Robotic surgery has transformed current practice within specialities such as Head and Neck surgery whereas uptake has been much more limited within ophthalmology [1,2,3]. Robotic assisted surgery offers multiple advantages over conventional surgical techniques, such as high definition 3-dimensional optics, dextrous wristed instruments, motion scaling and tremor filtration.

This case was initially recommended for orbital exenteration however we believe the use of the robotic system facilitated a safe globe-preserving approach. We believe that all the intrinsic benefits of robotic surgery such as enhanced 3-dimensional vision, precision calibrated fine movements & tremor free instrumentation are applicable for operating in the small confines of the orbital cavity. Robotics allowed dissection along the surface of the globe and extraocular muscles under a highly magnified view. Further applications such as finer instrumentation and utilizing the 4th arm as a retractor will improve this emerging field in orbital surgery. To our knowledge this is the first application of robotic assisted surgery within the orbit and may have wider applications within ophthalmology.

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