ArticleInternational ophthalmology2019
Learning curve of three-dimensional heads-up vitreoretinal surgery for treating macular holes: a prospective study.
Article in International ophthalmology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 33 citations in OpenAlex.
- Three-Dimensional Heads-up Cataract Surgery Using Femtosecond Laser: Efficiency, Efficacy, Safety, and Medical Education-A Randomized Clinical Trial.Translational vision science & technology · 2021Trial
- Heads-up 3D viewing system in rhegmatogenous retinal detachment with proliferative vitreoretinopathy - A prospective randomized trial.Indian journal of ophthalmology · 2021Trial
- Microscope-integrated Intraoperative Optical Coherence Tomography for Anterior Segment Surgical Maneuvers.Translational vision science & technology · 2020Trial
- [Concepts and clinical application of digital 3D microscopy].Die Ophthalmologie · 2026Review
- Teaching ophthalmic microsurgical skills: conventional microscopy versus heads-up visualization.BMC medical education · 2026Article
- Impact of digital enhancement on contrast ratio in internal limiting membrane peeling using the NGENUITY 3D visualisation system.BMC ophthalmology · 2026Article
- "My First 100 Vitrectomies": Two Years of Collaborative Learning with the Vitreoretinal Fellowship in Switzerland.Klinische Monatsblatter fur Augenheilkunde · 2025Article
- Comparison of three-dimensional heads-up system versus traditional microscopic system in medical education for vitreoretinal surgeries: a prospective study.BMC medical education · 2024Article
- Three-Dimensional Visualization System for Vitreoretinal Surgery: Results from a Monocentric Experience and Comparison with Conventional Surgery.Life (Basel, Switzerland) · 2023Article
- Surgery-related characteristics, efficacy, safety and surgical team satisfaction of three-dimensional heads-up system versus traditional microscopic equipment for various vitreoretinal diseases.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023Article
- Heads-Up Three-Dimensional Viewing Systems in Vitreoretinal Surgery: An Updated Perspective.Clinical ophthalmology (Auckland, N.Z.) · 2023Review
- Comparison of Three-Dimensional Surgical System Versus Binocular Microscope for Clear Corneal Incision in Cataract Surgery.Ophthalmology and therapy · 2022Article
- Vitrectomy Combined with Cataract Surgery for Retinal Detachment Using a Three-Dimensional Viewing System.Journal of clinical medicine · 2022Article
- Digitally assisted three-dimensional surgery - Beyond vitreous.Indian journal of ophthalmology · 2021Observational
- 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
- Micropulse laser trabeculoplasty under maximal tolerable glaucoma eyedrops: treatment effectiveness and impact of surgical expertise.International journal of ophthalmology · 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
- Retinal Nerve Fiber Layer Damages from Macular Grasping during Vitrectomy Comparing Traditional and Three-Dimensional Microscope: A Randomized Clinical Trial.Journal of current ophthalmologyArticle
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposesTo compare surgeons' opinions regarding idiopathic full-thickness macular hole (MH) surgery by using traditional microscopy and three-dimensional (3-D) visualization system. To analyze the required time for pars plana vitrectomy (PPV) and for internal limiting membrane (ILM) rhexis by using both visualization methods. To evaluate anatomical surgical results.
methodsFour surgeons (surgeon 1, fellows 1, 2, 3) performed the total of 40 surgeries for treating MHs. Each one performed 10 surgeries (5 with traditional microscopy and 5 with 3-D visualization). The completion time for PPV and ILM rhexis was determined by using both methods. Ergonomics, educational value, image sharpness, depth perception, field of view and technical skills were analyzed through answering a questionnaire.
resultsForty patients were included in the study. The MH size for surgeon 1, fellows 1, 2 and 3 groups, individually, ranged from 237 to 602 μm; 228 to 590 μm, 271 to 611 μm and 289 to 600 μm, respectively. In the 3-D and in the traditional microscopy subgroups (which includes all 4 physicians on the use of one or the other method), the MH size ranged from 228 to 602 μm and 237 to 611 μm, respectively. Comparisons between the average time for full PPV and ILM rhexis by using the two methods were non-significant, neither in each individual case of 3-D surgery for each surgeon. Surgeon 1 had always been faster than his fellows. Depth perception was rated as similar for both methods. Field of view and educational values were rated as superior when using the 3-D system. Image resolution and ergonomics were rated as superior when using traditional microscopy. Technical skills strongly tended toward 'superiority' when using traditional microscopy. Thirty-six (90%) full-thickness MHs were successfully closed with one surgery.
conclusionThe 3-D system for MH surgery had a short learning curve and was a refined educational tool, when used with reduced illumination and precise focus. Concerning MH surgery, heads-up method was similar to traditional microscopy regarding length of time and anatomical surgical results. Heads-up surgery may become a new pattern for ophthalmic surgery as ongoing improvements are applied.
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