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26 February 2025

Study Shows Eye Movement Differences Between Expert And Novice Surgeons

Research reveals significant variations in unconscious control during microsurgical procedures affecting training methods.

A study reveals significant differences in eye movements and unconscious motor control between experienced and novice surgeons during microsurgical procedures.

The ability to master microsurgical techniques is pivotal, particularly as such skills can determine the success of procedures like reattachment of amputated limbs. A new study, published by researchers from Nagoya University Hospital, highlights important distinctions between expert and novice surgeons when performing suturing tasks under the microscope.

This investigation involved nine experienced hand surgeons and six orthopedic surgery residents, with the goal of evaluating how eye tracking and muscle control differ based on experience level. Notably, the study documented significant variations between the two groups concerning gaze patterns, pupil diameter, and hand movements.

Under controlled laboratory conditions, participants were tasked with suturing artificial blood vessels, allowing researchers to objectively analyze eye movements and electromyography readings. Results indicated experts maintained concentrated gaze around the suture area with minimal variance, whereas novices exhibited broader gaze distribution, often fixated on their hands.

The dynamics of eye movement not only reflect surgical precision but also underpin how experience influences unconscious adaptability during complex manipulations. For example, the pupil diameter of expert surgeons demonstrated specific changes corresponding to different phases of the suturing process, indicating greater control under stress.

Studies reveal experts exhibit anticipatory movements—developed through years of training—which enable them to perform procedures with less conscious effort. Conversely, novices relied heavily on conscious thought, resulting in less efficient movements and prolonged suturing times.

Overall, this research sheds light on the nuanced interplay between eye tracking and surgical performance, indicating the potential for enhanced training protocols targeting these unconscious competencies. The outcomes elucidate how gaze analysis and muscle synergy can aid in creating targeted educational frameworks for developing surgical expertise.

Looking forward, integrating such technology and insights could pave the way for more efficient training methods, helping aspiring surgeons reach proficiency more swiftly and effectively.