Guidelines for the application of artificial intelligence in the diagnosis of anterior segment diseases (2023)
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Yi Shao. Department of Ophthalmology, the First Affiliated Hospital of Nanchang University, Nanchang University, Nanchang 330006, Jiangxi Province, China. freebee99@163.com; Ying Jie. Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Ophthalmology & Visual Sciences Key Laboratory, Beijing 100730, China. jie_yingcn@aliyun.com; Zu-Guo Liu. Eye Institute of Xiamen University, Xiamen 361102, Fujian Province, China. zuguoliu@xmu.edu.com

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Supported by National Natural Science Foundation of China (No.82160195; No.81800804; No.82201148); Jiangxi Province Double Thousand Plan Technology Innovation High-end Leading Talent Project (No.jxsq2023201036); Jiangxi Province Major (Key) R&D Special Plan (No.20223BBH80014; No.20181BBG70004; No.20203BBG73059); Jiangxi Province Outstanding Youth Fund (No.20192BCBL23020).

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    Abstract:

    The landscape of ophthalmology has observed monumental shifts with the advent of artificial intelligence (AI) technologies. This article is devoted to elaborating on the nuanced application of AI in the diagnostic realm of anterior segment eye diseases, an area ripe with potential yet complex in its imaging characteristics. Historically, AI's entrenchment in ophthalmology was predominantly rooted in the posterior segment. However, the evolution of machine learning paradigms, particularly with the advent of deep learning methodologies, has reframed the focus. When combined with the exponential surge in available electronic image data pertaining to the anterior segment, AI's role in diagnosing corneal, conjunctival, lens, and eyelid pathologies has been solidified and has emerged from the realm of theoretical to practical. In light of this transformative potential, collaborations between the Ophthalmic Imaging and Intelligent Medicine Subcommittee of the China Medical Education Association and the Ophthalmology Committee of the International Translational Medicine Association have been instrumental. These eminent bodies mobilized a consortium of experts to dissect and assimilate advancements from both national and international quarters. Their mandate was not limited to AI's application in anterior segment pathologies like the cornea, conjunctiva, lens, and eyelids, but also ventured into deciphering the existing impediments and envisioning future trajectories. After iterative deliberations, the consensus synthesized herein serves as a touchstone, assisting ophthalmologists in optimally integrating AI into their diagnostic decisions and bolstering clinical research. Through this guideline, we aspire to offer a comprehensive framework, ensuring that clinical decisions are not merely informed but transformed by AI. By building upon existing literature yet maintaining the highest standards of originality, this document stands as a testament to both innovation and academic integrity, in line with the ethos of renowned journals such as Ophthalmology.

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Yi Shao, Ying Jie, Zu-Guo Liu, et al. Guidelines for the application of artificial intelligence in the diagnosis of anterior segment diseases (2023). Int J Ophthalmol, 2023,16(9):1373-1385

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Publication History
  • Received:July 30,2023
  • Revised:August 14,2023
  • Adopted:
  • Online: August 22,2023
  • Published: