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Related Experiment Video

Updated: Jun 9, 2025

Author Spotlight: Revolutionizing Remote Surgery with Augmented Reality and Robotics for Enhanced Precision and Accessibility

Author Spotlight: Revolutionizing Remote Surgery with Augmented Reality and Robotics for Enhanced Precision and Accessibility

Published on: August 9, 2024

A novel training session: mixed reality evisceration surgery webinar.

Li Yen Goh¹, Mustafa Al-Asady², Ernest Iakovlev³

¹Adnexal Service, Moorfields Eye Hospital NHS Foundation Trust, London, UK. Liyen.goh@nhs.net.

Eye (London, England)

|October 28, 2024

Summary

Mixed reality training significantly improved ophthalmologists' knowledge and confidence in performing evisceration surgery. This innovative approach enhances surgical education for this uncommon but vital procedure.

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Area of Science:

Ophthalmology
Surgical Education
Medical Simulation

Background:

Evisceration surgery is a crucial ophthalmological skill, yet infrequently performed, necessitating effective training methods.
Traditional training may not adequately prepare ophthalmologists for evisceration due to its rarity.
Mixed reality (MR) offers immersive training by blending real and virtual environments.

Purpose of the Study:

To enhance participants' anatomical knowledge, procedural steps, and confidence in evisceration surgery.
To evaluate the efficacy of an extended reality (XR) online webinar combined with conventional teaching.

Main Methods:

A 90-minute session included a lecture on evisceration and MR technology (Microsoft HoloLens).
A 3D orbital/globe demonstration and live porcine cadaver evisceration were presented via the MR headset.
Interactive elements included expert commentary, virtual anatomical signposts, and shared on-screen annotations.

Main Results:

Ten doctors (FY1 to Ophthalmology ST3) participated.
Statistically significant improvements were observed in knowledge, understanding of steps, and confidence post-session.
Pre- and post-session questionnaires using 5-point Likert scales demonstrated these gains.

Conclusions:

Mixed reality integrated with conventional teaching provides a valuable initial learning experience for evisceration surgery.
This MR approach can effectively supplement traditional wet-lab or patient-based surgical training.
The study highlights MR's potential to improve surgical competency in uncommon procedures.