Evidence map›Paper›PMID 32009194›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2020

A comparison of robotic and manual surgery for internal limiting membrane peeling.

David A L Maberley, Maarten Beelen, Jorrit Smit, Thijs Meenink, Gerrit Naus, Clemens Wagner, Marc D de Smet

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Development of Teleoperated Robotic System for Remote Intraocular Microsurgery.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  6. Control Modes of Teleoperated Surgical Robotic System's Tools in Ophthalmic Surgery.IEEE transactions on medical robotics and bionics · 2025
    Article
  7. Review
  8. Robotising vitreoretinal surgeries.Eye (London, England) · 2025
    Review
  9. Evaluation of (Shared) Autonomy in Robot-Assisted Vitreoretinal Surgery Using a Surgical Model.The international journal of medical robotics + computer assisted surgery : MRCAS · 2025
    Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Robotic Assistance for Intraocular Microsurgery: Challenges and Perspectives.Proceedings of the IEEE. Institute of Electrical and Electronics Engineers · 2022
    Article
  17. Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

David A L MaberleyDepartment of Ophthalmology and Visual Sciences, The University of British Columbia, Vancouver, British Columbia, Canada. david.maberley@ubc.ca.ORCID https://orcid.org/0000-0001-6237-1964
Maarten BeelenPreceyes B.V., Eindhoven, The Netherlands.
Jorrit SmitPreceyes B.V., Eindhoven, The Netherlands.
Thijs MeeninkPreceyes B.V., Eindhoven, The Netherlands.
Gerrit NausPreceyes B.V., Eindhoven, The Netherlands.
Clemens WagnerVRmagic Holding AG, Mannheim, Germany.
Marc D de SmetPreceyes B.V., Eindhoven, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the Preceyes Surgical Robotic System (Eindhoven, Netherlands) to manual internal limiting membrane (ILM) peeling using the Eyesi surgical simulator (VRmagic, Mannheim, Germany) as the operative platform.

methodsA comparative study was carried out with surgeons initially performing ILM peeling manually and then with the robot. Twenty-three vitreoretinal surgeons agreed to participate and all consented to the use of their surgical data from the Eyesi surgical simulator. Surgeons were given a 5-min demonstration of the devices and were allowed to practice for 10 min before attempting the membrane peel. Initially, the peel was performed manually and afterwards, this was repeated using the robot-controlled forceps. Surgical simulator outcome measures were compared between approaches.

resultsThe average time required for the procedure was 5 min for the manual approach and 9 min with the robot (paired t test, p = 0.002). Intraocular instrument movement was reduced by half with the robot. On average 344 mm was required to complete the ILM peeling with the robot compared with 600 mm using the manual approach (paired t test, p = 0.002). There were fewer macular retinal hemorrhages with the robot: 53 with manual surgery, 32 with the robot (Mann-Whitney U test, p = 0.035). Retinal injuries were eliminated with the robot.

conclusionsIntraocular robotic surgery is still in its infancy and validation work is needed to understand the potential benefits and limitations of emerging technologies. Safety enhancements over current techniques may be possible and could lead to the broader adoption of robotic intraocular surgery in the future.

Indexed as

Visual AcuityBasement MembraneEpiretinal MembraneHumansRobotic Surgical ProceduresTomography, Optical CoherenceTreatment OutcomeVitrectomyComparative trialInternal limiting membrane peelingRobotic surgeryVitreoretinal surgery

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.