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Robotic Surgery of the Ocular Surface

This study is currently recruiting participants.
Verified September 2017 by University Hospital, Strasbourg, France
Sponsor:
ClinicalTrials.gov Identifier:
NCT02116062
First Posted: April 16, 2014
Last Update Posted: September 8, 2017
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
Information provided by (Responsible Party):
University Hospital, Strasbourg, France
  Purpose
The introduction of surgical robots in the OR revolutionized a number of specialties (i. e. urology, gynecology, digestive surgery). Robots are currently used in many situations and the list of appropriate indications is growing rapidly. There are many potential advantages of robotics in eye surgery such as increased precision and maneuverability, better ergonomics, improved patient access to surgeons and surgical training. As a result, robotics might improve patient care. The Da Vinci© robot has been used for 10 years in experimental conditions to suture corneal lacerations, to perform corneal grafts, to remove ocular foreign bodies, lens capsules and vitreous. The authors reported a lack of precision resulting from poor visualization and the absence of microsurgical instruments. These elements were considered to be hurdles to further clinical investigation. The new Da Vinci Si HD© robot has been available since 2009 at the IRCAD center and more recently in Strasbourg University Hospital. It provides greater magnification and better resolution of the operative field than the previous model. We performed since 2012 various ocular surface surgeries on porcine eyes at the IRCAD center. The aim of the present trial is to perform the same procedures (amniotic membrane transplantations, pterygium surgeries, corneal grafts) in a clinical setting with the Da Vinci Si HD© system.

Condition Intervention
Keratitis Pterygium Corneal Opacity Corneal Thinning Corneal Perforation Device: 1. Amniotic membrane transplantation on the cornea with the Da Vinci Si HD© robot (Inlay or overlay technique) Device: Pterygium removal and autograft of the conjunctiva with the Da Vinci Si HD© robot (Kenyon technique) Device: Penetrating keratoplasty using Baron trephine and nylon stitches with the Da Vinci Si HD© robot

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Robotic Microsurgery of the Ocular surfaceProspective Human Feasibility Study

Resource links provided by NLM:


Further study details as provided by University Hospital, Strasbourg, France:

Primary Outcome Measures:
  • Respect for different phases of the operating procedure of each intervention. [ Time Frame: At the end of the surgery ]
    Surgeons will check that all steps of the surgery have been done and successfully completed (thanks to a surgery ckeck-list procedure and video tape)


Estimated Enrollment: 15
Actual Study Start Date: June 2014
Estimated Study Completion Date: June 2019
Estimated Primary Completion Date: June 2019 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Amniotic membrane transplantation Device: 1. Amniotic membrane transplantation on the cornea with the Da Vinci Si HD© robot (Inlay or overlay technique)
Pterygium surgery Device: Pterygium removal and autograft of the conjunctiva with the Da Vinci Si HD© robot (Kenyon technique)
Penetrating keratoplasty Device: Penetrating keratoplasty using Baron trephine and nylon stitches with the Da Vinci Si HD© robot

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Adult patient > 18 year-old suffering :

symptomatic pterygium

  • chronic corneal ulceration resistant to medical treatment
  • corneal opacity involving corneal stroma and corneal endothelium
  • corneal thinning
  • corneal perforation

Exclusion Criteria:

  • History of eye surgery
  • psychiatric disease
  • mental deficiency
  • pregnancy
  • nursing mother
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02116062


Contacts
Contact: Geiller Christine 0033388115266

Locations
France
Hôpitaux Universitaires de Strasbourg Recruiting
Strasbourg, France, 67091
Contact: Tristan BOURCIER, MD    +33 369550436 ext 50470    tristan.bourcier@chru-strasbourg.fr   
Principal Investigator: Tristan BOURCIER, MD         
Sponsors and Collaborators
University Hospital, Strasbourg, France
Investigators
Principal Investigator: Bourcier Tristan, PHMD Les Hôpitaux Universitaires de Strasbourg
  More Information

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: University Hospital, Strasbourg, France
ClinicalTrials.gov Identifier: NCT02116062     History of Changes
Other Study ID Numbers: 5540
First Submitted: February 24, 2014
First Posted: April 16, 2014
Last Update Posted: September 8, 2017
Last Verified: September 2017

Additional relevant MeSH terms:
Eye Injuries
Pterygium
Keratitis
Corneal Opacity
Corneal Perforation
Conjunctival Diseases
Eye Diseases
Corneal Diseases
Corneal Injuries
Facial Injuries
Craniocerebral Trauma
Trauma, Nervous System
Nervous System Diseases
Wounds and Injuries


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