Evidence map›Paper›PMID 42145730›Full record

SynthesisFrontiers in medicine2026

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

Yuxi Jiang, Shengfang Ge, Bilian Ke

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Yuxi JiangDepartment of Ophthalmology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Shengfang GeDepartment of Ophthalmology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Bilian KeDepartment of Ophthalmology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Extended reality (XR) simulation offers repeatable, risk-free practice for ophthalmic training. We conducted a systematic review and meta-analysis to quantify its effects on training outcomes. Methods: We searched MEDLINE (PubMed), Embase, Web of Science Core Collection, and Cochrane CENTRAL from inception to February 6, 2026. Risk of bias was assessed using RoB 2 (randomized trials) and ROBINS-I (non-randomized studies), and certainty of evidence was evaluated with GRADE. Statistical analysis was performed using Stata 15. Results: Thirty-two studies (1,572 trainees) were included. XR training significantly reduced overall intraoperative complications (OR = 0.72; 95% CI, 0.63-0.82; Conclusions: Extended reality (XR) simulation training can enhance ophthalmic surgical technical performance and procedural efficiency, reduce the risk of intraoperative complications, and improve trainees' operative confidence. These findings provide an evidence-based foundation for the design and optimization of ophthalmology training curricula. Future studies should further investigate the value of XR technologies in non-cataract procedures and in the development of non-technical skills. Systematic trial registration: https://www.crd.york.ac.uk/prospero/, identifier: CRD420261288204.

Indexed as

augmented realitycataract surgeryextended realitymeta-analysisophthalmic surgical trainingsystematic reviewvirtual reality

Identifiers

PMID42145730
PMCPMC13175883

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.