Robotic surgery is emerging as a transformative technology in ophthalmology, offering unparalleled precision, stability, and dexterity in delicate ocular procedures. The integration of robotics into ophthalmic surgery aims to overcome the inherent limitations of the human hand, such as tremor and limited range of motion, which are critical in microsurgical environments. Robotic systems, such as the da Vinci Surgical System and specialized ophthalmic robots like the PRECEYES Surgical System, enable surgeons to perform complex maneuvers with enhanced control, facilitating procedures such as retinal membrane peeling, subretinal injections, and precise suturing. These advancements contribute to improved surgical outcomes, reduced complication rates, and expanded treatment possibilities for challenging cases. Early clinical studies demonstrate the feasibility and safety of robotic assistance in ophthalmic surgeries, with promising results in terms of accuracy and patient recovery. However, widespread adoption faces challenges including high costs, steep learning curves, and the need for further technological refinement tailored to the unique requirements of eye surgery. Ongoing research focuses on miniaturization, haptic feedback integration, and tele-surgical applications, which may further expand the role of robotics in ophthalmology. As technology evolves, robotic surgery has the potential to revolutionize both anterior and posterior segment procedures, setting new standards for safety, reproducibility, and patient outcomes in ophthalmic care. The continued collaboration between engineers, surgeons, and industry partners will be essential to fully realize the benefits and address current limitations, paving the way for the next generation of ophthalmic microsurgery.

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Robotic Surgery

  • Magno Antônio Ferreira,
  • Mauricio Maia,
  • Michel Eid Farah,
  • Marcos Pereira Ávila

摘要

Robotic surgery is emerging as a transformative technology in ophthalmology, offering unparalleled precision, stability, and dexterity in delicate ocular procedures. The integration of robotics into ophthalmic surgery aims to overcome the inherent limitations of the human hand, such as tremor and limited range of motion, which are critical in microsurgical environments. Robotic systems, such as the da Vinci Surgical System and specialized ophthalmic robots like the PRECEYES Surgical System, enable surgeons to perform complex maneuvers with enhanced control, facilitating procedures such as retinal membrane peeling, subretinal injections, and precise suturing. These advancements contribute to improved surgical outcomes, reduced complication rates, and expanded treatment possibilities for challenging cases. Early clinical studies demonstrate the feasibility and safety of robotic assistance in ophthalmic surgeries, with promising results in terms of accuracy and patient recovery. However, widespread adoption faces challenges including high costs, steep learning curves, and the need for further technological refinement tailored to the unique requirements of eye surgery. Ongoing research focuses on miniaturization, haptic feedback integration, and tele-surgical applications, which may further expand the role of robotics in ophthalmology. As technology evolves, robotic surgery has the potential to revolutionize both anterior and posterior segment procedures, setting new standards for safety, reproducibility, and patient outcomes in ophthalmic care. The continued collaboration between engineers, surgeons, and industry partners will be essential to fully realize the benefits and address current limitations, paving the way for the next generation of ophthalmic microsurgery.