: This was a prospective observational study of 313 eyes. Patients undergoing phacoemulsification (PE) with intraocular lens (IOL), trabeculectomies, glaucoma triple procedure (GTP), scleral fixated (SF) IOL, and scleral buckle (SB) were included in the study. Cases were randomly distributed in 3D visualization system (learning and post-learning phase) and conventional microscope group. Parameters studied were complications (intraoperative and early postoperative), surgical outcomes, and surgeon's perspective on various parameters (through a validated questionnaire) like surgical time, time lag, learning curve, ease of doing various steps and its value as an educational tool, for both groups [Questionnaires 1 and 2]. Results: Complications rates were not different in two groups. Surgical outcomes (anatomical and physiological) were similar in both the groups. Mean duration of surgery in PE+IOL, Trabeculectomy, GTP in learning stage by 3D was significantly higher than Microscope, which became insignificant in postlearning stage. For, SB and SFIOL, duration between two groups were insignificantly different. There was significant learning struggle in PE+IOL, SB, and Trabeculectomy. Image resolution, depth perception, illumination and postural comfort was graded higher for 3D surgery across the stages. Time lag, poor color contrast, and field of view were appreciated during the learning stage. Educational relevance of 3D was higher, as appreciated by resident and nurses. Conclusion: 3D surgery is as safe, faster, and predictable after initial learning struggle. Even in anterior segment procedure, no apparent lag was appreciated after learning curve.http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=7;spage=1793;epage=1800;aulast=Bawankule3d surgeryanterior segment procedurescleral buckle |
| spellingShingle | Prashant K Bawankule Shilpi H Narnaware Moumita Chakraborty Dhananjay Raje Rinkle Phusate Richa Gupta Kaustubh Rewatkar Anurag Chivane Suraj Sontakke Digitally assisted three-dimensional surgery – Beyond vitreous Indian Journal of Ophthalmology 3d surgery anterior segment procedure scleral buckle |
| title | Digitally assisted three-dimensional surgery – Beyond vitreous |
| title_full | Digitally assisted three-dimensional surgery – Beyond vitreous |
| title_fullStr | Digitally assisted three-dimensional surgery – Beyond vitreous |
| title_full_unstemmed | Digitally assisted three-dimensional surgery – Beyond vitreous |
| title_short | Digitally assisted three-dimensional surgery – Beyond vitreous |
| title_sort | digitally assisted three dimensional surgery beyond vitreous |
| topic | 3d surgery anterior segment procedure scleral buckle |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=7;spage=1793;epage=1800;aulast=Bawankule |
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