New York Eye and Ear Infirmary of Mount Sinai, Research Center, 310 East 14th St, Ste 500 Building, New York, NY, 10003, USA.
Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY, 10029, USA.
BMC Ophthalmol. 2024 Aug 5;24(1):324. doi: 10.1186/s12886-024-03595-3.
Preclinical technical feasibility study of robot-assisted microinvasive glaucoma surgery using a novel ophthalmic robot-assisted surgery system.
Feasibility was assessed in synthetic eye models in two stages: Stage I, nonimplantable robot-assisted goniotomy; and Stage II, robot-assisted stent implantation using a trabecular bypass stent. Robot-assisted interventions were subsequently compared to the manual approach.
Stage I: Two surgeons completed 10 trials each of ab-interno sectoral goniotomy with and without robotic assistance for at least 3 clock hours using a standard goniotomy knife and more than 10 clock hours of extended goniotomy using a flexible, guided goniotomy instrument. Stage II: Trabecular bypass stent deployment was successfully achieved in 100% of the attempts with and without robotic assistance. Surgical time was recorded and compared between the robotic-assisted and the manual approach.
A system for robot-assisted microinvasive glaucoma surgery can successfully achieve implantable and nonimplantable interventions in the anterior segment. This is the first known demonstration of the feasibility of robot-assisted glaucoma surgery.
使用新型眼科机器人辅助手术系统对机器人辅助微创青光眼手术的临床前技术可行性进行研究。
在两个阶段使用合成眼模型评估可行性：第一阶段，不可植入的机器人辅助房角切开术；第二阶段，使用小梁旁路支架的机器人辅助支架植入术。随后将机器人辅助干预与手动方法进行比较。
第一阶段：两名外科医生各自使用标准房角切开刀完成了 10 次机器人辅助和非机器人辅助的内路房角切开术试验，每次至少 3 个时钟小时，并使用柔性导向房角切开器械完成了超过 10 个时钟小时的延长房角切开术。第二阶段：小梁旁路支架的部署在有和没有机器人辅助的情况下都 100%成功。记录了手术时间，并在机器人辅助和手动方法之间进行了比较。
一种用于机器人辅助微创青光眼手术的系统可以在前节成功实现可植入和不可植入的干预措施。这是首次已知的机器人辅助青光眼手术可行性的证明。
