THREE-DIMENSIONAL HEAD-UP DISPLAY VERSUS STANDARD OPERATING MICROSCOPE FOR VITRECTOMY SURGERY: A Systematic Review and Meta-analysis.

Yuelin Wang, Xinyu Zhao, Wenfei Zhang, Jingyuan Yang, Youxin Chen
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引用次数: 3

Abstract

Purpose: To evaluate the effects of vitrectomy with three-dimensional head-up display (3D HUD) versus standard operating microscopy (SOM) for retinal diseases.

Methods: The PubMed, Cochrane Library, and Embase databases were comprehensively searched to identify studies that compared 3D HUD versus SOM in vitrectomy for retinal diseases (PROSPERO protocol CRD42021265827). The primary outcomes are duration of surgical time, postoperative best-corrected visual acuity, endoillumination levels, and intraoperative complications. The secondary outcomes are reattachment rate of rhegmatogenous retinal detachment, macular hole closure rate, and the like.

Results: Fifteen studies of 2,889 eyes were included. Compared with SOM, 3D HUD vitrectomy took a longer surgical time (weighted mean difference = 1.48; 95% confidence interval, 0.13-2.82), but it needed lower endoillumination levels (weighted mean difference = -16.04, 95% confidence interval, -18.33 to -13.75) than SOM. There were no significant differences in the postoperative best-corrected visual acuity, intraoperative complications, reattachment rate of rhegmatogenous retinal detachment, or closure rate of macular hole.

Conclusion: Our results suggested that 3D HUD provides lower retinal illumine toxicities but with a longer surgical time. The surgical results and complications of vitrectomy were equally comparable for 3D HUD and SOM.

三维平视显示器与标准手术显微镜在玻璃体切除术中的对比:一项系统回顾和荟萃分析。
目的:评价三维平视显示器(3D HUD)玻璃体切除术与标准操作显微镜(SOM)治疗视网膜疾病的效果。方法:全面检索PubMed、Cochrane Library和Embase数据库,以确定3D HUD与SOM在视网膜疾病玻璃体切除术中的比较研究(PROSPERO协议CRD42021265827)。主要结局是手术时间、术后最佳矫正视力、内照度和术中并发症。次要结果为孔源性视网膜脱离的再附着率、黄斑孔闭合率等。结果:纳入15项研究,共2889只眼睛。与SOM相比,3D HUD玻璃体切除术所需的手术时间更长(加权平均差= 1.48;95%可信区间,0.13-2.82),但需要较低的内照度水平(加权平均差= -16.04,95%可信区间,-18.33 ~ -13.75)。两组术后最佳矫正视力、术中并发症、孔源性视网膜脱离再附着率、黄斑孔闭合率差异无统计学意义。结论:我们的研究结果表明,3D HUD具有较低的视网膜照度毒性,但手术时间较长。3D HUD和SOM玻璃体切除术的手术效果和并发症相当。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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