TY - JOUR
T1 - Surgical outcomes and intraoperative parameters of 3D visualization system versus conventional microscopes for macular surgery in highly myopic eyes, a prospective randomized clinical trial
T2 - A Prospective Randomized Clinical Trial
AU - Tsui, Mei Chi
AU - Hsieh, Yi Ting
AU - Lai, Tso Ting
AU - Lee, Cheng Yung
AU - Hsia, Yun
AU - Wang, Shih Wen
AU - Ma, I. Hsin
AU - Hung, Kuo Chi
AU - Lin, Chang Pin
AU - Yang, Chang Hao
AU - Yang, Chung May
AU - Ho, Tzyy Chang
N1 - Publisher Copyright:
Copyright © 2024 The Author(s).
PY - 2024
Y1 - 2024
N2 - Purpose:To investigate the surgical outcomes and intraoperative parameters of 3D visualization system for macular diseases in highly myopic eyes.Methods:In this single-center, prospective, randomized, comparative interventional study, 40 highly myopic eyes (axial length > 26mm) were randomly assigned to either a 3D visualization system or a conventional microscope (CM) group. Surgical outcomes and intraoperative parameters, including the number of indocyanine green (ICG) injections, surgical time, and epiretinal membrane (ERM)/ internal limiting membrane (ILM) peeling time, were compared.Results:The 3D group required significantly fewer ICG injections (1.3 ± 0.5 vs. 2.3 ± 0.7, p < 0.001), had shorter ERM/ILM peeling times (522.8 ± 258.0 vs. 751.8 ± 320.2 sec, p < 0.05), and experienced fewer intraoperative retinal hemorrhages (0 vs. 7 cases, p < 0.05) compared to the CM group. Anatomical and functional outcomes were comparable between the two groups.Conclusion:The 3D system exhibited a lower number of ICG injections, shorter ERM/ILM peeling times and a reduced incidence of intraoperative retinal hemorrhages, suggesting the 3D visualization system may offer advantages for macular surgery in highly myopic eyes.
AB - Purpose:To investigate the surgical outcomes and intraoperative parameters of 3D visualization system for macular diseases in highly myopic eyes.Methods:In this single-center, prospective, randomized, comparative interventional study, 40 highly myopic eyes (axial length > 26mm) were randomly assigned to either a 3D visualization system or a conventional microscope (CM) group. Surgical outcomes and intraoperative parameters, including the number of indocyanine green (ICG) injections, surgical time, and epiretinal membrane (ERM)/ internal limiting membrane (ILM) peeling time, were compared.Results:The 3D group required significantly fewer ICG injections (1.3 ± 0.5 vs. 2.3 ± 0.7, p < 0.001), had shorter ERM/ILM peeling times (522.8 ± 258.0 vs. 751.8 ± 320.2 sec, p < 0.05), and experienced fewer intraoperative retinal hemorrhages (0 vs. 7 cases, p < 0.05) compared to the CM group. Anatomical and functional outcomes were comparable between the two groups.Conclusion:The 3D system exhibited a lower number of ICG injections, shorter ERM/ILM peeling times and a reduced incidence of intraoperative retinal hemorrhages, suggesting the 3D visualization system may offer advantages for macular surgery in highly myopic eyes.
KW - 3D visualization system
KW - high myopia
KW - macular surgery
KW - microscope
KW - vitreoretinal surgery
UR - https://www.scopus.com/pages/publications/85202204830
UR - https://www.scopus.com/inward/citedby.url?scp=85202204830&partnerID=8YFLogxK
U2 - 10.1097/IAE.0000000000004207
DO - 10.1097/IAE.0000000000004207
M3 - Article
C2 - 39173135
AN - SCOPUS:85202204830
SN - 0275-004X
VL - 44
SP - 1906
EP - 1914
JO - Retina
JF - Retina
IS - 11
M1 - 10.1097/IAE.0000000000004207
ER -