Three-dimensional visualization system for ophthalmic microscopes using visible light and near-infrared illumination

Abstract

In this paper, we describe a three-dimensional visualization system for ophthalmic microscopes that is aimed at microsurgery without the eyepieces. A three-dimensional visualization system for ophthalmic microscopes using the mixed illumination, which consists of visible light and near-infrared illumination, is established in order to acquire more exact information of object and reduce the amount of light irradiated to the patients, and its usage in microsurgery without eyepieces is herein described. A custom-designed stereoscopic three-dimensional display which is manufactured for the convenience of the surgeons during the long-time surgery, is connected directly to the camera of the ophthalmic microscope in order to eliminate the discomfort of eyepieces to the surgeon and signal delay between the camera, mounted on the microscope, and display device for surgeon. The main features of the established system are the signal delay-free for surgeon and the low level of illumination for patient. In particular, it could significantly reduce the amount of light irradiated on a patient's eye via NIR illumination. Upon comparison with the conventional system during clinical ophthalmology trials, this system is confirmed to require almost the same operation time and reduced discomfort and eyestrain during long periods of observation.

Keywords: cataract surgery; mixed illumination; near-infrared illumination; ophthalmic microscope; three-dimensional visualization.