Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Apr;43(4):552-557.
doi: 10.1016/j.jcrs.2017.02.020.

Robot-assisted simulated cataract surgery

Tristan Bourcier  1 , Jimmy Chammas  2 , Pierre-Henri Becmeur  2 , Arnaud Sauer  2 , David Gaucher  2 , Philippe Liverneaux  2 , Jacques Marescaux  2 , Didier Mutter  2
Affiliations

Robot-assisted simulated cataract surgery

Tristan Bourcier et al. J Cataract Refract Surg. 2017 Apr.

Abstract

Purpose: To evaluate the feasibility of robot-assisted simulated cataract surgery.

Setting: Institut de Recherche Contre les Cancers de l'Appareil Digestif, European Institute of Telesurgery, and Strasbourg University Hospital, Strasbourg, France.

Design: Experimental study.

Methods: Cataract surgeries were performed on a Kitaro cataract wet-lab training system simultaneously using the Da Vinci Xi robotic surgical system and the Whitestar Signature phacoemulsification system. For each procedure, the duration and successful completion of the surgery with or without ocular complications were assessed.

Results: Procedures were successfully performed on 25 lens nuclei. The feasibility of robot-assisted simulated cataract surgery was confirmed. The robotic surgical system provided the intraocular dexterity and operative field visualization necessary to perform the main steps of the phacoemulsification procedure; that is, corneal incisions, capsulorhexis, grooving, cracking, quadrant removal, and irrigation/aspiration of the ophthalmic viscosurgical device (OVD). The intervention of a second surgeon was required for the intraocular injections of OVD, balanced salt solution, and intraocular lenses. The mean operative time was 26.44 minutes ± 5.15 (SD). All lens nuclei were removed. Inadvertent enlargement of the main corneal incision caused by the phaco handpiece was observed in 2 cases.

Conclusion: Experimental robot-assisted cataract surgery was technically feasible using the new robotic surgical system combined with a phacoemulsification machine.

PubMed Disclaimer