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Use of the Three-dimensional Viewing System and Microscope Tilting to Extend the Peripheral Retinal View.

Otman Sandali1,2, Rachid Tahiri Joutei Hassani3, Cedric Dulière2

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Microscope and lens tilting significantly improves peripheral retinal visualization during vitreoretinal surgery. This technique enhances the surgeon's view, aiding in complex macular procedures.

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Area of Science:

  • Ophthalmology
  • Surgical Technology
  • Retinal Imaging

Background:

  • Improving visualization of the peripheral retina is crucial for successful vitreoretinal surgeries.
  • Noncontact lens systems offer advantages but can have limitations in peripheral field of view.

Purpose of the Study:

  • To evaluate the effectiveness of a microscope and lens tilting technique.
  • To enhance the peripheral retinal view during noncontact lens vitreoretinal surgeries using a 3D visualization system.

Main Methods:

  • Prospective, single-center study of 25 patients undergoing vitrectomy for macular surgery.
  • Utilized a three-dimensional visualization system with microscope and noncontact lens tilting (20°).

Main Results:

  • Tilting extended the peripheral viewing field by 1.72 mm (superior) and 1.93 mm (inferior) (P < 0.0001).
  • Ora serrata visualization improved significantly in the superior (33% vs 0%) and inferior (91% vs 36%) retina with tilting (P < 0.01).

Conclusions:

  • Microscope and lens tilting is a valuable technique for extending the peripheral visual field in retinal surgery.
  • The 3D system combined with tilting aids surgeon comfort and posture.