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Feasibility and Potential for Real-Time 3D Vitreoretinal Surgery Telementoring
Ian A Seddon1,2, Ehsan Rahimy3,4, John B Miller5
1College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, Florida.
Retina (Philadelphia, Pa.)
|February 2, 2023
Summary
This study shows that real-time, three-dimensional (3D) surgical telementoring is feasible for vitreoretinal surgical education. Low-cost equipment enables remote mentoring, overcoming geographic barriers.
Area of Science:
- Ophthalmology
- Surgical Education
- Medical Technology
Background:
- Vitreoretinal surgical education traditionally relies on in-person observation.
- Geographic and physical constraints limit access to expert surgical mentorship.
- There is a need for innovative remote training solutions in surgery.
Purpose of the Study:
- To demonstrate the potential of real-time, three-dimensional (3D) surgical telementoring.
- To enhance vitreoretinal surgical education through advanced technology.
- To assess the feasibility of live 3D surgical video streaming for training.
Main Methods:
- Utilized a high dynamic range 3D surgical camera (NGENUITY) for video capture.
- Employed a 4K video capture device (Magewell USB 4K) and video conferencing software (Zoom).
- Enabled remote viewing in 2D on computers and 3D with virtual reality headsets (Oculus Quest 2).
Main Results:
- Successfully live-streamed ten surgical cases in real time to remote surgeons.
- Achieved visualization of surgical details with low latency.
- Ancillary equipment costs remained under $1,000, excluding the camera and computers.
Conclusions:
- 3D surgical video streaming is achievable in real time with minimal latency.
- Low-cost equipment and software facilitate effective telementoring.
- This technology removes traditional barriers in surgical education and mentorship.
