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Towards Dynamic 3D Reconstruction of Hand-Instrument Interaction in Ophthalmic Surgery

NeurIPS 2025 · 3D vision › Human pose estimation · approach: Depth-based hand pose regression · 0 citations (OpenAlex)

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Introduces OphNet-3D, a 7.1M-frame multi-view RGB-D dataset of cataract surgery hand-instrument interactions with an automatic optimization-based annotation pipeline, and baseline models H-Net and OH-Net for bimanual hand and two-hand-two-instrument reconstruction.

Problem

Accurate 3D reconstruction of both hands and surgical instruments in ophthalmic microsurgery is hampered by the lack of realistic, large-scale annotated datasets and reliable annotation tools.

Approach

A multi-stage optimization pipeline fuses multi-view RGB-D observations, a data-driven hand motion prior, biomechanical constraints, and collision-aware interaction losses to auto-label MANO hand meshes and 6-DoF articulated instrument poses; baselines use a collision-aware center-based representation with weak-perspective camera modeling.

Key results

Measured effects reported in the paper

What was changedWhereMeasuredEffect
Use RGB-D input instead of RGB inputH-Net · Bimanual hand pose estimation Val and TestMPJPE (mm): 17.39 -> 15.28; 17.66 -> 15.97Helped
Use RGB-D input instead of RGB inputH-Net · Bimanual hand pose estimation Val and TestMPVPE (mm): 18.72 -> 16.37; 18.66 -> 16.18Helped
Add T-Net (ablation)H-Net · Bimanual hand pose estimation Val and TestMPJPE (mm): 18.57 -> 17.39; 18.98 -> 17.66Helped
Add T-Net (ablation)H-Net · Bimanual hand pose estimation TestMPVPE (mm): 19.14 -> 18.66No clear effect
Add T-Net (ablation)OH-Net · Hand-instrument interaction Val and TestADD-S (%): 66.87 -> 71.52; 65.94 -> 70.79Helped
Add T-Net (ablation)OH-Net · Hand-instrument interaction Val and TestMPJPE (mm): 17.48 -> 17.12; 17.89 -> 17.34Helped
Use RGB-D input instead of RGB inputOH-Net · Hand-instrument interaction Val and TestADD-S (%): 71.52 -> 76.68; 70.79 -> 76.31Helped
Use RGB-D input instead of RGB inputOH-Net · Hand-instrument interaction Val and TestMPJPE (mm): 17.12 -> 15.23; 17.34 -> 15.94Helped
Use RGB-D input instead of RGB inputOH-Net · Hand-instrument interaction Val and TestPen (mm): 5.87 -> 5.14; 5.91 -> 5.18Mixed

Limitations

Experimental setup

Datasets: OphNet-3D

Benchmarks: OphNet-3D bimanual hand pose estimation OphNet-3D two-hand-instrument interaction

Metrics: MPJPE MPVPE MRRTE ADD-S MAE Pen MRRTE(h,o)

Baselines: DIR InterWild IntagHand ACR Hasson et al. HFL-Net HOISDF

Builds on: MANO SAM2 DynHaMR ICP

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