ArticleRetina (Philadelphia, Pa.)2018
THE INTEGRATIVE SURGICAL THEATER: Combining Intraoperative Optical Coherence Tomography and 3D Digital Visualization for Vitreoretinal Surgery in the DISCOVER Study.
Article in Retina (Philadelphia, Pa.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05334212 (Evaluating the Impact of Surgical Theater's Patient Engagement 360VR Platform on Spinal Surgery Patient Expectations and Experiences), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Evaluating the Impact of Surgical Theater's Patient Engagement 360VR Platform on Spinal Surgery Patient Expectations and Experiences
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Applications of Extended Reality in Ophthalmology: Systematic Review.Journal of medical Internet research · 2021Pooled it
- [Concepts and clinical application of digital 3D microscopy].Die Ophthalmologie · 2026Review
- Article
- Polarization-sensitive optical coherence tomography for renal tumor detection inOptics and lasers in engineering · 2024Article
- Enhancing surgical precision and efficiency: a study and comparison of a three-dimensional surgical video system in proliferative diabetic retinopathy surgery.Frontiers in medicine · 2023Article
- Heads-Up Three-Dimensional Viewing Systems in Vitreoretinal Surgery: An Updated Perspective.Clinical ophthalmology (Auckland, N.Z.) · 2023Review
- Advances in Optical Coherence Tomography Imaging Technology and Techniques for Choroidal and Retinal Disorders.Journal of clinical medicine · 2022Review
- Automatic evaluation of graft orientation during Descemet membrane endothelial keratoplasty using intraoperative OCT.Biomedical optics express · 2022Article
- Use of the heads-up NGENUITY 3D Visualization System for vitreoretinal surgery: a retrospective evaluation of outcomes in a French tertiary center.Scientific reports · 2021Article
- Preoperative imaging optimized for epiretinal membrane surgery.International journal of retina and vitreous · 2021Article
- Can the Three-Dimensional Heads-Up Display Improve Ergonomics, Surgical Performance, and Ophthalmology Training Compared to Conventional Microscopy?Clinical ophthalmology (Auckland, N.Z.) · 2021Article
- Heads up Sutureless Chandelier assisted scleral buckle.American journal of ophthalmology case reports · 2020Article
- Optimal Display Positions for Heads-Up Surgery to Minimize Crosstalk.Translational vision science & technology · 2020Article
- What Is the Impact of Intraoperative Microscope-Integrated OCT in Ophthalmic Surgery? Relevant Applications and Outcomes. A Systematic Review.Journal of clinical medicine · 2020Review
- 3D Heads-Up Display vs. Standard Operating Microscope Vitrectomy for Rhegmatogenous Retinal Detachment.Frontiers in medicine · 2020Article
- Intraoperative optical coherence tomographic findings in patients undergoing subretinal gene therapy surgery.International journal of retina and vitreous · 2020Article
- Quantitative evaluation of digital-image enhancement during heads-up surgery.Scientific reports · 2019Article
- The Scope Of Three-Dimensional Digital Visualization Systems In Vitreoretinal Surgery.Clinical ophthalmology (Auckland, N.Z.) · 2019Article
- The DISCOVER Study 3-Year Results: Feasibility and Usefulness of Microscope-Integrated Intraoperative OCT during Ophthalmic Surgery.Ophthalmology · 2018Article
- Real-time visualization and interaction with static and live optical coherence tomography volumes in immersive virtual reality.Biomedical optics express · 2018Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
purposeTo evaluate the feasibility of integrating intraoperative optical coherence tomography (OCT) with a digital visualization platform for vitreoretinal surgery.
methodsThe DISCOVER study is a prospective study examining microscope-integrated intraoperative OCT across multiple prototypes and platforms. For this assessment, a microscope-integrated OCT platform was combined with a three-dimensional (3D) surgical visualization system to allow for digital display of the OCT data stream on the large immersive display. Intraoperative OCT scans were obtained at various surgical milestones that were directly overlaid to the surgical view in a 55-inch passive 3D 4K high-definition display. Surgeon feedback was obtained related to system performance and integration into the surgical procedures through a prespecified surgeon questionnaire.
resultsSeven eyes of seven subjects were identified. Clinical diagnosis included epiretinal membrane (n = 3), macular hole (2), symptomatic vitreous opacity (1), and proliferative vitreoretinopathy (1). Optical coherence tomography images were successfully obtained and displayed on the 4K screen in all cases. Intraoperative OCT images facilitated identification of subtle retinal alterations. Surgeons reported that the 4K screen seemed to provide improved visualization of the OCT data stream compared with the semitransparent ocular view. Surgeons were able to examine the OCT data on the 4K screen without reverting to the external display system of the microscope. The system provided a uniform surgical visualization experience for both the surgeon and the assistant. In addition, the digital platform allowed all surgical personnel to simultaneously view both the OCT and the surgical field. All eyes underwent uneventful vitrectomy without reverting to the conventional microscope. No intraoperative adverse events occurred.
conclusionIntegration of OCT into the digital visualization system may enable unique opportunities for surgeon feedback of intraoperative diagnostics. The overlay of the OCT data onto the 4K monitor seemed to provide excellent visualization of OCT details. Further research is needed to compare the conventional microscope-based approach to the digital 3D screen approach in regards to intraoperative OCT.
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