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Robotic Assistance for Intraocular Microsurgery: Challenges and Perspectives
Proceedings of the IEEE ( IF 20.6 ) Pub Date : 2022-05-09 , DOI: 10.1109/jproc.2022.3169466
Iulian I Iordachita 1 , Marc D de Smet 2 , Gerrit Naus 3 , Mamoru Mitsuishi 4 , Cameron N Riviere 5
Affiliation  

Intraocular surgery, one of the most challenging discipline of microsurgery, requires sensory and motor skills at the limits of human physiological capabilities combined with tremendously difficult requirements for accuracy and steadiness. Nowadays, robotics combined with advanced imaging has opened conspicuous and significant directions in advancing the field of intraocular microsurgery. Having patient treatment with greater safety and efficiency as the final goal, similar to other medical applications, robotics has a real potential to fundamentally change microsurgery by combining human strengths with computer and sensor-based technology in an information-driven environment. Still in its early stages, robotic assistance for intraocular microsurgery has been accepted with precaution in the operating room and successfully tested in a limited number of clinical trials. However, due to its demonstrated capabilities including hand tremor reduction, haptic feedback, steadiness, enhanced dexterity, micrometer-scale accuracy, and others, microsurgery robotics has evolved as a very promising trend in advancing retinal surgery. This article will analyze the advances in retinal robotic microsurgery, its current drawbacks and limitations, as well as the possible new directions to expand retinal microsurgery to techniques currently beyond human boundaries or infeasible without robotics.

中文翻译:

眼内显微手术的机器人辅助:挑战和前景

眼内手术是显微外科中最具挑战性的学科之一,它需要人类生理能力极限的感觉和运动技能,并且对准确性和稳定性的要求极其困难。如今,机器人技术与先进成像相结合,为眼内显微外科领域的发展开辟了显着且重要的方向。与其他医疗应用类似,机器人技术的最终目标是提高患者治疗的安全性和效率,通过在信息驱动的环境中将人类的优势与计算机和基于传感器的技术相结合,机器人技术具有从根本上改变显微外科手术的真正潜力。仍处于早期阶段,用于眼内显微手术的机器人辅助已在手术室中得到谨慎接受,并在有限数量的临床试验中成功进行了测试。然而,由于其已证明的功能,包括减少手部颤抖、触觉反馈、稳定性、增强灵活性、微米级精度等,显微手术机器人已发展成为推进视网膜手术的一个非常有前途的趋势。本文将分析视网膜机器人显微手术的进展、其当前的缺点和局限性,以及将视网膜显微手术扩展到目前超出人类界限或没有机器人技术无法实现的技术的可能新方向。微米级精度等,显微手术机器人技术已发展成为推进视网膜手术的一个非常有前途的趋势。本文将分析视网膜机器人显微手术的进展、其当前的缺点和局限性,以及将视网膜显微手术扩展到目前超出人类界限或没有机器人技术无法实现的技术的可能新方向。微米级精度等,显微手术机器人技术已发展成为推进视网膜手术的一个非常有前途的趋势。本文将分析视网膜机器人显微手术的进展、其当前的缺点和局限性,以及将视网膜显微手术扩展到目前超出人类界限或没有机器人技术无法实现的技术的可能新方向。
更新日期:2022-05-09
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