Evidence map›Paper›PMID 42220668›Full record

ArticleCureus2026

Large Language Model-Based Interactive Code Generation for Developing a 3D Eye Movement Schematic.

Ichiro Hamasaki, Keiko Kunimi, Kiyo Shibata, Goseki Toshiaki

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ichiro HamasakiOphthalmology, Lino Eye Clinic, Okayama, JPN.
Keiko KunimiOphthalmology, Kanagawa Dental University Yokohama Clinic, Kanagawa, JPN.
Kiyo ShibataOphthalmology, Lino Eye Clinic, Okayama, JPN.
Goseki ToshiakiOphthalmology, International University of Health and Welfare, Atami Hospital, Shizuoka, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction Understanding the three-dimensional (3D) geometric relationship between extraocular muscles and the globe is essential for strabismus management. Conventional educational tools are static, and existing 3D biomechanical software requires highly specialized skills, making routine clinical use difficult. Furthermore, image-generating artificial intelligence (AI) frequently produces anatomically incorrect outputs (hallucinations). This study aimed to develop a structurally coherent, interactive 3D eye movement schematic as a proof-of-concept, using the coding capabilities of a large language model (LLM). Methods We used an LLM to generate web-based 3D schematic code (HTML and JavaScript/Three.js) exclusively through natural language dialogue. To prevent anatomical errors, we explicitly defined anatomical parameters based on standard literature (e.g., 12-mm scleral radius) and employed mathematical constraints, including quaternions for rotation and spherical linear interpolation for muscle paths, within the prompts. The generated code was rendered in a web browser, and an iterative process of prompt refinement and debugging was conducted until two board-certified ophthalmologists confirmed the schematic's structural validity. Results A functional, interactive 3D eye movement schematic was successfully developed. In our 10-trial evaluation, generating an acceptable schematic required an average of 7.4 prompt inputs per session. While complex spatial instructions had a lower success rate (40%) due to AI hallucinations, iterative prompt repetition and specific local debugging instructions resolved these issues. The final schematic provided a structurally coherent representation of the globe, the four rectus muscles, and the annulus of Zinn. It featured a slider interface enabling real-time, kinematic visualizations of eye rotations, muscle deformations, and optic nerve bending without structural failure. Conclusions Translating anatomical descriptions into mathematical spatial logic via LLMs enables the creation of structurally sound 3D medical schematics. This logical spatial construction approach democratizes the development of interactive educational tools. It allows healthcare providers without programming expertise to intuitively generate customizable 3D educational materials for patient consultations and foundational medical education through natural language dialogue.

Indexed as

artificial intelligencecomputer simulationeye movementslarge language modelsmedical educationstrabismusthree-dimensional imaging

Identifiers

PMID42220668
PMCPMC13215786

What Socratic 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 Socratic graph.