Color enhancement and achromatization to increase the visibility of indocyanine green-stained internal limiting membrane during digitally assisted vitreoretinal surgery

Purpose To investigate the impact of using digital assisted vitrectomy (DAV) for color enhancement in color channel and achromatization in color profile on the visibility of indocyanine green (ICG)-stained internal limiting membrane (ILM). Study design Retrospective observational study. Methods Twen...

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Veröffentlicht in:Japanese journal of ophthalmology 2024-03, Vol.68 (2), p.105-111
Hauptverfasser: Imai, Hisanori, Iwane, Yukako, Kishi, Maya, Sotani, Yasuyuki, Yamada, Hiroko, Matsumiya, Wataru, Miki, Akiko, Kusuhara, Sentaro, Nakamura, Makoto
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container_issue 2
container_start_page 105
container_title Japanese journal of ophthalmology
container_volume 68
creator Imai, Hisanori
Iwane, Yukako
Kishi, Maya
Sotani, Yasuyuki
Yamada, Hiroko
Matsumiya, Wataru
Miki, Akiko
Kusuhara, Sentaro
Nakamura, Makoto
description Purpose To investigate the impact of using digital assisted vitrectomy (DAV) for color enhancement in color channel and achromatization in color profile on the visibility of indocyanine green (ICG)-stained internal limiting membrane (ILM). Study design Retrospective observational study. Methods Twenty eyes from 20 patients (7 men, 13 women) who underwent 27-gauge pars plana vitrectomy for epiretinal membrane removal were included. The presettings of five different imaging modes of the NGENUITY ® 3D visualization system (Alcon laboratories, Inc.), were adjusted, and intraoperative images of ILM removal were captured under each presetting. The color contrast ratios (CCR) between the ICG-stained ILM area and peeled ILM area were compared across presettings objectively. Subjective visibility of ILM in each patient for different presettings was ranked using a Likert scale and evaluated by five examiners. Data on sex, age, preoperative and postoperative best-corrected visual acuity (BCVA), preoperative and postoperative intraocular pressure (IOP), and postoperative complications were analyzed. Results Compared to other presettings the best CCR was achieved by adjusting the color channel to enhance red and by modifying the color profile to create a monochrome image (P
doi_str_mv 10.1007/s10384-023-01042-2
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Study design Retrospective observational study. Methods Twenty eyes from 20 patients (7 men, 13 women) who underwent 27-gauge pars plana vitrectomy for epiretinal membrane removal were included. The presettings of five different imaging modes of the NGENUITY ® 3D visualization system (Alcon laboratories, Inc.), were adjusted, and intraoperative images of ILM removal were captured under each presetting. The color contrast ratios (CCR) between the ICG-stained ILM area and peeled ILM area were compared across presettings objectively. Subjective visibility of ILM in each patient for different presettings was ranked using a Likert scale and evaluated by five examiners. Data on sex, age, preoperative and postoperative best-corrected visual acuity (BCVA), preoperative and postoperative intraocular pressure (IOP), and postoperative complications were analyzed. Results Compared to other presettings the best CCR was achieved by adjusting the color channel to enhance red and by modifying the color profile to create a monochrome image (P&lt;0.01). The same presetting resulted in a highest subjective visibility (P&lt;0.01). Mean preoperative BCVA and 6-month postoperative BCVA (logMAR) were 0.11±0.18 and 0.05±0.19, respectively (p=0.24). Mean preoperative IOP and 6-month postoperative IOP were 13.8±2.8 mmHg and 13.3±3.4 mmHg, respectively (p=0.51). No apparent intra- and post-operative complications were observed. Conclusion Color enhancement and achromatization using DAV may offer potential advantages to enhance the visibility of ICG-stained ILM.</description><identifier>ISSN: 0021-5155</identifier><identifier>EISSN: 1613-2246</identifier><identifier>DOI: 10.1007/s10384-023-01042-2</identifier><identifier>PMID: 38311686</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Acuity ; Basement Membrane - surgery ; Clinical Investigation ; Color ; Coloring Agents ; Complications ; Constraining ; Epiretinal Membrane - diagnosis ; Epiretinal Membrane - surgery ; Female ; Humans ; Image contrast ; Indocyanine Green ; Intraocular pressure ; Male ; Medicine ; Medicine &amp; Public Health ; Membranes ; Observational studies ; Ophthalmology ; Postoperative ; Retinal Perforations - surgery ; Retrospective Studies ; Treatment Outcome ; Visual Acuity ; Vitrectomy - methods ; Vitreoretinal Surgery</subject><ispartof>Japanese journal of ophthalmology, 2024-03, Vol.68 (2), p.105-111</ispartof><rights>Japanese Ophthalmological Society 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. Japanese Ophthalmological Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c468t-5d54ce83502db06c8469a1527d7af8f4624323dbe0f53f324a8c68acebb70aca3</citedby><cites>FETCH-LOGICAL-c468t-5d54ce83502db06c8469a1527d7af8f4624323dbe0f53f324a8c68acebb70aca3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10384-023-01042-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10384-023-01042-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38311686$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Imai, Hisanori</creatorcontrib><creatorcontrib>Iwane, Yukako</creatorcontrib><creatorcontrib>Kishi, Maya</creatorcontrib><creatorcontrib>Sotani, Yasuyuki</creatorcontrib><creatorcontrib>Yamada, Hiroko</creatorcontrib><creatorcontrib>Matsumiya, Wataru</creatorcontrib><creatorcontrib>Miki, Akiko</creatorcontrib><creatorcontrib>Kusuhara, Sentaro</creatorcontrib><creatorcontrib>Nakamura, Makoto</creatorcontrib><title>Color