Case Study

Improving learning outcomes on Operating Room skills

A leading healthcare institution who specializes in eye care surgery wanted to improve time-to-competency for its trainee surgeons on small-incision cataract surgery (SICS) 


A mission to deliver surgical training to ophthalmologists to perform small-incision cataract surgery (SICS) safely and efficiently

Medical education is undergoing continual change as is the practice. Cutting-edge technology and and high-tech medical instruments are critical components of wholistic treatment of various medical interventions.

One of our clients, a leading eye care provider took on a mission to accelerate time-to-readiness of trainee surgeons on surgical procedures through simulated small-incision cataract surgery (SICS), approached us to a technology-first training solution that provides a safe environment to practice and achieve learning efficacy at the shortest duration possible. 

Experiential learning labs

Practicing ophthalmic surgical skills through Virtual Reality simulations with harware integration


It is estimated that about 36 million people suffer from various forms of blindness around the world of which Cataract is known to be the most common cause of blindness contributing to 35% of the causes. Small-incision cataract surgery (SICS) an affordable procedure which is accepted worldwide as an intervention that can return vision to the millions affected.

However, surgical competence is a long journey and is often based on Dreyfus model of skills acquisition and expertise, where a trainee surgeon has to spend considerable time in operating rooms observing and learning before they could become competent enough to perform procedures independently, and move on to becoming an expert.


Understanding the need of the training solution the client needed, Virtual Reality (VR) simulation was chosen as the best way forward.

Integra’s team of technology and learning solution experts put in hundreds of hours on research on suitable development frameworks, prototyping, haptic device testing and integration with the simulation.

Using Oculus Rift/Quest with TouchX haptic device and Foot Switch we developed a simulation of approximately 10 minutes duration, which takes a trainee surgeon through seven different steps of the procedure and complete an interactive surgery.

The interactivities involved in this simulation is carried out by the learner from a first person view via Microscopic Output, Dynamic Cut (soft tissue) to provide real-time experience to users, integration with TouchX haptic device and Foot Witch hardware and an Autorun 3D video (stereoscopic) version targeting TV / large displays, with audio & OST.

This app was developed in a way which can be easily customized to other platforms as well.

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