Impact of extended reality (XR) simulation on ophthalmology training outcomes: an updated systematic review and meta-analysis - Report - MDSpire

Impact of extended reality (XR) simulation on ophthalmology training outcomes: an updated systematic review and meta-analysis

  • By

  • Yuxi Jiang

  • Shengfang Ge

  • Bilian Ke

  • May 1, 2026

  • 0 min

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Clinical Report: Effects of Extended Reality Simulation on Training Outcomes in Ophthalmology

Overview

Extended reality (XR) simulation significantly improves surgical training outcomes in ophthalmology, reducing intraoperative complications and enhancing technical performance. This systematic review and meta-analysis of 32 studies involving 1,572 participants provides strong evidence for the integration of XR in ophthalmic education.

Background

The increasing demand for ophthalmic procedures necessitates effective training for residents within limited timeframes. XR simulations offer a safe and consistent method for practicing surgical skills, addressing the challenges posed by traditional training methods. As patient safety and surgical precision become paramount, the need for innovative educational tools like XR is critical in ophthalmology.

Data Highlights

OutcomeOdds Ratio (OR)95% Confidence Interval (CI)P-value
Overall intraoperative complications0.720.63–0.82<0.001
Posterior capsule rupture0.630.49–0.81<0.001
CCC-associated complications0.440.21–0.900.024
Global surgical scoresSMD 1.931.49–2.38<0.001
Operative durationWMD -8.92 min-16.38 to -1.460.019

Key Findings

  • XR education significantly reduced overall intraoperative complications (OR = 0.72).
  • Posterior capsule rupture was reduced (OR = 0.63).
  • Technical execution improved with higher global surgical scores (SMD = 1.93).
  • Operative duration decreased by approximately 9 minutes (WMD = -8.92 min).
  • Trainee confidence generally increased, although perceived realism varied.

Clinical Implications

The integration of XR simulation into ophthalmology training programs can enhance surgical proficiency and reduce complications, ultimately improving patient safety. Training programs should consider adopting XR technologies to meet the evolving demands of surgical education.

Conclusion

XR simulation presents a promising advancement in ophthalmic training, with the potential to significantly improve surgical outcomes and trainee confidence. Further research is warranted to explore its application in broader surgical contexts.

References

  1. Broytman D, Rosenberg E, Ophthalmology Management, 2025 -- Expanding Opportunities in Ophthalmic Surgical Training
  2. Exploring the Role of Simulation Technologies in Neuro-Oncological Surgery, Journal of Neuro-Oncology, 2025
  3. Utilizing Augmented Reality for Fundamental Skills Development in Laparoscopic Surgery, Surgical Endoscopy, 2024
  4. ACGME Program Requirements for Graduate Medical Education in Ophthalmology, 2026
  5. Impact of Extended Reality (XR) Simulation on Ophthalmology Training Outcomes, Frontiers, 2026
  6. Glaucoma Physician — Systematic Review Confirms Omni Effectiveness
  7. Ophthalmology Foundation's Accreditation Guidelines for Training Programs
  8. ACGME Program Requirements for Graduate Medical Education in Ophthalmology
  9. Frontiers | Impact of Extended Reality (XR) Simulation on Ophthalmology Training Outcomes: An Updated Systematic Review and Meta-analysis

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