Comparison of a Three-Dimensional Heads-Up Display Surgical Platform with a Standard Operating Microscope for Macular Surgery.

摘要: Purpose To assess safety, efficacy, and outcomes of vitreoretinal surgery for macular pathology using a 3-dimensional heads-up display (3D HUD) surgical platform compared with standard operating microscope (SOM). Design Prospective, single-center, unmasked, randomized study. Participants Patients undergoing pars plana vitrectomy (PPV) epiretinal membrane (ERM) or full-thickness hole (MH) at Wills Eye Hospital. Methods were 1:1 to undergo 3D HUD SOM. who had previous PPV excluded. Surgical choices, including gauge, based on surgeon preference. Standard safety parameters, Early Treatment Diabetic Retinopathy Study visual acuity (VA), minimum required endoillumination levels, operative times, “ease use” the viewing recorded. followed up postoperative month 3 (POM3). Main Outcome Measures The main outcome measures total time, peel rating system ease use, endoillumination, intraoperative complication rate, VA. Results Thirty-nine eyes 39 patients mean age 67.60±8.21 SD years enrolled. Indications included ERM (n = 26 [3D 14, SOM 12]) MH 13 9, 4]). Minimum was significantly lower (mean 22.70%±15.10% SD) 39.06%±2.72%; P 0.681). There no clinically significant complications in either group. Conclusions Three-dimensional visualization is an evolving technology demonstrating comparable efficacy surgery. Although overall times similar, longer associated less use this study, which may partly be due learning curve new technology.