ArticleEye (London, England)2018
Intraoperative head drift and eye movement: two under addressed challenges during cataract surgery.
Article in Eye (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A role for music in cataract surgery: a systematic review.International ophthalmology · 2021Pooled it
- Hybrid Parallel-Serial Tool Exchange Robot for Ophthalmic Precision Surgery: Mechanical Design.The international journal of medical robotics + computer assisted surgery : MRCAS · 2026Article
- Head-mounted surgical robots are an enabling technology for subretinal injections.Science robotics · 2025Article
- Patient Perspectives and Concerns Regarding Cataract Surgery and Cataract Surgery Sedation: A Qualitative Study.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Eye-mounting goggles to bridge the gap between benchtop experiments and in vivo robotic eye surgery.Scientific reports · 2023Article
- Twist Technique to Stop Fluid Leakage and Fixate the Eye During Bimanual Cortex Removal in Phacoemulsification.Clinical ophthalmology (Auckland, N.Z.) · 2023Article
- Cost and time resourcing for ophthalmic simulation in the UK: a Royal College of Ophthalmologists' National Survey of regional Simulation Leads in 2021.Eye (London, England) · 2022Article
- Auditory Feedback Effectiveness for Enabling Safe Sclera Force in Robot-Assisted Vitreoretinal Surgery: a Multi-User Study.Proceedings of the ... IEEE/RSJ International Conference on Intelligent Robots and Systems. IEEE/RSJ International Conference on Intelligent Robots and Systems · 2020Article
- Towards securing the sclera against patient involuntary head movement in robotic retinal surgery.RO-MAN ... : the ... IEEE International Symposium on Robot and Human Interactive Communication : proceedings. IEEE International Symposium on Robot and Human Interactive Communication · 2019Article
- Quantifying the real-world cost saving from using surgical adjuncts to prevent complications during cataract surgery.Eye (London, England) · 2018Article
- Head-Mounting Surgical Robots for Passive Compensation of Patient Motion.Journal of medical robotics researchArticle
- Autonomous Needle Navigation in Retinal Microsurgery: Evaluation inIEEE International Conference on Robotics and Automation : ICRA : [proceedings]. IEEE International Conference on Robotics and AutomationArticle
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeTo objectively measure head drift during cataract surgery, and subjectively simulate eye movements and assess impact on surgical technique. MATERIALS AND
methodsTwelve consecutively recorded routine cataract operations in the Tennent Institute of Ophthalmology, Gartnavel General Hospital, Glasgow, were reviewed. The speculum was used as a fixed point and correlated with a superimposed virtual ruler to measure maximum head drift in each direction throughout the operations. To simulate intraoperative eye movement, we attached string to the cataract surgical simulator (Eyesi) eye and manually induced abduction and adduction. A calibrated scale secured to the Eyesi head ensured 5 mm eye movements were consistently created. Ophthalmology trainees performed the continuous curvilinear capsulorhexis (CCC) exercise without and with sequential eye movements. Movements were induced every three seconds. Scores were compared using a paired Student's T-test.
resultsMean head drift in the surgical recordings was 3.1 mm medially (range 2-7 mm), 2.9 mm laterally (range 2-4 mm), 2.6 mm superiorly (range 1-5 mm), and 1.9 mm inferiorly (range 1-4 mm). In 11 of 12 cases, the operating microscope had to be adjusted for head drift. Six junior trainees completed the CCC module on the Eyesi without then with eye movements. After introducing eye movements the mean Eyesi score reduced from 92.7 to 76.9 (P = 0.014), 'roundness of rhexis' score reduced from 89.4 to 57.5 (P = 0.020), and trainees operated 17 s faster (P = 0.016).
conclusionThis study objectively demonstrates the under-reported clinical scenario of head drift during cataract surgery. By manipulating the Eyesi we have shown that eye movements reduce the quality of cataract surgery.
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