Clinical Study on the Initial Experiences of French Vitreoretinal Surgeons with Heads-up Surgery

Use of the heads-up NGENUITY 3D Visualization System for vitreoretinal surgery: a retrospective evaluation of outcomes in a French tertiary center

“…Firstly, we found no differences in anatomical outcomes and postoperative BCVA gains between patients operated on with the NGENUITY System versus conventional microscopy in our study series. These results are in agreement with other study series 12 , 13 , 15 , 19 , 20 also demonstrating no differences in terms of safety or long-term visual prognosis when comparing the same techniques in vitrectomy surgery, and additionally for vitrectomy in the treatment of macular diseases 14 , 16 , 17 and RD 18 . Among the aforementioned studies, Zhang et al 20 , conducted the largest study on 23-gauge vitrectomy for the treatment of patients with vitreoretinal diseases in China.…”

“…The authors found no differences in final BCVA, anatomical findings, or outcomes among patients operated on with conventional microscopy compared to the NGENUITY System. Similarly, a very recent French study on a series of 180 vitrectomy surgeries for treatment of patients with RD and MH also found no significant differences between both techniques 19 .…”

“…Heads-up 3D surgical visualization systems allow ophthalmic surgeons to replace conventional surgical microscope eyepieces with cameras retransmitting an image on a screen in front of them. Published studies have already reported on the use of these technologies in vitreoretinal surgery 12 – 18 , but only a few studies have included large series of patients 19 , 20 . Here, in this study we compared 1 year of continuous use of conventional microscopy versus 1 consecutive year of continuous use of the heads-up NGENUITY 3D Visualization System in our practice for a total of 241 consecutive vitreoretinal surgeries performed by the same surgeon.…”

“…Published studies have already reported on the use of these technologies in vitreoretinal surgery 12 – 18 , but only a few studies have included large series of patients 19 , 20 . The aim of this study was therefore to evaluate the effectiveness and safety of the NGENUITY System after 1 year of continuous use in our current practice by the same surgeon.…”

Digital technology, tele-medicine and artificial intelligence in ophthalmology: A global perspective

“…Historically ophthalmic surgeons operated viewing through oculars of the operating microscope, creating surgeon movement restriction during surgery and spine problems due to ergonomic constraints of extended viewing at a microscope. Alcon (Ngenuity™) and Zeiss (Artevo™) have created digital head up displays for ophthalmic surgery to address these issues ( Eckardt and Paulo, 2016 ; Palacios et al, 2020 ). These digital viewing systems allow the surgeon more comfortably while operating and wearing 3D glasses to view surgery on a large monitor positioned beside the patient's surgical bed.…”