A surgical lighting system includes a central shaft, a surgical light head, an extension arm, a load balancing arm, and a yoke assembly. The extension arm is pivotably mounted to the central shaft. The load balancing arm is pivotably mounted to the extension arm. The yoke assembly supports the light head for multi-axis movement relative to the load balancing arm. The surgical light head includes a plurality of light emitting elements that are arranged to emit light downward to a region of interest and an optical signal generating component configured to capture data associated with the region of interest and generate an optical signal based on the captured data. Optical fiber cables and rotatable joints transmit the optical signal associated with the captured data from the surgical light head to one or more of the yoke assembly, the load balancing arm, the extension arm, and the central shaft.