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As a young ophthalmologist starting my practice, I am constantly asking myself how I can best serve my patients. Improving my skills in cataract surgery is one of my areas of focus, and there are various avenues I can consider to reach my goals. ZEISS Surgery Optimizer offers a new option and I was very excited when I was asked to try it out in my practice.
ZEISS Surgical Optimizer
Cataract surgeons certainly find that reviewing an individual’s intraoperative video is a useful way to improve their efficiency and skills, as it allows them to review their progress and identify areas for improvement. I’m here. In addition, watching recordings of surgeries by eminent experts can be a powerful learning tool. Based on the concept of “monkeys see, monkeys do”, we observe cases performed by front-line surgeons, reproduce their procedures, and aim to improve our skills.
The process of reviewing intraoperative video requires that the surgeon has a good microscope, good recording system, and technology to transfer and view the video. Surgeons operating in modern facilities have access to the first two components of these three building blocks, but exporting records to a reviewable device is a cumbersome, multi-step process that requires surgeons to prevented from taking advantage of video benefits. review. Once recorded, the video file will need to be transferred to her USB drive and then to her desktop or laptop computer, but considering the large size of the video file, the transfer can take a long time and take a long time. There is a nature.
ZEISS Surgery Optimizer revolutionizes the whole process by giving surgeons a way to access surgical videos anytime on their personal device without manually exporting and importing files. With the click of a button, videos are imported from his ZEISS CALLISTO eye, the digital navigation and data management system for ZEISS ophthalmic microscopes, into the cloud-based software system. The imported videos can be viewed directly on your computer via your web browser or viewed on your mobile device using his dedicated ZEISS Surgery Optimizer app (Video 1). Easy case documentation and database creation allows surgeons to select videos to add to the application. Descriptive documents also have the advantage of allowing cases to be searched based on specific characteristics such as biometric measurements.
Importantly, the app allows users to access unedited videos provided by experienced surgeons from around the world and provides the opportunity to review those recordings side-by-side with their own, so they can demonstrate their skills. You can learn by comparing with the techniques of leading surgeons. surgeon.
Video 1: Surgical performance review with ZEISS Surgery Optimizer
The tabs on the first page of the ZEISS Surgery Optimizer screen display the available videos in three categories. 1) Institutional cases. Cases performed at the user’s institution. 2) Notable cases. Represents a video gallery of cases from leading surgeons around the world. 3) Favorites. This is the case for institutions that have chosen for easy access by individual users.
Video is supported by datasets in ZEISS integrated devices such as the IOLMaster 500 and 700, and when the selected video is played, the patient’s biometric data and other pre-operative data are displayed on the left side of the screen. ZEISS Surgery Optimizer uses AI-based segmentation algorithms to process each case through multiple phases (incision, OVD injection, capsulorhexis, hydrodissection, phacoemulsification, irrigation/aspiration, IOL implantation, etc.). ) automatically. As a very useful feature, the phases are displayed as a list both on the left side of the screen and below the video timeline, allowing the surgeon to focus on a specific operation by advancing the video with just one click. I can. To designate a video as a “Favorite”, click the star that appears in the bottom right corner of the screen and you can compare your case with the Featured Cases tab in the top right corner. Cases selected for comparison are played side-by-side and can be viewed from the beginning or from the selected phase. Users can adjust brightness, contrast and playback speed without downloading the video. You can also download videos and edit them in professional software programs.
Verification of actual value
My personal experience with ZEISS Surgery Optimizer proves the name apt. In a series of 200 routine surgeries I performed before using the app, the total surgery time averaged about 12-13 minutes. Over a period of 30 days, use the app to review your own videos and compare them to selected “featured” videos to see where you can improve your technique and increase your efficiency in completing the various steps of the procedure. Confirmed (Video 2). I chose the case of my mentor, Dr. Sri Ganesh, as the featured case. I knew Dr. Ganesh would complete a typical cataract surgery in about two and a half minutes, so I was curious to see how he was different. My goal was to improve my skills, not just my speed. Dr. Ganesh has always advised me that the focus should be on the economy of movement and the efficiency of the operation, and that greater speed would result as a happy coincidence. he was right!
I watched his videos side by side with mine and found multiple ways to improve my approach to completing different steps. In particular, we have introduced new techniques for performing capsulorhexis, hydrodissection, and direct chop/ultrasonic phacoemulsification. We were amazed at the impact that time spent on the application had on the reduction in mean case time. An analysis of cases performed during the ‘postoperative optimizer era’ found that compared to the ‘preoperative optimizer era’, the average surgical time was reduced by approximately 50%, to only 6.5 minutes. rice field. Compared to my “pre-Surgery Optimizer days”, it’s about 50% faster, to just 6.5 minutes. The greatest contributors to this change were capsulorhexis (40 seconds to 27 seconds), hydrodissection (40 seconds to 9 seconds), and direct chop/ultrasonic emulsification (3 minutes 10 seconds to 1 minute 52 seconds). ) was shortened.
Video 2: AI compares own surgical performance to expert-level cases
more practical application
I believe my experience with the ZEISS Surgery Optimizer is compelling evidence of how this tool can help young ophthalmologists improve their skills and efficiency in cataract surgery. In addition, I believe it will also be valuable as a distance teaching tool for trainees and researchers, helping trainee ophthalmologists shorten the learning curve for cataract surgery.
According to my mentor, Dr. Ganesh, the ZEISS Surgery Optimizer could also be a useful tool for surgeons training young ophthalmologists as it allows them to assess their current skills and provide guidance for correction. There is a nature. Additionally, we expect that the application will accelerate the learning phase for experienced cataract surgeons who wish to introduce new technology.
Conclusion
The AI and cloud-based ZEISS Surgery Optimizer trains real-life cataract surgeons and ophthalmologists in innovative new ways to use surgical videos. This gives users quick and easy access to materials on their personal device of choice at any time, as well as the opportunity to review their procedures and compare them directly with leading surgeons’ techniques. Based on my personal experience using this self-training tool, I am convinced of its value and would highly recommend using this tool to anyone wishing to take their cataract surgery skills to the next level. increase.
Dr. Supriya Samak Sriganesh is an ophthalmologist at Nesradhama Super Specialty Eye Hospital in Bangalore, India, specializing in cataract and refractive surgery. Dr. Sri Ganesh is his ZEISS consultant.
en-INT_32_200_0158I The author’s statements reflect only her personal opinions and experiences and do not necessarily reflect the opinions of the institution with which she is affiliated. The author is solely responsible for the content of reported experiences and any infringement that may result. Carl Zeiss Meditec AG and its affiliates have no clinical evidence to support the authors’ opinions or statements and do not take any responsibility for the authors’ content. The Surgery Optimizer is a non-medical device and is intended for teaching, learning and review purposes only, not for diagnostic or therapeutic purposes.
