Table 1.
Analysis of previous ocular assisted robotic surgery studies
Authors/date | Subject | Robot | Result/outcome |
---|---|---|---|
Tsirbas et al. [21] | Sutures at the corneal level (porcine model) | Da Vinci surgical robot | Successfully performed. The robotic system provided excellent visualization and controlled and delicate placement of the sutures at the corneal level |
Bourges et al. [22] | Confirmed the feasibility of Robot-assisted Penetrating Keratoplasty | Da Vinci surgical robot | Successfully performed on both porcine eyes and human eyes |
Ueta et al. [45] | Vitreoretinal surgery (porcine model) | Experimental Prototype robotic system | Surgical outcomes were equally successful in the robotic-surgery and manual-surgery groups |
Belyea et al. [58] | Confirmed the feasibility to remotely photocoagulate the ciliary body for the treatment of glaucoma with the diode laser in fresh unoperated enucleated human eyes | Robotic Slave Micromanipulator Unit (RSMU) | Therapeutic tissue disruption of the ciliary body was achieved |
Bourcier et al. [24] | Pterygium surgeries in non-living biological pterygium models | DaVinci Si HD | Successful with no intraoperative complications |
Bourcier et al. [26] | Amniotic membrane transplantation on three patients | Da Vinci surgical robot | Successful with no intraoperative complications |
Chammas et al. [25] | Penetrating Keratoplasty was also successfully performed on human donor | Da Vinci surgical robot | Successfully performed on 12 corneas. The Da Vinci Xi Surgical System provided the necessary dexterity to perform the different surgery steps. The mean duration of the procedures was 43.4 ± 8.9 min (range 28.5–61.1 min)—no unexpected intraoperative events |
Bourcier et al. [27] | Cataract surgery was successfully performed on a Kitaro cataract wet-lab training system | Da Vinci Xi | The procedure was successfully performed procedures on 25 lens nuclei. The feasibility of robot-assisted simulated cataract surgery was confirmed. The mean operative time was 26.44 min ± 5.15 (SD) |
Edwards et al. [43] | Retinal internal limiting membrane peeling | Robotics- Preceyes’ BV research platform | Surgical outcomes were equally successful in the robotic surgery and manual-surgery groups. Duration time with robotic surgery (median time, 4 min 5 s) than with manual surgery (1 min 20 s) |
Bourcier et al. [29] | Simulated strabismus surgery | Da Vinci Xi | With appropriate dexterity, the mean duration to complete the procedure was 27 min (range, 22–35): no complications or unexpected intraoperative events |
Jasmina Cehajic-Kapetanovic et al. [32] | Subretinal drug delivery under local anesthesia | Robot-assisted | The time is taken to complete the injection and retinal microtrauma were not clinically significant |
Koen Willekens et al. [33] | Robot-assisted retinal vein cannulation with ocriplasmin infusion for central retinal vein occlusion | Robot-assisted | Robot-assisted retinal vein cannulation is feasible and safe. In addition, local, intravenous infusion with Ocriplasmin led to improved retinal circulation |
Mads Forslund Jacobsen et al. [68] |
Manual and robot-assisted vitreoretinal surgery using a virtual-reality surgical simulator (porcine eyes) |
Robot-assisted | Robot-assisted surgery was slower than manual surgery Robot-assisted surgery allowed for greater precision in novices and vitreoretinal surgeons |
Franziska Ullrich et al. [34] | Intravitreal therapy | Assistive injection system | Successful, safe and cost effective |