{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T10:49:36Z","timestamp":1791888576287,"version":"4.3.4"},"reference-count":21,"publisher":"Digital Journal of Opthalmology","issue":"3","license":[{"start":{"date-parts":[[2021,7,26]],"date-time":"2021-07-26T00:00:00Z","timestamp":1627257600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Digit J Ophthalmol"],"abstract":"<jats:p>PurposeTo present 2 cases of vitreoretinal surgery performed on a three-dimensional (3D) heads-up display surgical platform with real-time transfer of 3D video over a fifth-generation (5G) cellular network.MethodsAn epiretinal membrane peel and tractional retinal detachment repair performed at Massachusetts Eye and Ear in April 2019 were broadcast live to the Verizon 5G Lab in Cambridge, MA.ResultsBoth surgeries were successful. The heads-up digital surgery platform, combined with a 5G network, allowed telesurgical transfer of high-quality 3D vitreoretinal surgery with minimal degradation. Average end-to-end latency was 250 ms, and average round-trip latency was 16 ms. Fine surgical details were observed remotely by a proctoring surgeon and trainee, with real-time communication via mobile phone.ConclusionsThis pilot study represents the first successful demonstration of vitreoretinal surgery transmitted over a 5G network. Telesurgery has the potential to enhance surgical education, provide intraoperative consultation and guidance from expert proctors, and improve patient outcomes, especially in remote and low-resource areas.<\/jats:p>","DOI":"10.5693\/djo.01.2021.06.003","type":"journal-article","created":{"date-parts":[[2021,12,8]],"date-time":"2021-12-08T15:18:48Z","timestamp":1638976728000},"page":"38-43","source":"Crossref","is-referenced-by-count":27,"title":["Three-dimensional telesurgery and remote proctoring over a 5G network"],"prefix":"10.5693","volume":"27","author":[{"given":"Edward S.","family":"Lu, BA","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent S.","family":"Reppucci, MD","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.K. 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Am J Ophthalmol 2020;216:237-42.","journal-title":"Am J Ophthalmol"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"2093","DOI":"10.2147\/OPTH.S213834","article-title":"The scope of three-dimensional digital visualization systems in vitreoretinal surgery","volume":"13","author":"Agranat","year":"2019","unstructured":"8. Agranat JS, Miller JB, Douglas VP, et al. The scope of three-dimensional digital visualization systems in vitreoretinal surgery. Clin Ophthalmol Auckl NZ 2019;13:2093-6.","journal-title":"Clin Ophthalmol Auckl NZ"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"114","DOI":"10.14245\/ns.1938454.227","article-title":"Telerobotic spinal surgery based on 5G network: the first 12 cases","volume":"17","author":"Tian","year":"2020","unstructured":"9. Tian W, Fan M, Zeng C, Liu Y, He D, Zhang Q. Telerobotic spinal surgery based on 5G network: the first 12 cases. 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J Cataract Refract Surg 2017;43:552-7.","journal-title":"J Cataract Refract Surg"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1167\/tvst.8.3.26","article-title":"Robot-assisted simulated strabismus surgery","volume":"8","author":"Bourcier","year":"2019","unstructured":"14. Bourcier T, Chammas J, Gaucher D, et al. Robot-assisted simulated strabismus surgery. Transl Vis Sci Technol 2019;8:26.","journal-title":"Transl Vis Sci Technol"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1167\/tvst.6.3.21","article-title":"Da Vinci Xi robot-assisted penetrating keratoplasty","volume":"6","author":"Chammas","year":"2017","unstructured":"15. Chammas J, Sauer A, Pizzuto J, et al. Da Vinci Xi robot-assisted penetrating keratoplasty. 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Robotics and ophthalmology: are we there yet? Indian J Ophthalmol 2019;67:988-94.","DOI":"10.4103\/ijo.IJO_1131_18"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"248","DOI":"10.1097\/ICU.0000000000000476","article-title":"Robotic-assisted surgery in ophthalmology","volume":"29","author":"de Smet","year":"2018","unstructured":"19. de Smet MD, Naus GJL, Faridpooya K, Mura M. Robotic-assisted surgery in ophthalmology. Curr Opin Ophthalmol 2018;29:248-53.","journal-title":"Curr Opin Ophthalmol"},{"key":"ref19","unstructured":"20. Molaei A, Abedloo E, de Smet MD, et al. Toward the art of robotic-assisted vitreoretinal surgery. J Ophthalmic Vis Res 2017;12:212-8."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"244","DOI":"10.1016\/j.oret.2018.10.016","article-title":"Comparison of a three-dimensional heads-up display surgical platform with a standard operating microscope for macular surgery","volume":"3","author":"Talcott","year":"2019","unstructured":"21. 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