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Comparison of three-dimensional surgical system versus binocular microscope for implantable Collamer lens implantation:a randomized clinical trial 认领 引用
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作者 An-Ran Xuan Wei Liu +5 位作者 Ya-Ning Zhang Chen Zhang Rui-Bo Yang Yue Huang Hui Liu Shao-Zhen Zhao 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2026年第8期1526-1532,共7页
●AIM:To compare the efficacy,safety,visual outcomes,satisfaction,and comfort of three-dimensional(3D)heads-up visualization system-assisted and conventional microscopic implantable Collamer lens(ICL)surgery.●METHODS... ●AIM:To compare the efficacy,safety,visual outcomes,satisfaction,and comfort of three-dimensional(3D)heads-up visualization system-assisted and conventional microscopic implantable Collamer lens(ICL)surgery.●METHODS:Patients undergoing ICL or Toric ICL(TICL)implantation were enrolled and randomized into two groups:TM group(under a conventional microscope)and 3DM group(under NGENUITY 3D visualization system).Ocular parameters were assessed preoperatively and at 1wk,1,3,and 6mo postoperatively.The duration of key surgical steps and the incidence of complications were recorded.Patient-reported outcomes(dry eye,visual quality,comfort)and surgeon satisfaction were assessed using standardized questionnaires.●RESULTS:The study included 98 eyes of 98 refractive error patients(17 males),50 eyes in TM group(age 27.74±5.65y),and 48 eyes in 3DM group(age 29.20±4.89y).Efficacy,safety,quality of vision(QoV),dry eye symptoms,and patients’satisfaction at 6mo were not significant across the time points of 1wk,1,3 and 6mo.No complication was observed in either group.The 3DM group was associated with a longer main step operation time(P=0.037)but better patient visual comfort(P<0.001).The difference in surgical fluency was not statistically significant(P=0.067).Notably,surgeons reported no delays or discomfort and rated the 3DM system significantly higher in image resolution,range of view,depth perception,color contrast,and postural comfort(all P<0.001).●CONCLUSION:For ICL surgery,the use of the NGENUITY 3D visualization system achieves comparable surgical efficacy,safety,and patient satisfaction to procedures performed under a traditional microscope,while delivering superior intraoperative visual performance and postural comfort for the surgeon.These ergonomic and visual advantages make it a promising tool for enhancing clinical practice and surgical training. 展开更多
关键词 three-dimensional surgical visualization system implantable Collamer lens V4c myopia visual outcome
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