Purpose: The Preceyes Surgical System (PSS) is a robotic assistive device that may enhance surgical precision. This study assessed pre- and intra-operative times and surgeons' perceptions of robot... Show morePurpose: The Preceyes Surgical System (PSS) is a robotic assistive device that may enhance surgical precision. This study assessed pre- and intra-operative times and surgeons' perceptions of robot-assisted epiretinal membrane peeling (RA-MP). Methods: We analyzed the time requirement of three main tasks: the preparation of the PSS (I), patient preparation (II), and surgery (III). Following surgery, the surgeons were asked questions about their experience. Results: RA-MP was performed in nine eyes of nine patients. Task I required an average time of 12.3 min, initially taking 15 min but decreasing to 6 min in the last surgery. Task II showed a mean time of 47.2 (range of 36-65) min. Task III had a mean time of 72.4 (range of 57-100) min. A mean time of 27.9 (range of 9-46) min was necessary for RA-MP. The responses to the questionnaire revealed a trend towards increasing ease and reduced stress as familiarity with the PSS increased. Conclusions: A substantial reduction in pre- and intra-operative times, decreasing to a total of 115 min, was demonstrated. RA-MP was positively anticipated by the surgeons and led to no hand or arm strain while being more complex than manual MP. Show less
Technological advances in mechatronics makes robotics possible, in vitreoretinal surgery as in other ophthalmic disciplines. With the arrival of the first systems in clinical use, a path forward... Show moreTechnological advances in mechatronics makes robotics possible, in vitreoretinal surgery as in other ophthalmic disciplines. With the arrival of the first systems in clinical use, a path forward has been defined which outlines both benefits and hurdles to be overcome. Show less
Smet, M.D. de; Jonge, N. de; Iannetta, D.; Faridpooya, K.; Oosterhout, E. van; Naus, G.; ... ; Beelen, M.J. 2019