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Comparison Between 3D Heads-Up Display System and Standard Operating Microscope in Diabetic Vitrectomy for Tractional

Krinjeela Bazgain¹, Uday Pratap Singh Parmar¹, Deeksha Katoch¹

¹Department of Ophthalmology, Advanced Eye Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.

Romanian Journal of Ophthalmology

|April 13, 2026

Summary

This summary is machine-generated.

The 3D Heads-Up Display (HUD) system is a safe and effective alternative for treating tractional retinal detachment (TRD) during pars plana vitrectomy (PPV). It offers shorter surgical times and better visual recovery compared to standard microscopes.

Keywords:

3D HUD (Three-Dimensional Heads-Up Display)3D heads up display 3D-HUD BCVA = Best-Corrected Visual Acuity C3F8 = Perfluoropropane Gas IJO = Indian Journal of Ophthalmology IOP = Intraocular Pressure LogMAR = Logarithm of the Minimum Angle of Resolution NVI = Neovascularisation of the Iris OCT = Optical Coherence Tomography PDR = Proliferative Diabetic Retinopathy POD = Postoperative Day PPV = Pars Plana Vitrectomy PRP = Pan-Retinal Photocoagulation SF6 = Sulfur Hexafluoride Gas SOM = Standard Operating Microscope SPSS = Statistical Package for the Social Sciences TRD (Tractional Retinal Detachment)USG (Ultrasonography)VEGF (Vascular Endothelial Growth Factor)VH (Vitreous Haemorrhage)diabetic retinopathy pars plana vitrectomy tractional retinal detachment

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Area of Science:

Ophthalmology
Surgical Innovation
Retinal Surgery

Background:

Proliferative diabetic retinopathy (PDR) causes significant vision loss globally.
Tractional retinal detachment (TRD) often necessitates pars plana vitrectomy (PPV).
The 3D Heads-Up Display (HUD) system presents potential ergonomic and visualization benefits in retinal surgery.

Purpose of the Study:

To compare the efficacy and outcomes of 3D HUD-assisted PPV versus standard operating microscope (SOM) for TRD.
To evaluate surgical time, anatomical success, and visual recovery in patients undergoing PPV for TRD.

Main Methods:

A prospective interventional study involving 94 eyes undergoing PPV for TRD.
Patients were divided into two groups: 3D HUD (Group A) and SOM (Group B).
Outcomes assessed included surgical duration, anatomical success, visual acuity, and complications.

Main Results:

100% retinal reattachment was achieved in both groups at 3 months.
Mean surgical time was significantly shorter with 3D HUD (51.50 min) compared to SOM (67.33 min).
The 3D HUD group showed superior visual acuity improvement and lower endoillumination levels, reducing phototoxicity risk.

Conclusions:

The 3D HUD system provides comparable anatomical success to SOM for TRD management.
3D HUD offers advantages such as reduced surgical time, lower illumination, and improved visual outcomes.
Enhanced depth perception and ergonomics contribute to the 3D HUD system's efficiency and safety.