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Robotising vitreoretinal surgeries.

Helen Mi1, Robert E MacLaren1,2,3, Jasmina Cehajic-Kapetanovic4,5,6

  • 1Oxford Eye Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.

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Robotic surgery enhances ophthalmology by offering greater precision for complex procedures like subretinal gene therapy. This technology shows significant potential for improving patient outcomes in vitreo-retinal surgery.

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Area of Science:

  • Ophthalmology
  • Robotic Surgery
  • Medical Technology

Background:

  • Vitreoretinal surgery demands high precision, often exceeding manual dexterity.
  • Advanced therapeutics like subretinal gene therapy require minimally invasive, precise delivery.
  • Robotic systems offer potential advantages over traditional surgical techniques in ophthalmology.

Purpose of the Study:

  • To review current robotic systems in ophthalmology.
  • To summarize the clinical implementation of robotic surgery in vitreo-retina.
  • To highlight future applications of robotic surgery in this field.

Main Methods:

  • Review of existing robotic surgical systems for ophthalmology.
  • Summary of pre-clinical and clinical use cases.
  • Analysis of recent in-vivo and in-human surgical outcomes.

Main Results:

  • Multiple robotic systems are available for ophthalmic surgery.
  • The Preceyes Robotic Surgical System has CE mark approval.
  • Successful robotic surgeries include membrane peeling, subretinal injections, and retinal vein cannulation.

Conclusions:

  • Robotic surgery demonstrates significant potential for vitreo-retinal procedures.
  • Integration into mainstream clinical practice is feasible.
  • Further applications are expected to expand with technological advancements.