Título / Title

COMBINED PARS PLANA VITRECTOMY AND CATARACT SURGERY IN A TEACHING HOSPITAL USING 3D IMAGING: HEADS AND THUMBS UP

Introdução / Purpose

3D imaging system revolutionized the world of ophthalmic surgery. Our purpose was to describe advantages of this system for combined surgery, pars plana vitrectomy (PPV) and facectomy (F). We chose to perform a combined surgery study due to lack of data in this field. All of them have small samples and no one analized PPV and F surgery together.

Material e Método / Methods

Prospective, observational, case series of 24 patients that underwent surgery between november 30, 2017 and march 20, 2018. Visual acuity (VA) and complications were evaluated.

Resultados / Results

Among the total, the causes of PPV were: (of combined surgeries, PPV were:) 9 by vitreous hemorrhage; 7 retinal detachments; 2 silicone oil withdrawals; 2 macular holes; 1 epiretinal membrane; 1 post trauma; 1 for F complication; 1 subretinal macular hemorrhage. 75% of the patients had improved VA while 25% remained at the same level. The heads up imaging system used in ophthalmology has become an advance on this field. In this type of procedure, the surgeon doesn`t have to look down to a microscope, instead, there’s a large flat panel coupled with a 3D camera. Among the many advantages of this technique we have a more ergonomic position, high image definition, lower endoillumination levels and the same view, as the surgeon, to everyone inside the operating room.

Discussão e Conclusões / Conclusion

Main advantage of 3D system is its potential in teaching, since everyone has the same view as the surgeon. Others are more ergonomic position and high image definition. In our case series there was no inherent complications or difficulties with learning curve.To our knowledge this is the first case series of combined surgery using the 3D in a teaching hospital.

Palavras Chave

"Pars plana vitrectomy"
"3D imaging system"