Clinical evaluation and feasibility of changing intraoperative visibility with a novel viewing filter system for human eye.

Abstract

PURPOSE:

The study was conducted to develop a new viewing system as a clinical prototype that enables visibility during surgery.

METHODS:

The system was composed of several filters attached to the microscope. This nonrandomized, retrospective, observational case series study involved 33 eyes from 32 patients who presented with various diseases and underwent surgery. The authors evaluated the changes in visualization focusing on controlling intraoperative visibility under air infusion and enhancing Brilliant Blue G staining focusing a sharp-cut filter Y (SCY). Visibility was compared under various surgical conditions, including cataract surgery, both with and without this system. Quantitative analysis of changes in intraoperative reflection including halation under air infusion and Brilliant Blue G intensity was carried out using the International Commission on Illumination 1976 (L*, a*, b*) color space method.

RESULTS:

A SCY reduced the reflection and halation by a maximum of 69.6%, when compared with use of no filter under air infusion (P < 0.01). The color difference between Brilliant Blue G-stained and nonstained areas was improved by 127.8% relative to values with no filter and using SCY (P < 0.01) in macular hole cases. Furthermore, in cataract surgery with corneal opacity, improvement of visibility was observed by SCY insertion.

CONCLUSION:

The system improved intraoperative visibility under air infusion and the Brilliant Blue G staining intensity by use of SCY during vitrectomy.

• Authors: Hiroshi Enaida, Yasuhiro Ikeda, Shigeo Yoshida, Shintaro Nakao, Yoshiyuki Hachisuka, Katsumi Fujita, Yusuke Oshima, Kazuaki Kadonosono, Takaaki Matsui, Tatsuro Ishibashi
• Journal: Retina (Philadelphia, Pa.) (Retina) Vol. 33 Issue 9 Pg. 1923-30 (Oct 2013) ISSN: 1539-2864 [Electronic] United States
• PMID: 23619631 (Publication Type: Evaluation Study, Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Indicators and Reagents
• Rosaniline Dyes
• coomassie Brilliant Blue

Topics

• Diabetic Retinopathy (surgery)
• Epiretinal Membrane (surgery)
• Feasibility Studies
• Filtration (instrumentation)
• Humans
• Image Enhancement (instrumentation)
• Indicators and Reagents
• Intraoperative Period
• Macular Edema (surgery)
• Microscopy (instrumentation)
• Phacoemulsification
• Pilot Projects
• Retinal Detachment (surgery)
• Retinal Diseases (diagnosis, surgery)
• Retinal Perforations (surgery)
• Retrospective Studies
• Rosaniline Dyes
• Vitrectomy