Use of a microscope-mounted wide-angle point of view camera to record optimal hand position in ocular surgery

摘要

We describe the use of a microscope-mounted wide-angle point-of-view camera to record optimal hand positions in ocular surgery. The camera is mounted close to the objective lens beneath the surgeon's oculars and faces the same direction as the surgeon, providing a surgeon's view. A wide-angle lens enables viewing of both hands simultaneously and does not require repositioning the camera during the case. Proper hand positioning and instrument placement through microin-cisions are critical for effective and atraumatic handling of tissue within the eye. Our technique has potential in the assessment and training of optimal hand position for surgeons performing intraocular surgery. It is an innovative way to routinely record instrument and operating hand positions in ophthalmic surgery and has minimal requirements in terms of cost, personnel, and operating-room space.