国际眼科纵览 ›› 2026, Vol. 50 ›› Issue (1): 1-7.doi: 10. 3760/cma.j.cn115500-20250911-26101

• 综述 •    下一篇

眼科手术机器人的临床应用展望:从稳定操控到人工智能整合

姚海佩 黄建南   

  1. 上海市眼病防治中心/同济大学附属眼科医院眼科 国家眼部疾病临床医学研究中心
    上海市眼科疾病精准诊疗工程技术研究中心,上海 200040
  • 收稿日期:2025-09-11 出版日期:2026-02-22 发布日期:2026-02-22
  • 通讯作者: 黄建南,Email:miller23@126.com
  • 基金资助:
    上海市科技创新行动计划自然科学基金(21ZR1459300)

Clinical applications of ophthalmic surgical robots: from stable manipulation to artificial intelligence integration

Yao Haipei, Huang Jiannan    

  1. Department of Ophthalmology, Shanghai Eye Diseases Prevention & Treatment Center/ Shanghai Eye Hospital, School of Medicine, Tongji University, National Clinical Research Center for Eye Diseases, Shanghai Engineering Research Center of Precise Diagnosis and Treatment of Eye Diseases, Shanghai 200040, China
    Corresponding author:Huang Jiannan, Email: miller23@126.com
  • Received:2025-09-11 Online:2026-02-22 Published:2026-02-22
  • Contact: Huang Jiannan, Email: miller23@126.com
  • Supported by:
    Shanghai Natural Science Foundation under the Shanghai Science and Technology Innovation Action Plan (21ZR1459300)

摘要: 眼科手术因其操作精细、容错率低的特点,对手术器械的精准性和稳定性要求极高。眼科手术机器人作为新技术可能帮助眼科医生做到更加精细化的手术。眼科手术机器人通过远端运动中心机构设计,实现了微米级操作精度,显著减少了人为生理性震颤的影响。目前,眼科手术机器人已应用于眼眶手术、角膜手术、白内障手术及玻璃体视网膜手术等多个领域,代表性系统如MICRON、Preceyes手术系统和IRISS等已在实验室或临床试验中展现出优异性能。眼科手术机器人的未来发展方向包括术中OCT与飞秒激光技术的集成提升手术可视化和稳定性,5G远程手术进一步拓展医疗可及性,以及人工智能的深度融合推动自主化手术策略的发展。然而目前眼科手术机器人仍面临微型化设计、实时反馈延迟、临床验证及医生培训等挑战。

关键词: 机器人手术, 眼科, 远程医疗, 人工智能

Abstract: Ophthalmic surgery, characterized by its delicate operations and low tolerance for error, places extremely high demands on the precision and stability of surgical instruments. As a new technology, ophthalmic surgical robots may assist ophthalmologists in performing more refined surgical procedures. Through the design of Remote Center of Motion (RCM) mechanisms, these robots achieve micron-level operational precision, significantly reducing the impact of physiological hand tremors. Currently, ophthalmic surgical robots have been applied in various fields, including orbital surgery, corneal surgery, cataract surgery, and vitreoretinal surgery. Representative systems such as MICRON, the Preceyes Surgical System, and IRISS have demonstrated excellent performance in laboratory or clinical trials. Future development trends of ophthalmic surgical robots include the integration of intraoperative OCT and femtosecond laser technologies to enhance surgical visualization and stability, the expansion of medical accessibility through 5G telesurgery, and the deep integration of artificial intelligence to advance autonomous surgical strategies. Although ophthalmic surgical robots hold great promise, challenges remain, such as miniaturization design, real-time feedback delays, clinical validation, and surgeon training.

Key words: Robotic surgical procedures, Ophthalmology, Telemedicine, Artificial intelligence