Intraocular robotic interventional surgical system (IRISS): Semi‐automated OCT‐guided cataract removal

Background With the development of laser‐assisted platforms, the outcomes of cataract surgery have been improved by automating several procedures. The cataract‐extraction step continues to be manually performed, but due to deficiencies in sensing capabilities, surgical complications such as posterio...

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Published inThe international journal of medical robotics + computer assisted surgery Vol. 14; no. 6; pp. e1949 - n/a
Main Authors Chen, Cheng‐Wei, Lee, Yu‐Hsiu, Gerber, Matthew J., Cheng, Harrison, Yang, Yan‐Chao, Govetto, Andrea, Francone, Anibal Andrés, Soatto, Stefano, Grundfest, Warren S., Hubschman, Jean‐Pierre, Tsao, Tsu‐Chin, Clive, Loughlin
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LanguageEnglish
Published England Wiley Subscription Services, Inc 01.12.2018
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Abstract Background With the development of laser‐assisted platforms, the outcomes of cataract surgery have been improved by automating several procedures. The cataract‐extraction step continues to be manually performed, but due to deficiencies in sensing capabilities, surgical complications such as posterior capsule rupture and incomplete cataract removal remain. Methods An optical coherence tomography (OCT) system is integrated into our intraocular robotic interventional surgical system (IRISS) robot. The OCT images are used for preoperative planning and intraoperative intervention in a series of automated procedures. Real‐time intervention allows surgeons to evaluate the progress and override the operation. Results The developed system was validated by performing lens extraction on 30 postmortem pig eyes. Complete lens extraction was achieved on 25 eyes, and “almost complete” extraction was achieved on the remainder due to an inability to image small lens particles behind the iris. No capsule rupture was found. Conclusion The IRISS successfully demonstrated semiautomated OCT‐guided lens removal with real‐time supervision and intervention.
AbstractList Background With the development of laser‐assisted platforms, the outcomes of cataract surgery have been improved by automating several procedures. The cataract‐extraction step continues to be manually performed, but due to deficiencies in sensing capabilities, surgical complications such as posterior capsule rupture and incomplete cataract removal remain. Methods An optical coherence tomography (OCT) system is integrated into our intraocular robotic interventional surgical system (IRISS) robot. The OCT images are used for preoperative planning and intraoperative intervention in a series of automated procedures. Real‐time intervention allows surgeons to evaluate the progress and override the operation. Results The developed system was validated by performing lens extraction on 30 postmortem pig eyes. Complete lens extraction was achieved on 25 eyes, and “almost complete” extraction was achieved on the remainder due to an inability to image small lens particles behind the iris. No capsule rupture was found. Conclusion The IRISS successfully demonstrated semiautomated OCT‐guided lens removal with real‐time supervision and intervention.
BackgroundWith the development of laser‐assisted platforms, the outcomes of cataract surgery have been improved by automating several procedures. The cataract‐extraction step continues to be manually performed, but due to deficiencies in sensing capabilities, surgical complications such as posterior capsule rupture and incomplete cataract removal remain.MethodsAn optical coherence tomography (OCT) system is integrated into our intraocular robotic interventional surgical system (IRISS) robot. The OCT images are used for preoperative planning and intraoperative intervention in a series of automated procedures. Real‐time intervention allows surgeons to evaluate the progress and override the operation.ResultsThe developed system was validated by performing lens extraction on 30 postmortem pig eyes. Complete lens extraction was achieved on 25 eyes, and “almost complete” extraction was achieved on the remainder due to an inability to image small lens particles behind the iris. No capsule rupture was found.ConclusionThe IRISS successfully demonstrated semiautomated OCT‐guided lens removal with real‐time supervision and intervention.
