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Updated: Oct 29, 2025
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Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
379
Use of computer-assisted surgery in the orbit
Ashley A Campbell1, Nicholas R Mahoney1
1Division of Oculoplastic Surgery, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Orbit (Amsterdam, Netherlands)
|July 14, 2021
Summary
Computer-assisted surgery (CAS) enhances orbital surgery by improving pre-operative planning, intra-operative navigation, and post-operative assessment. This technology increases efficiency and safety, leading to good outcomes in complex cases.
Area of Science:
- Ophthalmology
- Neurosurgery
- Medical Imaging
Background:
- Orbital surgery presents unique challenges due to complex anatomical structures.
- Accurate pre-operative planning and intra-operative guidance are crucial for successful outcomes.
Purpose of the Study:
- To evaluate the application of computer-assisted surgery (CAS) in orbital surgery.
- To assess CAS for pre-operative planning, intra-operative navigation, and post-operative assessment.
Main Methods:
- Retrospective review of 464 orbital surgeries performed between July 2013 and December 2019.
- Identification and classification of CAS utilization in 91 cases.
- Analysis of CAS application in orbital decompression, fracture repair, and tumor removal.
Main Results:
- CAS was used in 19.6% of orbital surgeries (91/464 cases).
- Applications included orbital decompression (25.3%), fracture repair (42.9%), and tumor removal (27.5%).
- CAS demonstrated increased operative efficiency and safety across all applications, with positive patient outcomes.
Conclusions:
- Computer-assisted surgery is a valuable adjunct in orbital surgery.
- CAS facilitates complex radiographic analysis and enhances the surgeon's capabilities.
- The technology improves precision and safety in managing orbital pathologies.
