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Computer-assisted navigation in orbitofacial surgery.

Priti Udhay1, Kasturi Bhattacharjee2, P Ananthnarayanan3

  • 1DRR Eye Care and Oculoplasty Hospital, Chennai, Tamil Nadu, India.

Indian Journal of Ophthalmology
|June 27, 2019
PubMed
Summary

Computer-assisted surgery (CAS) enhances precision in ophthalmology, particularly for complex orbital fractures. While beneficial for surgical planning and execution, high costs and a steep learning curve limit its widespread adoption.

Keywords:
Computer-assisted orbital surgeryimage-guided orbital surgerynavigation surgerynavigation-guided optic canal decompressionnavigation-guided orbital decompressionposttraumatic orbital reconstruction

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Area of Science:

  • Ophthalmology
  • Surgical Technology
  • Medical Imaging

Background:

  • Computer-assisted surgery (CAS) has transitioned from neurosurgery to various specialties, including maxillofacial and orbitofacial procedures.
  • The application of CAS in ophthalmology is expanding, offering advanced capabilities for complex surgical interventions.

Purpose of the Study:

  • To systematically review the indications, treatments, and outcomes of CAS in ophthalmological practice.
  • To evaluate the effectiveness of navigation surgery in orbitofacial reconstructions and optic canal decompression.

Main Methods:

  • A detailed literature search was conducted across electronic databases, journals, and bibliographies.
  • Included studies involved a minimum of two cases, focusing on navigation surgery, orbital reconstruction, and optic canal decompression.

Main Results:

  • The review analyzed 42 articles, with the majority focusing on orbital reconstructions (22) and trauma-related cases.
  • CAS demonstrated significant improvements in treating complex orbital fractures compared to traditional methods.
  • Navigation surgery enhances precision through 3D virtual planning and real-time guidance.

Conclusions:

  • CAS is a valuable tool for surgical planning, execution, evaluation, and research in ophthalmology.
  • The technology shows particular promise in managing trauma cases and complex orbital reconstructions.
  • Financial investment and the learning curve are primary barriers to the broader implementation of CAS.