ArticlePloS one2022
Three-dimensional heads-up surgery in ab-interno trabeculotomy: Image processing-assisted trabeculotomy.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 8 citations in OpenAlex.
- Use of 3D visualization system in deep sclerectomy: preliminary results from a pilot study.BMC ophthalmology · 2025Article
- Clarity of surgical field displayed on 3D monitor with local dimming technology during heads-up surgery.Japanese journal of ophthalmology · 2025Article
- Comparison of Surgical Times for Gonio Lenses and Viewing Systems in iStent InjectJournal of clinical medicine · 2025Article
- Descemet Membrane Endothelial Keratoplasty and Descemet Stripping Only Using a 3D Visualization System.Journal of clinical medicine · 2023Article
- Image sharpening algorithms improve clarity of surgical field during 3D heads-up surgery.International journal of retina and vitreous · 2023Article
- Effects of image-sharpening algorithm on surgical field visibility during 3D heads-up surgery for vitreoretinal diseases.Scientific reports · 2023Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe compared the visibility and surgeon posture between image-processing-assisted trabeculotomy (IP-LOT) using the NGENUITY® 3D visual system and conventional microsurgery (microscope-assisted trabeculotomy; MS-LOT).
methodsIP-LOT was performed for five pig eyes. The visibility of the trabecular mesh work was evaluated on images of the trabecular mesh work and the posterior surface of the cornea (Cor) obtained under three different conditions. Images were then analyzed using ImageJ® to measure differences in luminance between the trabecular mesh work and Cor. IP-LOT was also performed for eleven human eyes, and the data were analyzed using the same approach as that used for the pig eyes. The length from the surgeon's abdomen to the operative eye (working distance) during MS-LOT and IP-LOT was measured for 12 different surgeons and compared to evaluate surgeon posture.
resultsImage processing significantly increased the difference in luminance between the trabecular mesh work and Cor in both pig and human eyes (p < 0.05). Moreover, the working distance in IP-LOT was significantly shorter than that in MS-LOT (p < 0.05).
conclusionOur findings suggest that the NGENUITY® 3D visual system provides better trabecular mesh work visibility than a normal microscope in conventional surgical methods, and it allows surgeons to operate without moving far from the operative eye.
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