Material and Methods: Five cases out of 10 (Cases number 1,3,5,7,9) of IOL drop were operated using standard 2D endoscopy system and rest five cases (Cases number 2,4,6,8,10) were operated using 3D-PIP-HDMI endoscopic visualization system. After each procedure, surgeon completed oxford grading assessment of various parameters (Table 1,2).The cases were subjected to statistical analysis.

Results: 3D-PIP-HDMI endoscopy viewing system improved the orientation of the video monitor, hand eyes coordination, quality of picture, correct picking up of Dropped IOL, stereopsis in all the cases which was highly statistical significant (P<0.0024).

Conclusion: 3D-PIP-HDMI Visualization system provides both the real time 3d videos from endoscope and surgical Microscope which is projected in a single LED, monitor Panel at the same time. It helped us to overcome the limitation related to the standard 2d endoscopy procedures. Keywords : Endoscope, vitrectomy, three dimensional endoscopy, 3D endoscope, 3D-PIP-HDMI visualization system, Picture in picture, IOL drop, stereopsis