With the development of laser-assisted platforms, the outcomes of cataract surgery have been improved by automating several procedures. The cataract-extraction step continues to be manually performed, but due to deficiencies in sensing capabilities, surgical complications such as posterior capsule rupture and incomplete cataract removal remain.BACKGROUNDWith the development of laser-assisted platforms, the outcomes of cataract surgery have been improved by automating several procedures. The cataract-extraction step continues to be manually performed, but due to deficiencies in sensing capabilities, surgical complications such as posterior capsule rupture and incomplete cataract removal remain.An optical coherence tomography (OCT) system is integrated into our intraocular robotic interventional surgical system (IRISS) robot. The OCT images are used for preoperative planning and intraoperative intervention in a series of automated procedures. Real-time intervention allows surgeons to evaluate the progress and override the operation.METHODSAn optical coherence tomography (OCT) system is integrated into our intraocular robotic interventional surgical system (IRISS) robot. The OCT images are used for preoperative planning and intraoperative intervention in a series of automated procedures. Real-time intervention allows surgeons to evaluate the progress and override the operation.The developed system was validated by performing lens extraction on 30 postmortem pig eyes. Complete lens extraction was achieved on 25 eyes, and "almost complete" extraction was achieved on the remainder due to an inability to image small lens particles behind the iris. No capsule rupture was found.RESULTSThe developed system was validated by performing lens extraction on 30 postmortem pig eyes. Complete lens extraction was achieved on 25 eyes, and "almost complete" extraction was achieved on the remainder due to an inability to image small lens particles behind the iris. No capsule rupture was found.The IRISS successfully demonstrated semiautomated OCT-guided lens removal with real-time supervision and intervention.CONCLUSIONThe IRISS successfully demonstrated semiautomated OCT-guided lens removal with real-time supervision and intervention.
With the development of laser-assisted platforms, the outcomes of cataract surgery have been improved by automating several procedures. The cataract-extraction step continues to be manually performed, but due to deficiencies in sensing capabilities, surgical complications such as posterior capsule rupture and incomplete cataract removal remain. An optical coherence tomography (OCT) system is integrated into our intraocular robotic interventional surgical system (IRISS) robot. The OCT images are used for preoperative planning and intraoperative intervention in a series of automated procedures. Real-time intervention allows surgeons to evaluate the progress and override the operation. The developed system was validated by performing lens extraction on 30 postmortem pig eyes. Complete lens extraction was achieved on 25 eyes, and "almost complete" extraction was achieved on the remainder due to an inability to image small lens particles behind the iris. No capsule rupture was found. The IRISS successfully demonstrated semiautomated OCT-guided lens removal with real-time supervision and intervention.
Author Yang, Yan‐Chao
Lee, Yu‐Hsiu
Govetto, Andrea
Clive, Loughlin
Chen, Cheng‐Wei
Tsao, Tsu‐Chin
Soatto, Stefano
Gerber, Matthew J.
Hubschman, Jean‐Pierre
Grundfest, Warren S.
Cheng, Harrison
Francone, Anibal Andrés
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Keywords automated cataract surgery
OCT-guided surgery
robot-assisted ophthalmic surgery
intraocular surgery
cataract extraction
robotic surgery
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Snippet Background With the development of laser‐assisted platforms, the outcomes of cataract surgery have been improved by automating several procedures. The...
With the development of laser-assisted platforms, the outcomes of cataract surgery have been improved by automating several procedures. The cataract-extraction...
BackgroundWith the development of laser‐assisted platforms, the outcomes of cataract surgery have been improved by automating several procedures. The...
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StartPage e1949
SubjectTerms Animals
automated cataract surgery
Automation
CAS
Cataract
cataract extraction
Cataract Extraction - instrumentation
Cataract Extraction - methods
Cataracts
Computer assisted surgery
Equipment Design
Humans
intraocular surgery
Lenses
OCT‐guided surgery
Optical Coherence Tomography
robotic surgery
Robotic Surgical Procedures
robot‐assisted ophthalmic surgery
Rupture
Software
Swine
Tomography, Optical Coherence - instrumentation
Tomography, Optical Coherence - methods
Title Intraocular robotic interventional surgical system (IRISS): Semi‐automated OCT‐guided cataract removal
URI https://onlinelibrary.wiley.com/doi/abs/10.1002%2Frcs.1949
https://www.ncbi.nlm.nih.gov/pubmed/30152081
https://www.proquest.com/docview/2129441648
https://www.proquest.com/docview/2095527700
Volume 14
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