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

arXiv: https://arxiv.org/abs/2505.17677 · HTML: https://mlsanity.com/paper/2505.17677/

## Key facts

- Cited by 3 papers in the map (data through 14 Oct 2026).
- Builds on 62 of its 96 references that are in the map.
- First posted on arXiv 23 May 2025.

## Builds on (most cited first, 30 of 62)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [PyTorch: An Imperative Style, High-Performance Deep Learning Library](https://mlsanity.com/paper/1912.01703/) (2019)
- [SAM 2: Segment Anything in Images and Videos](https://mlsanity.com/paper/2408.00714/) (2024)
- [MediaPipe: A Framework for Building Perception Pipelines](https://mlsanity.com/paper/1906.08172/) (2019)
- [ViTPose: Simple Vision Transformer Baselines for Human Pose Estimation](https://mlsanity.com/paper/2204.12484/) (2022)
- [Learning joint reconstruction of hands and manipulated objects](https://mlsanity.com/paper/1904.05767/) (2019)
- [DexYCB: A Benchmark for Capturing Hand Grasping of Objects](https://mlsanity.com/paper/2104.04631/) (2021)
- [ARCTIC: A Dataset for Dexterous Bimanual Hand-Object Manipulation](https://mlsanity.com/paper/2204.13662/) (2022)
- [Reconstructing Hands in 3D with Transformers](https://mlsanity.com/paper/2312.05251/) (2023)
- [Understanding Human Hands in Contact at Internet Scale](https://mlsanity.com/paper/2006.06669/) (2020)
- [FreiHAND: A Dataset for Markerless Capture of Hand Pose and Shape from Single RGB Images](https://mlsanity.com/paper/1909.04349/) (2019)
- [H2O: Two Hands Manipulating Objects for First Person Interaction Recognition](https://mlsanity.com/paper/2104.11181/) (2021)
- [InterHand2.6M: A Dataset and Baseline for 3D Interacting Hand Pose Estimation from a Single RGB Image](https://mlsanity.com/paper/2008.09309/) (2020)
- [First-Person Hand Action Benchmark with RGB-D Videos and 3D Hand Pose Annotations](https://mlsanity.com/paper/1704.02463/) (2017)
- [Monocular, One-stage, Regression of Multiple 3D People](https://mlsanity.com/paper/2008.12272/) (2020)
- [Detecting and Recognizing Human-Object Interactions](https://mlsanity.com/paper/1704.07333/) (2017)
- [DPOD: 6D Pose Object Detector and Refiner](https://mlsanity.com/paper/1902.11020/) (2019)
- [ContactPose: A Dataset of Grasps with Object Contact and Hand Pose](https://mlsanity.com/paper/2007.09545/) (2020)
- [Grasping Field: Learning Implicit Representations for Human Grasps](https://mlsanity.com/paper/2008.04451/) (2020)
- [Perceiving 3D Human-Object Spatial Arrangements from a Single Image in the Wild](https://mlsanity.com/paper/2007.15649/) (2020)
- [Reconstructing Hand-Object Interactions in the Wild](https://mlsanity.com/paper/2012.09856/) (2020)
- [H+O: Unified Egocentric Recognition of 3D Hand-Object Poses and Interactions](https://mlsanity.com/paper/1904.05349/) (2019)
- [Semi-Supervised 3D Hand-Object Poses Estimation with Interactions in Time](https://mlsanity.com/paper/2106.05266/) (2021)
- [Rendezvous: Attention Mechanisms for the Recognition of Surgical Action Triplets in Endoscopic Videos](https://mlsanity.com/paper/2109.03223/) (2021)
- [Leveraging Photometric Consistency over Time for Sparsely Supervised Hand-Object Reconstruction](https://mlsanity.com/paper/2004.13449/) (2020)
- [ContactOpt: Optimizing Contact to Improve Grasps](https://mlsanity.com/paper/2104.07267/) (2021)
- [HOT3D: Hand and Object Tracking in 3D from Egocentric Multi-View Videos](https://mlsanity.com/paper/2411.19167/) (2024)
- [Capturing Hands in Action using Discriminative Salient Points and Physics Simulation](https://mlsanity.com/paper/1506.02178/) (2015)
- [Weakly Supervised 3D Hand Pose Estimation via Biomechanical Constraints](https://mlsanity.com/paper/2003.09282/) (2020)
- [What's in your hands? 3D Reconstruction of Generic Objects in Hands](https://mlsanity.com/paper/2204.07153/) (2022)

## Built on by (most cited first, 3 of 3)

- [From AI for Science to Agentic Science: A Survey on Autonomous Scientific Discovery](https://mlsanity.com/paper/2508.14111/) (2025)
- [A Survey of Scientific Large Language Models: From Data Foundations to Agent Frontiers](https://mlsanity.com/paper/2508.21148/) (2025)
- [Project Imaging-X: A Survey of 1000+ Open-Access Medical Imaging Datasets for Foundation Model Development](https://mlsanity.com/paper/2603.27460/) (2026)

## Abstract (arXiv)

Accurate 3D reconstruction of hands and instruments is critical for vision-based analysis of ophthalmic microsurgery, yet progress has been hampered by the lack of realistic, large-scale datasets and reliable annotation tools. In this work, we introduce OphNet-3D, the first extensive RGB-D dynamic 3D reconstruction dataset for ophthalmic surgery, comprising 41 sequences from 40 surgeons and totaling 7.1 million frames, with fine-grained annotations of 12 surgical phases, 10 instrument categories, dense MANO hand meshes, and full 6-DoF instrument poses. To scalably produce high-fidelity labels, we design a multi-stage automatic annotation pipeline that integrates multi-view data observation, data-driven motion prior with cross-view geometric consistency and biomechanical constraints, along with a combination of collision-aware interaction constraints for instrument interactions. Building upon OphNet-3D, we establish two challenging benchmarks-bimanual hand pose estimation and hand-instrument interaction reconstruction-and propose two dedicated architectures: H-Net for dual-hand mesh recovery and OH-Net for joint reconstruction of two-hand-two-instrument interactions. These models leverage a novel spatial reasoning module with weak-perspective camera modeling and collision-aware center-based representation. Both architectures outperform existing methods by substantial margins, achieving improvements of over 2mm in Mean Per Joint Position Error (MPJPE) and up to 23% in ADD-S metrics for hand and instrument reconstruction, respectively.