Purchase this article with an account.
J. Hubschman, D. Bourla, A. Tsirbas, M. Culjat, E. Dutson, A. E. Kreiger, S. D. Schwartz; Robotic Vitreoretinal Surgery. Invest. Ophthalmol. Vis. Sci. 2007;48(13):6030.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
To test the feasibility of performing vitreoretinal surgery with a commercially available surgical robot.
Using a Da Vinci Surgical Robot (Intuitive Surgical, Inc., Sunnyvale, CA), ocular vitreo-retinal surgery was performed using a 3 port 25-gauge system as well as combined 2 port 25-gauge and 1 port 20-gauge pars plana vitrectomy in a porcine model. The experiments were done on harvested eyes placed in an anatomical position using a foam head on a standard operating room table. A video scope with an AVI wide angle viewing system was employed with custom-made instruments placed and manipulated in the eye with the robotic arms. The surgeon performed the actual procedures while positioned at a robotic system console that was located across the operating room. Core vitrectomies, rupture globe repair and intraocular foreign body removal were performed.
Vitrectomy was successfully performed using the Da Vinci Surgical Robot. The robotic system provided good visualization as well as controlled placement of the 25-gauge trocars and intraocular instrument manipulation.
Robotic vitreoretinal surgery is technically feasible in the porcine model and warrants consideration for future development of robotic systems that are designed for ophthalmic microsurgery.
This PDF is available to Subscribers Only