Computational attention models could help surgeons manage the visual demands of laparoscopy, but they require dense spatial labels that are difficult to obtain because surgical intent is highly specialized and tacit. Here, we introduce DiffeoAfford, an action-grounded tissue affordance framework that retrospectively derives visual attention supervision from completed surgical procedures. By combining diffeomorphism-constrained tissue tracking with instrument trajectory analysis, DiffeoAfford generates affordance hotspot labels without manual per-frame annotation. A real-time prediction model trained on these labels anticipates relevant surgical regions and enables AffordView, an assistive auto-framing system for laparoscopic visualization. The proposed framework aligns with expert annotations and intraoperative surgeon gaze, and reduces surgeon cognitive workload during real-world evaluations using subjective, physiological, and behavioral measures.
Cognitive workload monitoring is important for adaptive rehabilitation and assistive interfaces, where task difficulty, pacing, and feedback should be adjusted according to the user's cognitive state to avoid overload and under-challenge. Emerging extended reality and robot-assisted rehabilitation environments provide controllable training tasks, but they require unobtrusive sensing methods that can capture rapid ocular dynamics during interaction. Existing eye-movement-based cognitive workload recognition methods mainly rely on frame-based eye trackers, which often suffer from limited temporal resolution and degraded robustness under rapid eye movements. In contrast, event cameras provide microsecond-level temporal resolution, high dynamic range and low latency, making them suitable for capturing fine-grained ocular dynamics. Many previous studies rely on free-viewing or similar paradigms, where gaze locations can vary across tasks. As a result, models may learn associations between gaze-location distributions and cognitive workload, rather than workload-related eye movement characteristics themselves. In this work, we introduce EveLoad, which, to the best of our knowledge, is the first event-based eye-movement dataset with graded cognitive workload annotations, collected from 20 healthy participants under spatially constrained and task-driven conditions using a controlled N-back-guided fixation paradigm. Based on this dataset, we establish a benchmark for cognitive workload recognition with six workload levels and propose a learning framework that encodes spatiotemporal event representations. Experimental results show that our approach achieves an average subject-specific accuracy of 96.36% and 96.13% under mixed random split evaluation. These results suggest that event-based eye movements may provide a useful sensing pathway for future workload-aware rehabilitation.