Cataract surgery performed with a 3D visualization system (NGenuity – Alcon): learning curve, challenges and clinical experience over one year and more than 1,000 surgeries

Session Details

Session Title: Presented Poster Session: FLACS & Surgical Devices

Venue: Poster Village: Pod 1

First Author: : K.Gundersen NORWAY

Co Author(s): :                           

Abstract Details

Purpose:

The purpose of this presentation is to share my clinical experience performing cataract surgery using a 3D imaging system (NGenuity, Alcon) instead of using traditional oculars.

Setting:

Single surgeon eyeclinic in Haugesund, Norway

Methods:

The NGenuity 3D Visualization system features four primary components. 3D high dynamic range camera, 3D 4K OLED surgical display, Ultra high-speed image processor and passive, polarized 3D glasses. Instead of looking through the ocular of the surgical microscope, the surgeon (and the rest of the staff) looks at a 3D 4K OLED surgical display using passive, polarized 3D glasses. The lightening system can be modified by changing light intensity and the shutter opening. The light source can be changed between Halogen and Zenon.

Results:

lready at our first surgical day using this system, our team performed 10 intraocular surgeries. After just 4 weeks of introduction, we experience equal or better surgical efficiency with maintained safety. The light intensity in our surgical microscope could be reduced more than from 30-40% using traditional oculars to less than 20%. Using passive, polarized 3D glasses, all attendees in the surgical theater had the same 3D with view as the operating surgeon. We experienced no delay between actual movement in the surgical field and the 3D surgical dislay.

Conclusions:

The NGenuity Visualization System has been developed to be used in vitreoretinal surgery, but our experience over the last year and more than 1000 intraocular surgeries has shown that it is also applicable for cataract surgery. The main advantage we have experienced is A) Better surgeon ergonomy, B) Lower light intensity and thereby potentially less retinal light toxicity and C) Excellent 3D view for the whole staff including visitors. We strongly believe that this technology will help to improve ophthalmic surgery in the years to come.

Financial Disclosure:

None