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Evaluation of microsurgical tasks with OCT-guided and/or robot-assisted ophthalmic forceps

Identifieur interne : 000904 ( Main/Exploration ); précédent : 000903; suivant : 000905

Evaluation of microsurgical tasks with OCT-guided and/or robot-assisted ophthalmic forceps

Auteurs : Haoran Yu [États-Unis] ; Jin-Hui Shen [États-Unis] ; Rohan J. Shah [États-Unis] ; Nabil Simaan [États-Unis] ; Karen M. Joos [États-Unis]

Source :

RBID : PMC:4354581

Abstract

Real-time intraocular optical coherence tomography (OCT) visualization of tissues with surgical feedback can enhance retinal surgery. An intraocular 23-gauge B-mode forward-imaging co-planar OCT-forceps, coupling connectors and algorithms were developed to form a unique ophthalmic surgical robotic system. Approach to the surface of a phantom or goat retina by a manual or robotic-controlled forceps, with and without real-time OCT guidance, was performed. Efficiency of lifting phantom membranes was examined. Placing the co-planar OCT imaging probe internal to the surgical tool reduced instrument shadowing and permitted constant tracking. Robotic assistance together with real-time OCT feedback improved depth perception accuracy. The first-generation integrated OCT-forceps was capable of peeling membrane phantoms despite smooth tips.


Url:
DOI: 10.1364/BOE.6.000457
PubMed: 25780736
PubMed Central: 4354581


Affiliations:


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<p>Real-time intraocular optical coherence tomography (OCT) visualization of tissues with surgical feedback can enhance retinal surgery. An intraocular 23-gauge B-mode forward-imaging co-planar OCT-forceps, coupling connectors and algorithms were developed to form a unique ophthalmic surgical robotic system. Approach to the surface of a phantom or goat retina by a manual or robotic-controlled forceps, with and without real-time OCT guidance, was performed. Efficiency of lifting phantom membranes was examined. Placing the co-planar OCT imaging probe internal to the surgical tool reduced instrument shadowing and permitted constant tracking. Robotic assistance together with real-time OCT feedback improved depth perception accuracy. The first-generation integrated OCT-forceps was capable of peeling membrane phantoms despite smooth tips.</p>
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