Abstract:Objective: To compare the efficacy and safety of 3D heads-up technique and microscope eyepiece in vitrectomy combined with cataract surgery. Methods: This was a retrospective case series study. The clinical data of 48 cases (48 eyes) who underwent vitrectomy combined with cataract surgery in the Department of Ophthalmology in Xuzhou First People's Hospital from September 2018 to June 2021 were selected. According to the surgical observation system, they were divided into 3D heads-up technology group and microscope eyepiece group, with 24 cases (24 eyes) in each group. The duration of intraoperative eye surgery and intraoperative complications were compared between the two groups. After 3 months of follow-up, BCVA, postoperative anatomical reset rate and surgical complications occurred before and after surgery were evaluated. Data were analyzed by t-test, Chi-square test and Fisher exact method. Results: The surgery time of the microscope eyepiece group and 3D heads-up technology group was (64.4±19.8) min and (63.1±18.5) min, and the difference was not statistically significant (t=-0.27, P=0.089). In the microscope group and the 3D heads-up technology group, postoperative BCVA was significantly improved 1 month and 3 months after surgery compared with that before surgery, and improvement of BCVA 3 months after surgery was better than that 1 month after surgery, the difference was statistically significant (P<0.05). At 1 and 3 months after surgery, there was no statistically significant difference in postoperative BCVA at the same time point between the two groups. There was no significant difference in the bleeding rate, posterior capsule rupture rate, gas injection rate and silicone oil injection rate, the rates of corneal edema, anterior chamber reaction, high intraocular pressure and low intraocular pressure between the two groups. There were no postoperative complications in the microscope eyepiece group and the 3D heads-up technique group during the 3-month follow-up. Conclusion: Vitrectomy combined with cataract surgery under 3D heads-up technology can achieve the same therapeutic effect as under microscope eyepieces, with good safety, and can be promoted clinically
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