The court heard the injuries would have been "fairly painful" for the mother-of- two before she bled to death.
"I'd probably favour that it was probably caused by a second, different person," Ong said.
"Having said that I cannot rule out completely that it can be self-inflicted."
The court has heard Boyce, who was right-handed and suffered from arthritis in her fingers, was found touching the knife with her left hand.
Crown prosecutor David Meredith has told the jury they must decide whether Boyce took her own life or if she was killed by Lang in a "jealous rage".
In a triple-zero call played to the court last week, Lang said he found Boyce dead after she had been "upset" the night before and told him to sleep at the other end of the apartment.
"I just woke up this morning and I found my fiancee dead in her bed with a knife in her abdomen," Lang said.
"There's been no forced entry, it looks self-induced."
The court has heard Lang and Boyce fell in love in the 1980s when they met in Texas before she returned to Australia alone to give birth to a son.
The pair then reconnected in June 2013, and Lang claimed they were secretly engaged at the time of Boyce's death despite her telling friends and family she wanted him to leave.
The court has heard Boyce struggled with mental illness, including bipolar disorder, for many years, and was stressed about the sale of her sub penthouse.
- NZN