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 in | The international journal of medical robotics + computer assisted surgery Vol. 14; no. 6; pp. e1949 - n/a |
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Main Authors | , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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. |
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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 |
Author_xml | – sequence: 1 givenname: Cheng‐Wei orcidid: 0000-0003-4807-3340 surname: Chen fullname: Chen, Cheng‐Wei organization: University of California, Los Angeles – sequence: 2 givenname: Yu‐Hsiu orcidid: 0000-0003-4363-2051 surname: Lee fullname: Lee, Yu‐Hsiu organization: University of California, Los Angeles – sequence: 3 givenname: Matthew J. orcidid: 0000-0001-9187-4827 surname: Gerber fullname: Gerber, Matthew J. organization: University of California, Los Angeles – sequence: 4 givenname: Harrison surname: Cheng fullname: Cheng, Harrison organization: University of California, Los Angeles – sequence: 5 givenname: Yan‐Chao surname: Yang fullname: Yang, Yan‐Chao organization: University of California, Los Angeles – sequence: 6 givenname: Andrea surname: Govetto fullname: Govetto, Andrea organization: University of California, Los Angeles – sequence: 7 givenname: Anibal Andrés surname: Francone fullname: Francone, Anibal Andrés organization: University of California, Los Angeles – sequence: 8 givenname: Stefano surname: Soatto fullname: Soatto, Stefano organization: University of California, Los Angeles – sequence: 9 givenname: Warren S. surname: Grundfest fullname: Grundfest, Warren S. organization: University of California, Los Angeles – sequence: 10 givenname: Jean‐Pierre surname: Hubschman fullname: Hubschman, Jean‐Pierre organization: University of California, Los Angeles – sequence: 11 givenname: Tsu‐Chin orcidid: 0000-0003-2087-6221 surname: Tsao fullname: Tsao, Tsu‐Chin email: ttsao@ucla.edu organization: University of California, Los Angeles – sequence: 12 givenname: Loughlin surname: Clive fullname: Clive, Loughlin |
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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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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 |
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