학술논문

Accurate Robotic Posterior Capsule Polishing With Tissue Stabilization
Document Type
Periodical
Source
IEEE/ASME Transactions on Mechatronics IEEE/ASME Trans. Mechatron. Mechatronics, IEEE/ASME Transactions on. 29(1):290-300 Feb, 2024
Subject
Power, Energy and Industry Applications
Components, Circuits, Devices and Systems
Surgery
Trajectory
Regulation
Performance evaluation
Lenses
Instruments
Mechatronics
Cataract surgery
learning control
medical devices
optical coherence tomography
robot-assisted minimally invasive surgery
Language
ISSN
1083-4435
1941-014X
Abstract
Within cataract surgery, posterior capsule (PC) polishing is a specific procedure that has demonstrated value toward improving surgical outcomes, yet is not commonly performed by surgeons due to the risk of doing so. In this work, a robotic system is used to perform the polishing procedure through three main contributions: external stabilization of the eye using a dedicated docking device, regulating intraocular pressure through feedback control, and improving the robot-tracking performance to result in an accurate polishing procedure. To validate the methodology, polishing was performed on four ex vivo pig eyes by mimicking the residual lens on the PC with an evenly distributed layer of glue. Fast and accurate polishing results were achieved and complete glue removal was accomplished in all experiments without any PC rupture or other surgical complications.