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2017 ; 37
(7
): 1220-1228
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Robotic Vitreoretinal Surgery
#MMPMID27893625
Channa R
; Iordachita I
; Handa JT
Retina
2017[Jul]; 37
(7
): 1220-1228
PMID27893625
show ga
PURPOSE: To review the current literature on robotic assistance for ophthalmic
surgery, especially vitreoretinal procedures. METHODS: MEDLINE, Embase, and Web
of Science databases were searched from inception to August, 2016, for articles
relevant to the review topic. Queries included combinations of the terms: robotic
eye surgery, ophthalmology, and vitreoretinal. RESULTS: In ophthalmology,
proof-of-concept papers have shown the feasibility of performing many delicate
anterior segment and vitreoretinal surgical procedures accurately with robotic
assistance. Multiple surgical platforms have been designed and tested in animal
eyes and phantom models. These platforms have the capability to measure forces
generated and velocities of different surgical movements. "Smart" instruments
have been designed to improve certain tasks such as membrane peeling and retinal
vessel cannulations. CONCLUSION: Ophthalmic surgery, particularly vitreoretinal
surgery, might have reached the limits of human physiologic performance. Robotic
assistance can help overcome biologic limitations and improve our surgical
performance. Clinical studies of robotic-assisted surgeries are needed to
determine safety and feasibility of using this technology in patients.