Utility Of Three-Dimensional Heads-Up Surgery In Cataract And Minimally Invasive Glaucoma Surgeries

Abstract

Purpose

This study aimed to assess the utility of the three-dimensional (3D) heads-up visualization system for minimal incision cataract surgery (MICS) and minimally invasive glaucoma surgeries (MIGSs).

Methods

Toric intraocular lens (IOL) implantation with phacoemulsification and trabecular microbypass stent implantation in patients with cataract and open-angle glaucoma were performed using the heads-up 3D visualization system combined with surgical navigation rather than the conventional microscope.

Results

This procedure was found to have the following advantages: the ability to clearly observe the anterior chamber angle image without requiring frequent focus adjustment owing to the extended depth of field and emphasized stereoscopic effect provided by this system and maintain the surgeon’s posture.

Conclusion

The feasibility and comfort of this system are greater than those of the conventional microscopic for performing MICS and MIGS.

Keywords:

• toric intraocular lens
• phacoemulsification
• open-angle glaucoma

Abbreviations

HUS, Heads-up surgery; IOL, Intraocular lens; MICS, minimal incision cataract surgery; MIGS, minimally invasive glaucoma surgeries.

Acknowledgment

The author would like to thank Enago for the English language review.

Disclosure

The author reports no conflicts of interest in this work.