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Published in:

01-03-2014 | Original Article

Telerobotic contact transscleral cyclophotocoagulation of the ciliary body with the diode laser

Authors: David A. Belyea, Michael J. Mines, Wen-Jeng Yao, Jacob A. Dan, Kraig S. Bower

Published in: Journal of Robotic Surgery | Issue 1/2014

Abstract

To assess the feasibility of using the Robotic Slave Micromanipulator Unit (RSMU) to remotely photocoagulate the ciliary body for the treatment of glaucoma with the diode laser. In fresh unoperated enucleated human eyes, the ciliary body was destroyed either with a standard contact transscleral cyclophotocoagulation ‘by hand’ diode laser technique, or remotely using the RSMU. The treated sections were fixed in formalin, paraffin-embedded, and stained with hematoxylin and eosin. Histological evaluation was performed by a masked observer using a standardized grading system based on the amount of damage to the ciliary body to evaluate effectiveness of treatment. Both methods of contact transscleral cyclophotocoagulation showed therapeutic tissue disruption of the ciliary processes and both the non-pigmented and pigmented ciliary epithelium. Histology examination of remote robotic contact transscleral cyclophotocoagulation and “by hand” technique produced similar degrees of ciliary body tissue disruption. Remote diode laser contact transscleral cyclophotocoagulation of the ciliary body in fresh enucleated human eyes is possible with the RSMU. Therapeutic tissue disruption of the ciliary body was achieved. Additional study is necessary to determine the safety and efficacy of robotically-delivered cyclophotocoagulation in live eyes.

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Title: Telerobotic contact transscleral cyclophotocoagulation of the ciliary body with the diode laser
Authors: David A. Belyea
Michael J. Mines
Wen-Jeng Yao
Jacob A. Dan
Kraig S. Bower
Publication date: 01-03-2014
Publisher: Springer London
Published in: Journal of Robotic Surgery / Issue 1/2014
Print ISSN: 1863-2483
Electronic ISSN: 1863-2491
DOI: https://doi.org/10.1007/s11701-013-0424-1

At a glance: The STEP trials

Springer Medicine

Telerobotic contact transscleral cyclophotocoagulation of the ciliary body with the diode laser

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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