Procedural Intelligence for Surgical Clinical Trials

When outcomes vary, what role did delivery play?

DexteraAI uses AI-enabled surgical video analysis to objectively characterize the critical subretinal delivery maneuver in retinal gene and cell therapy trials.

We identify procedural patterns that may help explain complications, delivery variability, imaging findings, and favorable or unfavorable clinical outcomes.

Initial focus: subretinal gene and cell therapy trials, including neovascular AMD, geographic atrophy, and inherited retinal disease.

Overview

Turning surgical video into procedural intelligence

DexteraAI converts routine surgical video into objective procedural biomarkers that help sponsors evaluate whether technical delivery contributed to procedural events, imaging findings, safety signals, and clinical outcomes.

Trial Focus

Subretinal therapeutic trials in retina

DexteraAI's initial focus is retinal gene and cell therapy programs requiring subretinal delivery. These trials involve high-value biologic products, technically demanding surgery, and narrow regulatory and adoption pathways because established intravitreal therapies already exist for major retinal diseases.

Our current offering is retrospective analysis of the critical subretinal delivery maneuver using existing trial video. No additional intraoperative hardware is required.

  • Multi-site, multi-surgeon subretinal therapeutic trials
  • Programs where reflux, retinotomy behavior, bleb formation, or delivery consistency may affect interpretation
  • Retrospective analysis of complications, adverse events, and unexpected outcomes
  • Identification of procedural phenotypes associated with favorable outcomes
  • Phase 1/2 or Phase 2 analysis before pivotal expansion

More on trial focus

WET · NEOVASCULAR LEAKAGE DRY · GEOGRAPHIC ATROPHY WET & DRY AMD · PIVOTAL PROGRAMS
Wet AMD Dry AMD
Use Cases

How DexteraAI can support a trial program

Current use centers on retrospective analysis; validated findings can inform later-stage development.

Unexpected outcomes

Objective procedural review

Assess whether a complication or unexpected result occurred with a distinctive procedural phenotype compared with similar uncomplicated cases.

Favorable outcomes

Identify successful procedural phenotypes

Determine whether favorable cases share reproducible delivery characteristics.

Before pivotal expansion

Retrospective trial analysis

Test whether candidate procedural biomarkers are associated with sponsor-defined safety, imaging, or clinical endpoints.

Potential future application

Reduce procedural variability

Use validated findings to inform training, device selection, workflow refinement, and prospective trial design.

Make subretinal delivery objectively measurable

Whether you are evaluating a completed trial or planning the next phase, DexteraAI can quantify the critical delivery maneuver and compare it with sponsor-defined procedural, imaging, safety, and clinical endpoints.