Incidence and severity of Visually Induced motion Sickness during 3D laparoscopy In Operators who had No experience with it (VISION).

Abstract

A university hospital. Intervention: Gynecologic surgery. Main outcome measure: This is a prospective observational study, which enrolled 9 surgeons as participants. None of these surgeons had any prior experience with 3D laparoscopy. Each participant performed 10 consecutive cases of 3D laparoscopy in patients with benign or premalignant gynecological diseases. The primary outcome measure was the incidence and severity of VIMS, which was evaluated using the validated Simulator Sickness Questionnaire. Personal preferences, discomfort, and ease of 3D laparoscopy were also evaluated. Results: Sixty-seven percent of surgeons experienced VIMS during their first 3D laparoscopy case. The incidence and severity of VIMS dramatically decreased from the second case onward. However, in some surgeons (22-44%), VIMS did not completely disappear until the tenth case. With respect to the discomfort using 3D laparoscopy, 84 self-reported responses after each surgery were "favor 3D laparoscopy," and "no" in 61 (72.6%) and 47 (55.9%) participants, respectively. Most participants found it easier to perform 3D laparoscopy than 2D laparoscopy. Conclusions: The occurrence of visually induced symptoms in susceptible individuals during 3D laparoscopy is high, particularly during their first case. This suggests the need for increasing surgeons' awareness regarding the possibility of discomfort.

3D Da Vinci robotic surgery: is it a risk to the surgeon’s eye health?

“…Nevertheless, studies on the effect of the 3D system on visuoperceptive functions are still extremely limited in the literature, this is the reason why we would like to investigate this field. Howarth and coworkers [ 3 ] demonstrated that viewing stereoscopic 3D pictures can be more associated with asthenopic symptoms and visually induced motion sickness than watching 2D images [ 5 , 6 ]. Tuna et al [ 22 ] found that presbyopia and hypermetropia negatively affect surgeons' 3D vision; thus, they deeply recommend to use the proper refractive correction when performing robotic surgeries.…”

“…Nonetheless, some unfavorable consequences of stereoscopy on eye health have also been identified [ 2 – 4 ]. Frequently, the use of 3D imaging has been associated with headache and eye fatigue, sometimes being referred as visually induced motion sickness (VIMS) [ 5 ]. Experiencing 3D pictures may be possible, thanks to motor and sensory integration using regular binocular vision.…”

A randomized, controlled trial comparing the clinical outcomes of 3D versus 2D laparoscopic hysterectomy.

“…Second, we did not assess the side effects of stereoacuity in this study. Han et al reported that 67% of surgeons experienced visually induced motion sickness (VIMS) during their first 3D laparoscopy case [19]. However, the incidence and severity of VIMS dramatically decreased from the second case onward.…”