Robotic-assisted surgery in ophthalmology

@article{deSmet2018RoboticassistedSI,
  title={Robotic-assisted surgery in ophthalmology},
  author={Marc D. de Smet and Gerrit J. L. Naus and Koorosh Faridpooya and Marco Mura},
  journal={Current Opinion in Ophthalmology},
  year={2018},
  volume={29},
  pages={248–253}
}
Purpose of review Provide an overview of the current landscape of robotics in ophthalmology, including the pros and cons of system designs, the clinical development path, and the likely future direction of the field. Recent findings Robots designed for eye surgery should meet certain basic requirements. Three designs are currently being developed: smart surgical tools such as the steady hand, comanipulation devices and telemanipulators using either a fixed or virtual remote center of motion… 
Robotics and ophthalmology: Are we there yet?
Ophthalmology is a field that is now seeing the integration of robotics in its surgical procedures and interventions. Assistance facilitated by robots offers substantial improvements in terms of
Robot-Assisted Simulated Strabismus Surgery
TLDR
Experimental robot-assisted strabismus surgery is technically feasible using the new robotic da Vinci Xi Surgical System and what is believed to be the first use of a surgical robot in experimental eye muscle surgery.
Robotic Retinal Surgery
Robot-assisted tremor control for performance enhancement of retinal microsurgeons
TLDR
In conclusion, robotics offers potential advantages over free-hand microsurgery as it is currently performed during ophthalmic surgery and opens the door to a new class of revolutionary microsurgical modalities.
A comparison of robotic and manual surgery for internal limiting membrane peeling
TLDR
Intraocular robotic surgery is still in its infancy and validation work is needed to understand the potential benefits and limitations of emerging technologies, and safety enhancements over current techniques may be possible and could lead to the broader adoption of robotic intraocular surgery in the future.
Artificial intelligence, robotics and eye surgery: are we overfitted?
TLDR
This commentary analyzes advances in retinal robotic surgery, its current drawbacks and limitations, and the potential role of artificial intelligence in robotic retinal surgery.
A review of robotic surgical training: establishing a curriculum and credentialing process in ophthalmology
TLDR
It is recommended that the overall training framework for robotic ophthalmic trainees proceeds in a stepwise, competency-based manner from didactic learning, to simulation exercises, to operative experiences, and a graduating model for granting privileges to robotic surgeons is proposed.
Robotic Retinal Surgery Impacts on Scleral Forces: In Vivo Study
TLDR
Results validate that the introduction of robotic assistance might increase the dynamic interactions between instrument and sclera, and the addition of an active force control method reduces the forces at levels lower than manual manipulations.
Three-dimensional telesurgery and remote proctoring over a 5G network
TLDR
This pilot study represents the first successful demonstration of vitreoretinal surgery transmitted over a 5G network and has the potential to enhance surgical education, provide intrao‐ perative consultation and guidance from expert proctors, and improve patient outcomes, especially in remote and low-resource areas.
...
...

References

SHOWING 1-10 OF 32 REFERENCES
The introduction of a new robot for assistance in ophthalmic surgery
  • M. Nasseri, M. Eder, A. Knoll
  • Medicine, Engineering
    2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC)
  • 2013
TLDR
A new robotic system to assist surgeons performing ophthalmic surgeries that allows microscale motions and is stable in the presence of vibrations common in operation room (OR) and solves the problem of patient motion.
Robotic Vitreoretinal Surgery
TLDR
Ophthalmic surgery, particularly vitreoretinal surgery, might have reached the limits of human physiologic performance and robotic assistance can help overcome biologic limitations and improve surgical performance.
Robot-assisted vitreoretinal surgery: current perspectives
TLDR
The emergence of robotic technology into this rapidly advancing domain is expected to further enhance important aspects of the retinal surgery experience for the patients, surgeons and society.
FEASIBILITY STUDY OF INTRAOCULAR ROBOTIC SURGERY WITH THE da VINCI SURGICAL SYSTEM
TLDR
The da Vinci Surgical System provided adequate dexterity for performing delicate intraocular manipulations but the system’s endoscope did not did not yield the same detail acquired by an ophthalmic microscope.
Robot-assisted simulated cataract surgery.
Design and realisation of a novel robotic manipulator for retinal surgery
TLDR
This work reports on the development of an innovative robotic manipulator to assist vitreoretinal surgeons during this procedure using a co-manipulation control strategy that features a new Remote-Center-of-Motion mechanism with four degrees of freedom.
IRIS: Integrated Robotic Intraocular Snake
TLDR
The variable neutral-line mechanism is used to provide very high dexterity with a very small form factor in the Integrated Robotic Intraocular Snake, and preliminary results show that the scale-up IRIS can provide large range of motion.
Da Vinci Xi Robot–Assisted Penetrating Keratoplasty
TLDR
Operative time of robot-assisted penetrating keratoplasty surgery is now close to that of conventional manual surgery due to both improvement of the optical system and the presence of microsurgical instruments.
Robotically Assisted Pterygium Surgery: First Human Case
TLDR
This study reports the first human case of robot-assisted pterygium surgery using the DaVinci Si HD robotic Surgical System on a 73-year-old patient with nasal and temporal pteryGia.
...
...