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Preliminary Findings in Cataract Surgery Using a Digital Microscope Platform With Infrared Illumination.

Brady Wortz¹, Thiago Moulin¹, Mariam Bakhtyari¹

¹Department of Ophthalmology, The Eye Institute of West Florida, Largo, Florida, USA.

Journal of Ophthalmology

|May 21, 2026

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Infrared (IR) illumination in cataract surgery proved safe and effective, with all patients preferring it over traditional microscopes. This digital microscope technology shows promise for ophthalmic procedures.

Area of Science:

Ophthalmology
Surgical Technology
Medical Imaging

Background:

Cataract surgery is a common procedure.
Microscope illumination is crucial for visualization.
Advancements in surgical visualization are needed.

Purpose of the Study:

To assess the safety and efficacy of infrared (IR) illumination via a digital microscope for cataract surgery.
To evaluate patient preference for IR illumination compared to traditional microscope illumination.

Main Methods:

Retrospective case series of 39 eyes undergoing cataract surgery.
Procedures performed by a single surgeon using topical anesthesia.
Outcomes included intraoperative complications, surgical time, effective phacoemulsification time (EPT), and patient preference.

Keywords:

cataract surgery infrared microscope phacoemulsification

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Main Results:

No intraoperative complications were observed.
Mean surgical time was 8.33 minutes; mean EPT was 1.77 seconds.
All 33 patients preferred IR microscope illumination over traditional methods.

Conclusions:

IR illumination using a digital microscope is safe and effective for cataract surgery.
Patients showed a strong preference for IR illumination.
IR-based visualization technology warrants further investigation in ophthalmic surgery.