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Heads-up 3D vitrectomy: first impressions

Session Details

Session Title: New Drug Treatment and Technology I

Session Date/Time: Friday 18/09/2015 | 11:00-12:30

Paper Time: 11:48

Venue: Thalie.

First Author: : R.Freitas PORTUGAL

Co Author(s): :    K. Sousa   J. Lemos   G. CalvaoSantos   L. Mendonca   R. Carvalho   N. Gomes

Abstract Details

PURPOSE:To describe our first impressions using a 3D visualization system with heads-up display for vitrectomy surgery.


Ophthalmology department in Hospital de Braga and Hospital Pedro Hispano, Portugal.


To report the advantages and disadvantages of using a 3D visualization system – Truevision®, Trueware software® when performing vitrectomies for different retinal pathologies. Surgeries were performed by two surgeons (NG and RC).


We described the first ten cases of vitrectomy surgery using 3D visualization. Retinal pathologies included 3 retinal detachments, 4 epirretinal membranes, 1 macular hole, 1 vitreous hemorrhage and 1 diabetic retinopathy. Reduce of surgeon fatigue due to a more relaxed posture, the lower amount of light required to perform the surgery and the capability to show people watching the surgery all the fine details in 3D are the major advantages of the system. Disadvantages are related to the color settings and time delay of the video camera as well as to the cost of the equipment. Procedure time was not significantly increased despite of the learning curve.


3D operating system is one of the most interesting and dynamic technological advancements in intraocular surgery. Higher surgeon comfort, better teaching capabilities and the lower amount of light required for viewing ocular structures due to digital amplification of the camera signal which could reduce overall phototoxicity are the major strong points of this system. The high cost of the equipment may limit its utilization.

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