Enhancing surgical precision and efficiency: a study and comparison of a three-dimensional surgical video system in proliferative diabetic retinopathy surgery

Xiang Zhang; Danni Zhu; Wenbo Li; Hanling Hu; Zetong Nie; Haoxin Guo; Zhaoxiong Wang; Xiaorong Li; Bojie Hu

doi:10.3389/fmed.2023.1246936

Enhancing surgical precision and efficiency: a study and comparison of a three-dimensional surgical video system in proliferative diabetic retinopathy surgery

Front Med (Lausanne). 2023 Oct 2:10:1246936. doi: 10.3389/fmed.2023.1246936. eCollection 2023.

Authors

Xiang Zhang^#¹, Danni Zhu^#¹, Wenbo Li^#¹, Hanling Hu¹, Zetong Nie¹, Haoxin Guo¹, Zhaoxiong Wang¹, Xiaorong Li¹, Bojie Hu¹

Affiliation

¹ Department of Ophthalmology, Eye Institute, Tianjin Medical University Eye Hospital, Tianjin Medical University Eye Institute, Tianjin, China.

^# Contributed equally.

Abstract

Purpose: This study aimed to investigate the safety and efficacy of three-dimensional (3D) surgical video systems for proliferative diabetic retinopathy (PDR).

Methods: This retrospective clinical case study included 30 patients (30 eyes) with PDR. Patients were divided into two groups: one underwent surgery using a 3D surgical video system (14 cases, 14 eyes), while the other underwent traditional microscope surgery (16 cases, 16 eyes). Safety and efficacy were assessed through predetermined surgical parameters, including surgical duration, intraoperative membrane removal rate, and occurrences during intraoperative and postoperative phases.

Results: Our study revealed noteworthy differences in various aspects between the 3D surgical video system group and the traditional microscope surgery group. Specifically, the mean surgical time was 30.25 ± 14.43 mins in the 3D surgical video system group, while it was 38.56 ± 18.71 mins in the traditional microscope surgery group (p = 0.051). Furthermore, the mean membrane removal time was significantly shorter in the 3D group at 2.53 ± 1.52 mins, as compared to 3.23 ± 1.76 mins in the traditional group (p = 0.042). Importantly, the membrane removal rate also displayed a significant difference, with the 3D group at 0.55 ± 0.07 and the traditional group at 0.41 ± 0.11 (p = 0.018). However, no notable differences were observed between the two groups in terms of intraoperative and postoperative incidences.

Conclusion: The safety and efficacy obtained using the 3D surgical video system in PDR surgery were comparable to those obtained in traditional microscopic surgery.

Keywords: 3D surgical video system; diabetics; proliferative diabetic retinopathy (PDR); retinopathies; vitreoretinal surgery.

Grants and funding

This study was funded by the Tianjin Key Medical Discipline (Specialty) Construction Project (TJYXZDXK-037A). Grants from the Natural Science Foundation of Tianjin City (No. 20JCZXJC00040) and the Science & Technology Development Fund of Tianjin Education Commission for Higher Education (No. 2022ZD058) supported BH.