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Transorbital target localization with augmented ophthalmologic surgical endoscopy.

Michael P DeLisi1, Louise A Mawn, Robert L Galloway

  • 1Department of Biomedical Engineering, Vanderbilt University, 5824 Stevenson Ctr, Nashville, TN, 37232, USA, michael.delisi@vanderbilt.edu.

International Journal of Computer Assisted Radiology and Surgery
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PubMed
Summary

This study developed an image-guided flexible endoscope for accurate transorbital surgery. Video augmentation significantly reduced procedure time for identifying targets behind the eye.

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Area of Science:

  • Neurosurgery
  • Ophthalmology
  • Medical Imaging

Background:

  • Accessing the retrobulbar space is challenging due to anatomical constraints.
  • Minimally invasive procedures in this region are limited.

Purpose of the Study:

  • Develop an image-guided system for accurate transorbital surgery.
  • Enable navigation behind the eye for targeted interventions.

Main Methods:

  • A magnetically tracked flexible endoscope was used.
  • Targets were defined by contrast-filled microspheres in pigs.
  • Image registration and real-time video augmentation were employed.

Main Results:

  • Surgeons accurately identified all targets by color.
  • Procedure time reduced from 24.2 min to 3.2 min with video augmentation.
  • This reduction was statistically significant.

Conclusions:

  • Image-guided transorbital endoscopy allows accurate in-vivo target localization.
  • Endoscopic video augmentation significantly decreases procedure time.