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Phacoemulsification surgery: stepping into the mixed reality era
Maria Ludovica Ruggeri1,2, Ruggero Tartaro2, Alberto Quarta1
1Ophthalmology Clinic, Department of Neuroscience, Imaging and Clinical Sciences, University G. D'Annunzio Chieti-Pescara, Via dei Vestini 31, 66100, Chieti, Italy.
International Ophthalmology
|August 4, 2026
Summary
Mixed reality headsets enhance cataract surgery safety and efficacy. This innovative tool proved effective in 100 phacoemulsification procedures, with no complications and improved surgeon ergonomics.
Area of Science:
- Ophthalmology
- Surgical Technology
- Medical Devices
Background:
- Cataract surgery, specifically phacoemulsification, is a common intraocular procedure.
- Enhancing surgical precision and surgeon comfort is an ongoing goal in ophthalmic surgery.
Purpose of the Study:
- To evaluate the feasibility of using a mixed reality (MR) headset during phacoemulsification and intraocular lens implantation.
- To assess the safety, efficacy, and intraoperative parameters of MR-assisted cataract surgery.
Main Methods:
- A prospective interventional study involving 100 patients undergoing phacoemulsification.
- Surgery was performed using a mixed reality headset, with pre-operative ophthalmological examination and imaging.
- Outcomes included surgical safety, efficacy, time lag, surgical duration, surgeon strain, and ergonomics (RULA).
Main Results:
- All 100 surgeries (100%) were successful with zero intraoperative complications.
- Mean surgical duration was 14±6 minutes, with a mean time lag of 50 ms.
- No self-reported surgeon strain (SRSS=0) or ergonomic issues (RULA) were observed.
Conclusions:
- Mixed reality technology is a safe and effective tool for phacoemulsification.
- The use of MR headsets represents an innovative advancement in intraocular surgery.
- MR application in cataract surgery improves outcomes and surgeon experience.
