{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T02:27:31Z","timestamp":1760149651234,"version":"build-2065373602"},"reference-count":14,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T00:00:00Z","timestamp":1693785600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Alcon","award":["87046643"],"award-info":[{"award-number":["87046643"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>(1) Purpose: The aim was to analyze the outcomes of Descemet\u2019s membrane endothelial keratoplasty (DMEK) and Descemet stripping only (DSO) surgeries using a glasses-assisted NGENUITY\u00ae 3D visualization system (Alcon Laboratories, Fort Worth, TX, USA). (2) Methods: Five consecutive cases of DMEK surgery and four consecutive cases of DSO were performed using the NGENUITY\u00ae system in this prospective study carried out at the Arruzafa Hospital, C\u00f3rdoba, Spain. Only one eye from each patient received surgery. Best corrected distance visual acuity (CDVA) using EDTRS charts, central corneal thickness using the Casia II optical coherence tomograph (Tomey Co., Nagoya, Japan), and endothelial cell count using the Tomey EM-4000 (Tomey Co., Nagoya, Japan) for DMEK cases or the Nidek CEM-530 (Nidek Co., Ltd., Gamagori, Japan) specular microscopes for DSO cases were recorded preoperatively and at 1 and 3 months postsurgery. (3) Results: DMEK cases included one male and four female subjects, with a mean age of 73.6 \u00b1 9.5 years. Average improvement in CDVA 3 months after surgery was 0.46 \u00b1 0.16 decimal. Average change in cell count between 1 and 3 months postsurgery was 360.75 \u00b1 289.38 cells\/mm2. DSO cases included four female subjects, with a mean age of 64.2 \u00b1 9.7 years. The average improvement in CDVA 3 months after surgery was 0.09 \u00b1 0.17 decimal. All cases also had phacoemulsification carried out. He average change in cell count between 1 and 3 months after surgery was 460 \u00b1 515.69 cells\/mm2. There were no associated complications during surgery or the follow-up period in any of the cases. (4) Conclusions: In addition to the known benefits of the use of a 3D visualization system during surgery, the present study shows that the system can be successfully used in both DMEK and DSO procedures with a very short learning curve for the surgeon.<\/jats:p>","DOI":"10.3390\/jcm12175746","type":"journal-article","created":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T02:43:20Z","timestamp":1693795400000},"page":"5746","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Descemet Membrane Endothelial Keratoplasty and Descemet Stripping Only Using a 3D Visualization System"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3587-7892","authenticated-orcid":false,"given":"Antonio","family":"Cano-Ortiz","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Hospital La Arruzafa, 14012 C\u00f3rdoba, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5303-988X","authenticated-orcid":false,"given":"\u00c1lvaro","family":"S\u00e1nchez-Ventosa","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Hospital La Arruzafa, 14012 C\u00f3rdoba, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanesa","family":"D\u00edaz-Mesa","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Hospital La Arruzafa, 14012 C\u00f3rdoba, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9594-1601","authenticated-orcid":false,"given":"Timoteo","family":"Gonz\u00e1lez-Cruces","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Hospital La Arruzafa, 14012 C\u00f3rdoba, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8549-8431","authenticated-orcid":false,"given":"Marta","family":"Villalba-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Hospital La Arruzafa, 14012 C\u00f3rdoba, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7612-2555","authenticated-orcid":false,"given":"Alberto","family":"Villarrubia-Cuadrado","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Hospital La Arruzafa, 14012 C\u00f3rdoba, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,9,4]]},"reference":[{"key":"ref_1","first-page":"987","article-title":"Descemet membrane endothelial keratoplasty (DMEK)","volume":"25","author":"Melles","year":"2006","journal-title":"Cornea"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1295","DOI":"10.1097\/ICO.0000000000000270","article-title":"Long-term follow-up and complications of stripping descemet membrane without placement of graft in eyes with Fuchs endothelial dystrophy","volume":"33","author":"Arbelaez","year":"2014","journal-title":"Cornea"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1097\/IAE.0000000000000689","article-title":"Heads-up surgery for vitreoretinal procedures: An experimental and clinical study","volume":"36","author":"Eckardt","year":"2016","journal-title":"Retina"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1186\/s40942-017-0099-2","article-title":"Heads-up 3D vision system for retinal detachment surgery","volume":"3","author":"Coppola","year":"2017","journal-title":"Int. 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PLoS ONE, 17.","DOI":"10.1371\/journal.pone.0263588"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1097\/ICO.0000000000002419","article-title":"Heads-up Descemet Membrane Endothelial Keratoplasty Surgery: Feasibility, Surgical Duration, Complication Rates, and Comparison with a Conventional Microscope","volume":"40","author":"Panthier","year":"2021","journal-title":"Cornea"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1444","DOI":"10.1097\/ICO.0000000000003005","article-title":"Glasses-Assisted 3D Display System-Guided Descemet Membrane Endothelial Keratoplasty Tissue Preparation","volume":"41","author":"Borroni","year":"2022","journal-title":"Cornea"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Morelli, A., Ferrandina, R., Favuzza, E., Cennamo, M., and Mencucci, R. (2022). 3D Visualization System in Descemet Membrane Endothelial Keratoplasty (DMEK): A Six-Month Comparison with Conventional Microscope. J. Clin. 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Ophthalmol."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/17\/5746\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T20:45:55Z","timestamp":1760129155000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/17\/5746"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,4]]},"references-count":14,"journal-issue":{"issue":"17","published-online":{"date-parts":[[2023,9]]}},"alternative-id":["jcm12175746"],"URL":"https:\/\/doi.org\/10.3390\/jcm12175746","relation":{},"ISSN":["2077-0383"],"issn-type":[{"type":"electronic","value":"2077-0383"}],"subject":[],"published":{"date-parts":[[2023,9,4]]}}}