One of the leading causes of blindness is retinal diseases, and vitro-retinal surgeries are commonly used for treatment. Vitrectomy surgery is defined as removing and replacing vitreous humor and is considered to be one of the most challenging operations in medical science. In this surgery, the surgeons must carefully control the position and force of the small surgical instrument (called vitrector) in a limited workspace with a delicate positioning accuracy of 10μm (which is less than the average amplitude of hand tremors). Furthermore, it is tiresome to maintain the vitrector for a long period of time in this limited workspace due to the physical, visual, and mental fatigue of surgeons. Estimating the distance between the tip of the vitrector and the tissue with microscopic vision is also very challenging, due to lack of sense of touch, and this challenge is more pronounced for novice surgeons.
To address these problems
the use of robotic technology is recommended. Robots can provide high motion accuracy and dexterity needed to perform micro-surgeries, and by providing a comfortable and ergonomic environment for surgeons, surgical efficiency will certainly increase. With the increasing development of microsurgical robots for vitreoretinal eye surgeries, the training process for novice surgeons can also be evaluated.
presented idea in eye surgical training
Surgery robot has been developed in Smartory haptic system for eye surgery training”, which is an eye surgery training system developed to train novice surgeons in vitrectomy surgeries. Smartory haptic consists of two identical robotic consoles, one for the trainer and the other for the novice surgeon.
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