Heads-up 3-Dimensional-Visualization system and integrated intraoperative optical coherence tomography in infantile vitreoretinal surgeries

Objective To demonstrate initial experience of Heads-up 3-dimensional-visualization system and integrated intra operative optical coherence tomography (iOCT) in a spectrum of complex infantile vitreoretinal surgeries. Methods Two different 3-D-visualization systems were used during the surgery on case-to-case basis and iOCT was used as needed. The vitrectomy system used was the same for all the surgeries. The disease spectrum included retinal disorders due to retinopathy of prematurity, familial exudative vitreoretinopathy, and retinitis. Design Descriptive case series of surgeries operated under 3-D visualization and conventional microscope. Results A total of 10 eyes of 7 patients were included; out of which 5 eyes of 4 unique cases were operated under 3-D-visualization system and remaining 5 eyes of other 3 cases under the conventional microscope. The cases present our initial experience of the 3-D visualization and iOCT system over the conventional microscope with appropriate imaging and surgical videos. Conclusion Infantile vitreoretinal surgeries are difficult to teach, require an ergonomic friendly surgical environment and unpredictable surgical adjustments, which are the chief advantages of the discussed technologies. Heads-up 3-D-visualization system and iOCT appeared to be powerful new tools that can be explored further for use in complex infantile vitreoretinal surgeries.