Evidence map›Paper›PMID 41088046›Full record

ArticleBMC ophthalmology2025

Use of 3D visualization system in deep sclerectomy: preliminary results from a pilot study.

Agostino S Vaiano, Antonio Greco, Luca Scartozzi, Maria Marenco, Fabio Garavelli, Alessandro de Filippis, Gerardo Deplano, Giuseppe Giannaccare, Michele Reibaldi

Abstract read
In one paragraph

Article in BMC ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

9 authors.

Agostino S VaianoDepartment of Ophthalmology, Santa Croce e Carle hospital, Michele Coppino, Cuneo, Italy. vaiano.a@ospedale.cuneo.it.
Antonio GrecoDepartment of Ophthalmology, Santa Croce e Carle hospital, Michele Coppino, Cuneo, Italy.
Luca ScartozziDepartment of Ophthalmology, Santa Croce e Carle hospital, Michele Coppino, Cuneo, Italy.
Maria MarencoDepartment of Ophthalmology, Santa Croce e Carle hospital, Michele Coppino, Cuneo, Italy.
Fabio GaravelliDepartment of Ophthalmology, Santa Croce e Carle hospital, Michele Coppino, Cuneo, Italy.
Alessandro de FilippisDepartment of Ophthalmology, Santa Croce e Carle hospital, Michele Coppino, Cuneo, Italy.
Gerardo DeplanoEye Clinic, Department of Surgical Sciences, University of Cagliari, Cagliari, Italy.
Giuseppe GiannaccareEye Clinic, Department of Surgical Sciences, University of Cagliari, Cagliari, Italy.
Michele ReibaldiDepartment of Ophthalmology, University of Turin, Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the application of three-dimensional (3D) visualization technology during non-penetrating glaucoma surgery (deep sclerectomy, DS), analyzing its advantages in terms of surgical ergonomics, operative precision, and educational potential.

methodsThe outcomes of a prospective series of 12 patients with open-angle glaucoma undergoing DS assisted by 3D technology were reported. An educational questionnaire was administered to ophthalmology trainees to rate the level of satisfaction on a 5-point Likert scale. Duration of surgery was compared to a previous cohort of patients undergoing DS using conventional optical microscope.

resultsSurgical procedures of 12 patients (6 male, 6 females, mean age 72,5 y.o.) undergone DS were reviewed. The application of 3D technology in DS demonstrated tangible advantages, including improved visualization of anatomical structures (trabecular meshwork, Schlemm's canal, Descemet's membrane), better postural comfort for the surgeon, and more effective sharing of the surgical field with the entire team. No cases of intraoperative perforation were observed. Median operative times were 45.0 min (IQR 4.3) in the 3D group and 44.6 min (IQR 5.1) in the conventional group (p = 0.78). A mean score of 4,23/5 was registered.

conclusionsThe integration of 3D visualization in DS represents a promising evolution, enhancing surgical precision and improving ergonomics. The educational benefits are particularly relevant in the academic setting. Controlled prospective studies are needed to confirm these findings in long-term clinical parameters.

Indexed as

Glaucoma, Open-AngleImaging, Three-DimensionalSclerostomySurgery, Computer-AssistedAgedAged, 80 and overFemaleHumansIntraocular PressureMaleMiddle AgedPilot ProjectsProspective StudiesDeep SclerectomyGlaucoma surgeryNon penetrating glaucoma surgeryThree-dimensional heads-up glaucoma surgery

Identifiers

PMID41088046
PMCPMC12522286

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.