{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T08:17:57Z","timestamp":1788164277136,"version":"build-2803163510"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Theoretically, robotic surgical platforms offer advantages in precision, tremor elimination, and certain degree of visualization for periocular surgeries. However, there are no published studies where a direct comparative assessment of two independent robotic systems has been performed for the creation of common eyelid incisions. We report, to our knowledge, the first head-to-head comparison of the Medtronic Hugo RAS\u00ae and Intuitive da Vinci\u00ae surgical systems for this purpose.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Six standard periocular incisions were first decided and then performed using both platforms on fresh goat eyelid specimens. A single oculoplastic surgeon, who had also received training in robotic surgical systems, performed the procedures and then rated each incision. The parameters included time to completion, ease of execution, size control, and shape control. A composite quality score was derived. Statistical comparison was performed using the Wilcoxon signed-rank test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      All six incision types were successfully executed on both platforms. Hugo RAS\u00ae and Da Vinci\u00ae achieved nearly identical quality scores across all six incisions (composite mean 9.00 \u00b1 2.00 for both;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 1.00). The durations for incision created were marginally shorter with the Da Vinci (mean 28.5 \u00b1 18.7 seconds vs. 32.0 \u00b1 21.4 seconds; mean difference 3.5 seconds;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.06). Hair-bearing sites required 3.4\u20133.7 times longer than hairless-region incisions on both platforms.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Both platforms demonstrated equivalent technical capability and quality for all six standard eyelid incisions. The Da Vinci\u00ae system showed a nonsignificant trend toward faster execution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_840_26","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T08:00:23Z","timestamp":1788163223000},"page":"1388-1394","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparative evaluation of robotic surgical systems in oculoplastic surgery: A study of Da Vinci versus medtronic hugo RAS in standardized eyelid incisions"],"prefix":"10.4103","volume":"74","author":[{"given":"Deepsekhar","family":"Das","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sahil","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Radhika","family":"Tandon","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mandeep Singh","family":"Bajaj","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumit","family":"Grover","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amlesh","family":"Seth","sequence":"additional","affiliation":[{"name":"Department of Urology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"R1-20260831","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1007\/s11701-023-01801-w","article-title":"Advancements in robotic surgery: Innovations, challenges and future prospects","volume":"18","author":"Chatterjee","year":"2024","journal-title":"J Robot Surg"},{"key":"R2-20260831","first-page":"6","article-title":"Applications of the da Vinci single port (SP) robotic platform in urology: A systematic literature review","volume":"73","author":"Covas","year":"2021","journal-title":"Minerva Urol Nephrol"},{"key":"R3-20260831","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.bpobgyn.2017.04.005","article-title":"Robot-assisted gynaecological cancer surgery-complications and prevention","volume":"45","author":"Tse","year":"2017","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"R4-20260831","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1007\/s11701-024-01838-5","article-title":"A narrative review of the Medtronic Hugo RAS\u00ae and technical comparison with the Intuitive da Vinci robotic surgical system","volume":"18","author":"Ngu","year":"2024","journal-title":"J Robot Surg"},{"key":"R5-20260831","doi-asserted-by":"crossref","first-page":"1870","DOI":"10.1007\/s00266-023-03436-6","article-title":"Upper eyelid blepharoplasty: Surgical techniques and results-systematic review and meta-analysis","volume":"47","author":"Rodrigues","year":"2023","journal-title":"Aesthetic Plast Surg"},{"key":"R6-20260831","doi-asserted-by":"crossref","first-page":"1496","DOI":"10.1038\/s41433-024-02932-6","article-title":"Robotic assisted orbital surgery for resection of advanced periocular tumours-A case series report on the feasibility, safety and outcome","volume":"38","author":"Malik","year":"2024","journal-title":"Eye (Lond)"},{"key":"R7-20260831","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1097\/IAE.0b013e318068de46","article-title":"Feasibility study of intraocular robotic surgery with the da Vinci surgical system","volume":"28","author":"Bourla","year":"2008","journal-title":"Retina"},{"key":"R8-20260831","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1038\/s41551-018-0248-4","article-title":"First-in-human study of the safety and viability of intraocular robotic surgery","volume":"2","author":"Edwards","year":"2018","journal-title":"Nat Biomed Eng"},{"key":"R9-20260831","doi-asserted-by":"crossref","first-page":"311","DOI":"10.4103\/IJO.IJO_1140_26","article-title":"Are we going to be obsolete? Robotic surgery and the evolving role of the ophthalmic surgeon","volume":"6","author":"Das,","year":"2026","journal-title":"Indian J Ophthalmol Case Rep"},{"key":"R10-20260831","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1136\/bjo.2006.096040","article-title":"Robotic ocular surgery","volume":"91","author":"Tsirbas","year":"2007","journal-title":"Br J Ophthalmol"},{"key":"R11-20260831","doi-asserted-by":"crossref","first-page":"1672","DOI":"10.1136\/bjo.2009.157594","article-title":"Robotic microsurgery: Corneal transplantation","volume":"93","author":"Bourges","year":"2009","journal-title":"Br J Ophthalmol"},{"key":"R12-20260831","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1001\/jamaophthalmol.2014.4453","article-title":"Robotically assisted amniotic membrane transplant surgery","volume":"133","author":"Bourcier","year":"2015","journal-title":"JAMA Ophthalmol"},{"key":"R13-20260831","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1167\/tvst.8.3.26","article-title":"Robot-assisted simulated strabismus surgery","volume":"8","author":"Bourcier","year":"2019","journal-title":"Transl Vis Sci Technol"},{"key":"R14-20260831","doi-asserted-by":"crossref","first-page":"972","DOI":"10.1038\/eye.2013.105","article-title":"Robot-assisted intraocular surgery: Development of the IRISS and feasibility studies in an animal model","volume":"27","author":"Rahimy","year":"2013","journal-title":"Eye (Lond)"},{"key":"R15-20260831","doi-asserted-by":"crossref","first-page":"2768","DOI":"10.3390\/jcm12082768","article-title":"Robot-assisted epiretinal membrane peeling: A prospective assessment of pre- and intra-operative times and of surgeons\u2019 subjective perceptions","volume":"12","author":"Turgut","year":"2023","journal-title":"J Clin Med"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_840_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T08:00:25Z","timestamp":1788163225000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_840_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":15,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_840_26","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,31]]},"assertion":[{"value":"2026-03-26","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-15","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}