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  1. The technique is being called "a vision of eye surgery in the future." The technique is being called "a vision of eye surgery in the future." air009/Shutterstock In a medical first, surgeons have used a robot to operate inside the human eye, greatly improving the accuracy of a delicate surgery to remove fine membrane growth on the retina. Such growth distorts vision and, if left unchecked, can lead to blindness in the affected eye. Currently, doctors perform this common eye surgery without robots. But given the delicate nature of the retina and the narrowness of the opening in which to operate, even highly skilled surgeons can cut too deeply and cause small amounts of hemorrhaging and scarring, potentially leading to other forms of visual impairment, according to the researchers who tested out the new robotic surgery in a small trial. The pulsing of blood through the surgeon's hands is enough to affect the accuracy of the cut, the researchers said. In the trial, at a hospital in the United Kingdom, surgeons performed the membrane-removal surgery on 12 patients; six of those patients underwent the traditional procedure, and six underwent the new robotic technique. Those patients in the robot group experienced significantly fewer hemorrhages and less damage to the retina, the findings showed. Continue reading
  2. New layer discovered in human eye The discovery will make operations safer and simpler for patients with an injury in this layer. Scientists have discovered a previously unknown layer lurking in the human eye. The newfound body part, dubbed Dua's layer, is a skinny but tough structure measuring just 15 microns thick, where one micron is one-millionth of a meter and more than 25,000 microns equal an inch. It sits at the back of the cornea, the sensitive, transparent tissue at the very front of the human eye that helps to focus incoming light, researchers say. The feature is named for its discoverer, Harminder Dua, a professor of ophthalmology and visual sciences at the University of Nottingham. Dua said in a statement that the finding will not only change what ophthalmologists know about human eye anatomy, but it will also make operations safer and simpler for patients with an injury in this layer. "From a clinical perspective, there are many diseases that affect the back of the cornea, which clinicians across the world are already beginning to relate to the presence, absence or tear in this layer," Dua said in a statement. Dua and colleagues, for example, believe that a tear in the Dua layer is what causes corneal hydrops, which occurs when water from inside the eye rushes in and leads to a fluid buildup in the cornea. This phenomenon is seen in patients with keratoconus, a degenerative eye disorder that causes the cornea to take on a cone shape. Dua's layer adds to the five previously known layers of the cornea: the corneal epithelium at the very front, followed by Bowman's layer, the corneal stroma, Descemet's membrane and the corneal endothelium at the very back. Dua and colleagues found the new layer between the corneal stroma and Descemet's membrane through corneal transplants and grafts on eyes donated for research. They injected tiny air bubbles to separate the different layers of the cornea and scanned each using an electron microscope. The research was detailed in the journal Ophthalmology. LiveScience
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