CataractCompDetect: Intraoperative Complication Detection in Cataract Surgery

Fuente: arXiv
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Main Authors: Sachdeva, Bhuvan, Kumari, Sneha, Agarwal, Rudransh, Kumaraswamy, Shalaka, Prasad, Niharika Singri, Mueller, Simon, Lechtenboehmer, Raphael, Wintergerst, Maximilian W. M., Schultz, Thomas, Murali, Kaushik, Jain, Mohit
Format: Preprint
Published: 2025
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author Sachdeva, Bhuvan
Kumari, Sneha
Agarwal, Rudransh
Kumaraswamy, Shalaka
Prasad, Niharika Singri
Mueller, Simon
Lechtenboehmer, Raphael
Wintergerst, Maximilian W. M.
Schultz, Thomas
Murali, Kaushik
Jain, Mohit
author_facet Sachdeva, Bhuvan
Kumari, Sneha
Agarwal, Rudransh
Kumaraswamy, Shalaka
Prasad, Niharika Singri
Mueller, Simon
Lechtenboehmer, Raphael
Wintergerst, Maximilian W. M.
Schultz, Thomas
Murali, Kaushik
Jain, Mohit
contents Cataract surgery is one of the most commonly performed surgeries worldwide, yet intraoperative complications such as iris prolapse, posterior capsule rupture (PCR), and vitreous loss remain major causes of adverse outcomes. Automated detection of such events could enable early warning systems and objective training feedback. In this work, we propose CataractCompDetect, a complication detection framework that combines phase-aware localization, SAM 2-based tracking, complication-specific risk scoring, and vision-language reasoning for final classification. To validate CataractCompDetect, we curate CataComp, the first cataract surgery video dataset annotated for intraoperative complications, comprising 53 surgeries, including 23 with clinical complications. On CataComp, CataractCompDetect achieves an average F1 score of 70.63%, with per-complication performance of 81.8% (Iris Prolapse), 60.87% (PCR), and 69.23% (Vitreous Loss). These results highlight the value of combining structured surgical priors with vision-language reasoning for recognizing rare but high-impact intraoperative events. Our dataset and code will be publicly released upon acceptance.
format Preprint
id arxiv_https___arxiv_org_abs_2511_18968
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle CataractCompDetect: Intraoperative Complication Detection in Cataract Surgery
Sachdeva, Bhuvan
Kumari, Sneha
Agarwal, Rudransh
Kumaraswamy, Shalaka
Prasad, Niharika Singri
Mueller, Simon
Lechtenboehmer, Raphael
Wintergerst, Maximilian W. M.
Schultz, Thomas
Murali, Kaushik
Jain, Mohit
Computer Vision and Pattern Recognition
Cataract surgery is one of the most commonly performed surgeries worldwide, yet intraoperative complications such as iris prolapse, posterior capsule rupture (PCR), and vitreous loss remain major causes of adverse outcomes. Automated detection of such events could enable early warning systems and objective training feedback. In this work, we propose CataractCompDetect, a complication detection framework that combines phase-aware localization, SAM 2-based tracking, complication-specific risk scoring, and vision-language reasoning for final classification. To validate CataractCompDetect, we curate CataComp, the first cataract surgery video dataset annotated for intraoperative complications, comprising 53 surgeries, including 23 with clinical complications. On CataComp, CataractCompDetect achieves an average F1 score of 70.63%, with per-complication performance of 81.8% (Iris Prolapse), 60.87% (PCR), and 69.23% (Vitreous Loss). These results highlight the value of combining structured surgical priors with vision-language reasoning for recognizing rare but high-impact intraoperative events. Our dataset and code will be publicly released upon acceptance.
title CataractCompDetect: Intraoperative Complication Detection in Cataract Surgery
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2511.18968