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Updated: Jun 14, 2026

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Assessing Binocular Central Visual Field and Binocular Eye Movements in a Dichoptic Viewing Condition
Published on: July 21, 2020
Gaze-contingent perceptually enabled interactions in the operating theatre
Alexandros A Kogkas1, Ara Darzi2, George P Mylonas2
1HARMS Lab, Department of Surgery and Cancer, Imperial College London, St Mary's Hospital, 20 South Wharf Road, 3rd Floor Paterson Centre, London, W21PF, UK. a.kogkas15@imperial.ac.uk.
Summary
This study introduces a new framework using eye-tracking and computer vision to improve surgical safety. The system projects a surgeon's fixation point in 3D space, aiming for a more efficient operating theatre.
Area of Science:
- Medical technology
- Surgical innovation
- Human-computer interaction
Background:
- Operating theatre safety and efficiency are critical challenges in modern surgery.
- Current systems often lack integrated perceptual data, limiting real-time decision-making.
- A need exists for advanced frameworks to enhance surgical performance and patient outcomes.
Purpose of the Study:
- To present core functionalities of a low-cost framework enabling perceptually enabled interaction in the surgical environment.
- To improve surgical outcome and patient safety through integrated information collection and utilization.
- To develop a system that leverages multi-source perceptual data for enhanced surgical awareness.
Main Methods:
- Utilizing the synergy of wearable eye-tracking and Simultaneous Localization and Mapping (SLAM) computer vision.
- Integrating an articulated collaborative robotic arm and laser pointer for 3D spatial projection.
- Demonstrating a core functionality: projecting the surgeon's fixation point in real-time 3D space.
Main Results:
- The system was evaluated using 60 fixations on predefined targets at varying distances.
- The median overall system error was measured at 3.98 cm.
- The real-time potential of the framework was highlighted, indicating its applicability in dynamic surgical settings.
Conclusions:
- This work introduces and experimentally validates core functionalities of a novel surgical framework.
- The developed framework aims to enhance safety and efficiency within the operating theatre.
- Preliminary results show promising accuracy and real-time capabilities for surgical applications.

