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Eye-Tracking Technology in Plastic and Reconstructive Surgery: A Systematic Review.

Malke Asaad1, Jacob K Dey2, Ahmad Al-Mouakeh3

  • 1Division of Plastic Surgery, Mayo Clinic, Rochester, MN.

Aesthetic Surgery Journal
|February 4, 2020
PubMed
Summary

Eye-tracking technology objectively assesses visual preferences in plastic surgery. This review highlights its utility in evaluating outcomes for conditions like cleft lip/palate and in pre/postoperative assessments.

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Area of Science:

  • Plastic and Reconstructive Surgery
  • Ophthalmology
  • Human-Computer Interaction

Background:

  • Eye-tracking technology offers objective assessment of visual preferences in plastic surgery.
  • Its application has grown significantly over the last decade.
  • Objective data is crucial for improving surgical outcomes and patient satisfaction.

Purpose of the Study:

  • To conduct a comprehensive review of existing eye-tracking studies in plastic and reconstructive surgery.
  • To identify common applications and findings.
  • To guide future high-quality eye-tracking research in the field.

Main Methods:

  • Systematic review adhering to Preferred Reporting Items for Systematic review and Meta-Analysis (PRISMA) guidelines.
  • Extensive database search from January 1946 to January 2019.
  • Screening of 595 identified articles by two independent reviewers based on inclusion criteria.

Main Results:

  • 23 studies met inclusion criteria, with cleft lip/palate assessment being the most common application (9 studies).
  • Significant differences in fixation patterns were reported in 19 studies comparing conditions versus controls.
  • Seven of nine studies found correlations between gaze patterns and severity indices, attractiveness, or personality ratings.

Conclusions:

  • Eye-tracking technology is a valuable, quantifiable, and objective tool for plastic and reconstructive surgery research.
  • It aids in evaluating surgical outcomes and understanding visual perception.
  • Further research can leverage eye-tracking for improved surgical design and patient care.