Evidence map›Paper›PMID 42517937›Full record

ReviewDie Ophthalmologie2026

[Concepts and clinical application of digital 3D microscopy].

Franziska Eckardt, P Plettenberg, L-O Hattenbach, Siegfried Priglinger

Abstract readEnglish AbstractReview
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In one paragraph

Review in Die Ophthalmologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Franziska EckardtKlinik für Augenheilkunde, Ludwig-Maximilians-Universität München, München, Deutschland. Franziska.eckardt@med.uni-muenchen.de.ORCID http://orcid.org/0000-0001-5883-2529
P PlettenbergAugenklinik, Klinikum Ludwigshafen, Ludwigshafen, Deutschland.
L-O HattenbachAugenklinik, Klinikum Ludwigshafen, Ludwigshafen, Deutschland.
Siegfried PriglingerKlinik für Augenheilkunde, Ludwig-Maximilians-Universität München, München, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHeads-up 3D surgery is becoming increasingly more important in ophthalmic microsurgery. Digital 3D visualization systems supplement traditional binocular microscopes by high-resolution monitor presentations and enable improved depth perception, ergonomics, team communication and teaching.

objectiveThis review aims to summarize the development, current evidence, technical features, advantages, and limitations of heads-up 3D surgery in routine clinical ophthalmology.

methodsThis article provides a narrative review of clinical studies, case series, systematic reviews and meta-analyses evaluating the application of 3D visualization systems in cataract, vitreoretinal, corneal and glaucoma surgery. Ergonomic, educational and technological aspects were additionally assessed.

resultsThe available evidence demonstrates comparable safety and effectiveness of heads-up 3D surgery and conventional microscopy for cataract and vitreoretinal procedures, without increased complication rates. Enhanced depth of field, digital color and contrast filters as well as the possibility of reduced intensity of illumination improve the visualization of delicate structures and support precise surgical maneuvers with reduced light exposure. The integration of intraoperative imaging facilitates real-time decision-making. In addition, consistent ergonomic advantages and clear educational benefits for ophthalmic surgeons are reported. Future advances in the fields of augmented reality, artificial intelligence and telemedicine are expected to further expand the clinical and educational role of heads-up 3D systems.

Indexed as

Imaging, Three-DimensionalMicroscopyMicrosurgeryOphthalmologic Surgical ProceduresSurgery, Computer-AssistedErgonomicsHumans3D visualization systemsErgonomic advantagesHeads-up 3D surgeryLight exposureOphthalmic microsurgery

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Registered trials

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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.