enhancement and achromatization to increase the visibility of indocyanine green-stained internal limiting membrane during digitally assisted vitreoretinal surgery</title><title>Japanese journal of ophthalmology</title><addtitle>Jpn J Ophthalmol</addtitle><addtitle>Jpn J Ophthalmol</addtitle><description>Purpose To investigate the impact of using digital assisted vitrectomy (DAV) for color enhancement in color channel and achromatization in color profile on the visibility of indocyanine green (ICG)-stained internal limiting membrane (ILM). Study design Retrospective observational study. Methods Twenty eyes from 20 patients (7 men, 13 women) who underwent 27-gauge pars plana vitrectomy for epiretinal membrane removal were included. The presettings of five different imaging modes of the NGENUITY ® 3D visualization system (Alcon laboratories, Inc.), were adjusted, and intraoperative images of ILM removal were captured under each presetting. The color contrast ratios (CCR) between the ICG-stained ILM area and peeled ILM area were compared across presettings objectively. Subjective visibility of ILM in each patient for different presettings was ranked using a Likert scale and evaluated by five examiners. Data on sex, age, preoperative and postoperative best-corrected visual acuity (BCVA), preoperative and postoperative intraocular pressure (IOP), and postoperative complications were analyzed. Results Compared to other presettings the best CCR was achieved by adjusting the color channel to enhance red and by modifying the color profile to create a monochrome image (P&lt;0.01). The same presetting resulted in a highest subjective visibility (P&lt;0.01). Mean preoperative BCVA and 6-month postoperative BCVA (logMAR) were 0.11±0.18 and 0.05±0.19, respectively (p=0.24). Mean preoperative IOP and 6-month postoperative IOP were 13.8±2.8 mmHg and 13.3±3.4 mmHg, respectively (p=0.51). No apparent intra- and post-operative complications were observed. 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Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Japanese journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Imai, Hisanori</au><au>Iwane, Yukako</au><au>Kishi, Maya</au><au>Sotani, Yasuyuki</au><au>Yamada, Hiroko</au><au>Matsumiya, Wataru</au><au>Miki, Akiko</au><au>Kusuhara, Sentaro</au><au>Nakamura, Makoto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Color enhancement and achromatization to increase the visibility of indocyanine green-stained internal limiting membrane during digitally assisted vitreoretinal surgery</atitle><jtitle>Japanese journal of ophthalmology</jtitle><stitle>Jpn J Ophthalmol</stitle><addtitle>Jpn J Ophthalmol</addtitle><date>2024-03-01</date><risdate>2024</risdate><volume>68</volume><issue>2</issue><spage>105</spage><epage>111</epage><pages>105-111</pages><issn>0021-5155</issn><eissn>1613-2246</eissn><abstract>Purpose To investigate the impact of using digital assisted vitrectomy (DAV) for color enhancement in color channel and achromatization in color profile on the visibility of indocyanine green (ICG)-stained internal limiting membrane (ILM). Study design Retrospective observational study. Methods Twenty eyes from 20 patients (7 men, 13 women) who underwent 27-gauge pars plana vitrectomy for epiretinal membrane removal were included. The presettings of five different imaging modes of the NGENUITY ® 3D visualization system (Alcon laboratories, Inc.), were adjusted, and intraoperative images of ILM removal were captured under each presetting. The color contrast ratios (CCR) between the ICG-stained ILM area and peeled ILM area were compared across presettings objectively. Subjective visibility of ILM in each patient for different presettings was ranked using a Likert scale and evaluated by five examiners. Data on sex, age, preoperative and postoperative best-corrected visual acuity (BCVA), preoperative and postoperative intraocular pressure (IOP), and postoperative complications were analyzed. Results Compared to other presettings the best CCR was achieved by adjusting the color channel to enhance red and by modifying the color profile to create a monochrome image (P&lt;0.01). The same presetting resulted in a highest subjective visibility (P&lt;0.01). Mean preoperative BCVA and 6-month postoperative BCVA (logMAR) were 0.11±0.18 and 0.05±0.19, respectively (p=0.24). Mean preoperative IOP and 6-month postoperative IOP were 13.8±2.8 mmHg and 13.3±3.4 mmHg, respectively (p=0.51). No apparent intra- and post-operative complications were observed. Conclusion Color enhancement and achromatization using DAV may offer potential advantages to enhance the visibility of ICG-stained ILM.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>38311686</pmid><doi>10.1007/s10384-023-01042-2</doi><tpages>7</tpages></addata></record>
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subjects Acuity
Basement Membrane - surgery
Clinical Investigation
Color
Coloring Agents
Complications
Constraining
Epiretinal Membrane - diagnosis
Epiretinal Membrane - surgery
Female
Humans
Image contrast
Indocyanine Green
Intraocular pressure
Male
Medicine
Medicine & Public Health
Membranes
Observational studies
Ophthalmology
Postoperative
Retinal Perforations - surgery
Retrospective Studies
Treatment Outcome
Visual Acuity
Vitrectomy - methods
Vitreoretinal Surgery
title Color enhancement and achromatization to increase the visibility of indocyanine green-stained internal limiting membrane during digitally assisted vitreoretinal surgery
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