Heads up cataract surgery: complication rates, surgical duration, and comparison with traditional microscopes

Session Details

Session Title: Moderated Poster Session: Cataract
Session Date/Time: Friday 15/02/2019 | 14:00-15:00
Paper Time: 14:24
Venue: Poster Area


First Author: V.Diakonis GREECE
Co Author(s): R. Weinstock                 

Abstract Details

Purpose:

To compare cataract surgery complication rates and surgery duration between a 3-dimensional visualization system (heads up surgery) and traditional binocular microscope.

Setting:

The Eye Institute of West Florida

Methods:

The medical records of consecutive patients who underwent cataract surgery by a single surgeon from August 2016 to July 2016 using for visualization purposes either a 3-dimensional display system (TrueVision 3D)-Group 1 or the traditional binocular microscope–Group 2, were reviewed. Patients included in the study had cataract without any preoperative clinical findings that would influence the outcomes or duration of surgery (i.e. previous trauma, anterior–posterior iris synechiae, small pupil at maximum mydriasis – less than 5.0mm, pseudoexfoliation syndrome, phacodonesis and hypermature cataracts). The outcome measures were complication rate (posterior capsular rapture and vitreous prolapse) and duration of cataract surgery.

Results:

The retrospective chart review identified a total of 2320 eyes of 1647 patients that underwent either traditional phacoemulsification or FLACS followed by traditional phacoemulsification. Group-1 included 1673 eyes (1128 patients) and group-2 included 647 eyes (519 patients). Mean surgical time for group-1 was 6.48±1.15 min (range, from 3 to 28 min) and for group-2 was 6.52±1.38 min (range, from 3 to 26 min). There was no statistically significant difference between the two groups(p=0.0013). The complications encountered in group-1 were 12 (0.72%) and for group-2 were 5 (0.77%). There was no statistically significant difference between the two groups (p=0.001).

Conclusions:

The implementation of heads up – 3-dimensional visualization for cataract surgery seems to offer similar safety and efficiency as the traditional binocular microscope.

Financial Disclosure:

receives non-monetary benefits from a company producing, developing or supplying the product or procedure presented