Evidence map›Paper›PMID 39103788›Full record

ArticleBMC ophthalmology2024

Microinterventional system for robot-assisted gonioscopic surgery- technical feasibility and preclinical evaluation in synthetic eye models.

Gautam Kamthan, Thijs Meenink, Isabella C Morgan, Andrew A Harvey, Jorge L Lince, Jorrit Smit, Maarten Beelen, James C Tsai, Marc D de Smet, Tsontcho Ianchulev

Abstract read
In one paragraph

Article in BMC ophthalmology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

10 authors.

Gautam KamthanNew York Eye and Ear Infirmary of Mount Sinai, Research Center, 310 East 14th St, Ste 500 Building, New York, NY, 10003, USA. gautamkamthanmd@gmail.com.
Thijs MeeninkPreceyes, BV, De Rondom 18, 5612 AP , Eindhoven, Netherlands.
Isabella C MorganNew York Eye and Ear Infirmary of Mount Sinai, Research Center, 310 East 14th St, Ste 500 Building, New York, NY, 10003, USA.
Andrew A HarveyNew York Eye and Ear Infirmary of Mount Sinai, Research Center, 310 East 14th St, Ste 500 Building, New York, NY, 10003, USA.
Jorge L LincePanama Eye Center, Balboa Plaza, Ave. Balboa, Panama, 07127, Panama.
Jorrit SmitPreceyes, BV, De Rondom 18, 5612 AP , Eindhoven, Netherlands.
Maarten BeelenPreceyes, BV, De Rondom 18, 5612 AP , Eindhoven, Netherlands.
James C TsaiNew York Eye and Ear Infirmary of Mount Sinai, Research Center, 310 East 14th St, Ste 500 Building, New York, NY, 10003, USA.
Marc D de SmetNew York Eye and Ear Infirmary of Mount Sinai, Research Center, 310 East 14th St, Ste 500 Building, New York, NY, 10003, USA.
Tsontcho IanchulevNew York Eye and Ear Infirmary of Mount Sinai, Research Center, 310 East 14th St, Ste 500 Building, New York, NY, 10003, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreclinical technical feasibility study of robot-assisted microinvasive glaucoma surgery using a novel ophthalmic robot-assisted surgery system.

methodsFeasibility was assessed in synthetic eye models in two stages: Stage I, nonimplantable robot-assisted goniotomy; and Stage II, robot-assisted stent implantation using a trabecular bypass stent. Robot-assisted interventions were subsequently compared to the manual approach.

resultsStage I: Two surgeons completed 10 trials each of ab-interno sectoral goniotomy with and without robotic assistance for at least 3 clock hours using a standard goniotomy knife and more than 10 clock hours of extended goniotomy using a flexible, guided goniotomy instrument. Stage II: Trabecular bypass stent deployment was successfully achieved in 100% of the attempts with and without robotic assistance. Surgical time was recorded and compared between the robotic-assisted and the manual approach.

conclusionsA system for robot-assisted microinvasive glaucoma surgery can successfully achieve implantable and nonimplantable interventions in the anterior segment. This is the first known demonstration of the feasibility of robot-assisted glaucoma surgery.

Indexed as

Eye, ArtificialGlaucomaGonioscopyMicrosurgeryRobotic Surgical ProceduresFeasibility StudiesModels, AnatomicSoftwareTrabecular MeshworkGlaucomaPrecisionRobotTremor

Identifiers

PMID39103788
PMCPMC11299419

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Registered trials

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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.