Impact of Refractive Errors on Da Vinci SI Robotic System

To investigate the impact of refractive errors on binocular visual acuity while using the Da Vinci SI robotic system console. Eighty volunteers were examined on the Da Vinci SI robotic system console by using a near vision chart. Refractive errors, anisometropia status, and Fly Stereo Acuity Test sc...

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Bibliographic Details
Published in:Journal of the Society of Laparoendoscopic Surgeons 2020-07, Vol.24 (3), p.e2020.00031
Main Authors: Tuna, Mustafa Bilal, Kilavuzoglu, Ayse Ebru, Mourmouris, Panogiotis, Argun, Omer Burak, Doganca, Tunkut, Obek, Can, Ozisik, Ozan, Kural, Ali Riza
Format: Article
Language:English
Subjects:
Adolescent
Adult
Clinical Competence
Female
Healthy Volunteers
Humans
Male
Medical Errors - prevention & control
Middle Aged
Refractive Errors - diagnosis
Refractive Errors - psychology
Refractive Errors - therapy
Robotic Surgical Procedures
Surgeons
Visual Acuity
Young Adult
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Summary:To investigate the impact of refractive errors on binocular visual acuity while using the Da Vinci SI robotic system console. Eighty volunteers were examined on the Da Vinci SI robotic system console by using a near vision chart. Refractive errors, anisometropia status, and Fly Stereo Acuity Test scores were recorded. Spherical equivalent (SE) were calculated for all volunteers' right and left eyes. Visual acuity was assessed by the logarithm of the minimal angle of resolution (LogMAR) method. Binocular uncorrected and best corrected (with proper contact lens or glasses) LogMAR values of the subjects were recorded. The difference between these values (DiffLogMAR) are affected by different refractive errors. In the myopia and/or astigmatism group, uncorrected SE was found to have significant impact on the DiffLogMAR ( < 0.001) and myopia greater than 1.75 diopter had significantly higher DiffLogMAR values ( < 0.05). Subjects with presbyopia had significantly higher DiffLogMAR values ( < 0.01), and we observed positive correlation between presbyopia and DiffLogMAR values (p = 0.33, < 0.01). The cut off value of presbyopia that correlated the most with DiffLogMAR differences was found to be 1.25 diopter ( < 0.001). In 13 hypermetropic volunteers, we found significant correlation between hypermetropia value and DiffLogMAR (p > 0.7, < 0.01). The statistical analysis between Fly test and SE revealed a significant impact of presbyopia and hypermetropia to the stereotactic view of the subject (p = -0.734, < 0.05). Surgeons suffering from myopia greater than 1.75 diopter, presbyopia greater than 1.25 diopter (D), and hypermetropia regardless of grade must always perform robotic surgeries with the proper correction.
ISSN:1086-8089
1938-3797
DOI:10.4293/JSLS.2020.00031