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Impact of robotic assistance on precision of vitreoretinal surgical procedures.


ABSTRACT:

Purpose

To elucidate the merits of robotic application for vitreoretinal maneuver in comparison to conventional manual performance using an in-vitro eye model constructed for the present study.

Methods

Capability to accurately approach the target on the fundus, to stabilize the manipulator tip just above the fundus, and to perceive the contact of the manipulator tip with the fundus were tested. The accuracies were compared between the robotic and manual control, as well as between ophthalmologists and engineering students.

Results

In case of manual control, ophthalmologists were superior to engineering students in all the 3 test procedures. Robotic assistance significantly improved accuracy of all the test procedures performed by engineering students. For the ophthalmologists including a specialist of vitreoretinal surgery, robotic assistance enhanced the accuracy in the stabilization of manipulator tip (from 90.9 µm to 14.9 µm, P = 0.0006) and the perception of contact with the fundus (from 20.0 mN to 7.84 mN, P = 0.046), while robotic assistance did not improve pointing accuracy.

Conclusions

It was confirmed that telerobotic assistance has a potential to significantly improve precision in vitreoretinal procedures in both experienced and inexperienced hands.

SUBMITTER: Noda Y 

PROVIDER: S-EPMC3545993 | biostudies-literature | 2013

REPOSITORIES: biostudies-literature

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Publications

Impact of robotic assistance on precision of vitreoretinal surgical procedures.

Noda Yasuo Y   Ida Yoshiki Y   Tanaka Shinichi S   Toyama Taku T   Roggia Murilo Felix MF   Tamaki Yasuhiro Y   Sugita Naohiko N   Mitsuishi Mamoru M   Ueta Takashi T  

PloS one 20130115 1


<h4>Purpose</h4>To elucidate the merits of robotic application for vitreoretinal maneuver in comparison to conventional manual performance using an in-vitro eye model constructed for the present study.<h4>Methods</h4>Capability to accurately approach the target on the fundus, to stabilize the manipulator tip just above the fundus, and to perceive the contact of the manipulator tip with the fundus were tested. The accuracies were compared between the robotic and manual control, as well as between  ...[more]

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