Heads-up Digitally Assisted Surgical Viewing with Intraoperative Optical Coherence Tomography for Myopic Schisis Repair

Purpose: to describe the surgical approach with a screen-based heads-up, threedimensional (3-d) digital viewing with intraoperative optical coherence tomography (ioct) for the successful repair of a myopic macular schisis (mms) case.case report: a 62-year-old woman with vision loss in the left eye was scheduled for pars plana vitrectomy (ppv) and mms repair. surgery was performed using the ngenuity® system for surgical viewing, and foveal-sparing internal limiting membrane (fs-ilm) peeling was performed without gas tamponade, after confirming the absence of iatrogenic macular hole with i-oct. there were no intraoperative or postoperative complications. visual acuity improved to 20/40 and the subfoveal macular thickness improved from 706 μm (preoperative) to 221 μm after seven months of follow-up. conclusion: heads-up digitally assisted viewing technology with i-oct may be useful or preferred for patients requiring vitreoretinal surgery in the setting of mms.