Three-Dimensional Digital Visualization System Assisted Vitrectomy for Infectious Endophthalmitis

Abstract

Abstract Purpose: To present our experiences and surgical efficacy of the three-dimensional(3D)visualization system in endophthalmitis vitrectomy. Methods: 11 cases of endophthalmitis had undergone NGENUITY® 3D Visualization System assisted23-gauge transconjunctival vitrectomy, by a same surgeon at Xuzhou First People’s Hospital between 1 March 2020 and 31 March 2022. The efficacy of vitrectomy , best-corrected visual acuity (BCVA), intraoperative illumination, and comfort of the surgeon was investigated. Results: The vitrectomy was finished in all cases with lower intensity of intraoperative illumination on the 3D visualizationsystem without any complications attributed to the visualization system, and none of them were abdicated or converted to the conventional microscope. All of the patients were cured after operation combined with antibiotics therapy, consistent with significantly improved BCVA(t = 4.039, p = 0.0024). Conclusion: 3D visualizationsystem with advantages of clearer intraoperation visualization and optimized ergonomic design, is suitable for a variety of vitreoretinal surgery with good safety and efficacy, especially in the complicated and long-lasting endophthalmitis surgeries.