Cognitive workload, complications and visual outcomes of phacoemulsification cataract surgery: Three-dimensional versus conventional microscope

2021 ◽  
pp. 112067212110620
Author(s):  
Aditya Kelkar ◽  
Jai Kelkar ◽  
Yogesh Chougule ◽  
Mounika Bolisetty ◽  
Priyanka Singhvi
Keyword(s):  
Cataract Surgery ◽  
Three Dimensional ◽  
Posterior Chamber ◽  
Dimensional System ◽  
Cognitive Workload ◽  
Visualization System ◽  
Visual Outcomes ◽  
Conventional Microscope ◽  
Three Dimensional System ◽  
Phacoemulsification Cataract Surgery

Purpose To compare the surgical workload, complications, and visual outcomes using the three-dimensional visualization system with the conventional microscope in phacoemulsification cataract surgery. Design Prospective, non-randomized, open-label interventional study. Methods All patients underwent phacoemulsification cataract surgery using the three-dimensional visualization system or conventional microscope. Results Of the 203 eyes, 80 underwent surgery with the three-dimensional system while 123 underwent with the conventional microscope. No difference was noted in the total surgical duration, complication rates, and visual outcomes between the two groups. However, capsulorhexis was significantly faster using the conventional microscope while posterior chamber intraocular lens insertion was quicker using the three-dimensional system. In terms of cognitive workload comparison, no difference was seen in the surgeons’ heart rate, oxygen saturation levels, and surgery task load index total workload score and workload score for all six dimensions of the questionnaire, between the three-dimensional system and conventional microscope groups. As compared to baseline, the heart rate increased significantly during all surgical steps and at the end in both groups. When compared to baseline, the oxygen saturation levels were significantly raised during capsulorhexis, irrigation, and aspiration and posterior chamber intraocular lens insertion and at the end of the surgery in the three-dimensional group and during incision and at the end of the surgery in the conventional microscope group. Conclusions The duration of surgery, complications, and visual acuity outcomes remain unaffected while performing phacoemulsification cataract surgeries with the three-dimensional viewing system when compared to the conventional microscopes. Moreover, the surgeons’ cognitive workload too remains unaffected while utilizing this revolutionary three-dimensional surgical technology.

Inner-product theory calculations for some rational potentials in a three-dimensional system

1996 ◽  
Vol 74 (1-2) ◽  
pp. 4-9
Author(s):  
M. R. M. Witwit
Keyword(s):  
Energy Levels ◽  
Three Dimensional ◽  
Inner Product ◽  
Dimensional System ◽  
Product Technique ◽  
Special Cases ◽  
Wide Range ◽  
Perturbation Parameters ◽  
Three Dimensional System ◽  
Range Of Values

The energy levels of a three-dimensional system are calculated for the rational potentials,[Formula: see text]using the inner-product technique over a wide range of values of the perturbation parameters (λ, g) and for various eigenstates. The numerical results for some special cases agree with those of previous workers where available.

The influence of mean shear on Alfvén-internal wave propagation

1976 ◽  
Vol 15 (2) ◽  
pp. 197-222
Author(s):  
R. J. Hartman
Keyword(s):  
Three Dimensional ◽  
Dimensional System ◽  
Linear Wave ◽  
Mean Flow ◽  
Wave Processes ◽  
Initial Value ◽  
Initial Wave ◽  
Wave Phenomena ◽  
Three Dimensional System

This paper uses the general solution of the linearized initial-value problem for an unbounded, exponentially-stratified, perfectly-conducting Couette flow in the presence of a uniform magnetic field to study the development of localized wave-type perturbations to the basic flow. The two-dimensional problem is shown to be stable for all hydrodynamic Richardson numbers JH, positive and negative, and wave packets in this flow are shown to approach, asymptotically, a level in the fluid (the ‘isolation level’) which is a smooth, continuous, function of JH that is well defined for JH < 0 as well as JH > 0. This system exhibits a rich complement of wave phenomena and a variety of mechanisms for the transport of mean flow kinetic and potential energy, via linear wave processes, between widely-separated regions of fluid; this in addition to the usual mechanisms for the absorption of the initial wave energy itself. The appropriate three-dimensional system is discussed, and the role of nonlinearities on the development of localized disturbances is considered.

scholarly journals Discrete-to-continuum modelling of weakly interacting incommensurate two-dimensional lattices

2018 ◽  
Vol 474 (2209) ◽  
pp. 20170612 ◽  
Author(s):  
Malena I. Español ◽  
Dmitry Golovaty ◽  
J. Patrick Wilber
Keyword(s):  
Continuum Model ◽  
Domain Walls ◽  
Three Dimensional ◽  
Variational Model ◽  
Dimensional System ◽  
Two Dimensional ◽  
Starting Point ◽  
Continuum Modelling ◽  
Three Dimensional System ◽  
The Continuum

In this paper, we derive a continuum variational model for a two-dimensional deformable lattice of atoms interacting with a two-dimensional rigid lattice. The starting point is a discrete atomistic model for the two lattices which are assumed to have slightly different lattice parameters and, possibly, a small relative rotation. This is a prototypical example of a three-dimensional system consisting of a graphene sheet suspended over a substrate. We use a discrete-to-continuum procedure to obtain the continuum model which recovers both qualitatively and quantitatively the behaviour observed in the corresponding discrete model. The continuum model predicts that the deformable lattice develops a network of domain walls characterized by large shearing, stretching and bending deformation that accommodates the misalignment and/or mismatch between the deformable and rigid lattices. Two integer-valued parameters, which can be identified with the components of a Burgers vector, describe the mismatch between the lattices and determine the geometry and the details of the deformation associated with the domain walls.

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