Use of artificial intelligence in ophthalmology

a narrative review

Autores

Palavras-chave:

Artificial intelligence, Glaucoma, Retinopathy of prematurity, Ophthalmology

Resumo

BACKGROUND: Artificial intelligence (AI) deals with development of algorithms that seek to perceive one’s environment and perform actions that maximize one’s chance of successfully reaching one’s predetermined goals. OBJECTIVE: To provide an overview of the basic principles of AI and its main studies in the fields of glaucoma, retinopathy of prematurity, age-related macular degeneration and diabetic retinopathy. From this perspective, the limitations and potential challenges that have accompanied the implementation and development of this new technology within ophthalmology are presented. DESIGN AND SETTING: Narrative review developed by a research group at the Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil. METHODS: We searched the literature on the main applications of AI within ophthalmology, using the keywords “artificial intelligence”, “diabetic retinopathy”, “macular degeneration age-related”, “glaucoma” and “retinopathy of prematurity,” covering the period from January 1, 2007, to May 3, 2021. We used the MED-LINE database (via PubMed) and the LILACS database (via Virtual Health Library) to identify relevant articles. RESULTS: We retrieved 457 references, of which 47 were considered eligible for intensive review and critical analysis. CONCLUSION: Use of technology, as embodied in AI algorithms, is a way of providing an increasingly accurate service and enhancing scientific research. This forms a source of complement and innovation in relation to the daily skills of ophthalmologists. Thus, AI adds technology to human expertise.

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Biografia do Autor

Thiago Gonçalves dos Santos Martins, Universidade Federal de São Paulo, University of Coimbra

MD, PhD. Researcher, Department of Ophthalmology, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil; Research Fellow, Department of Ophthalmology, Ludwig Maximilians University (LMU), Munich, Germany; and Doctoral Student, University of Coimbra (UC), Coimbra, Portugal.

Paulo Schor, Universidade Federal de São Paulo, University of Coimbra

PhD. Professor, Department of Ophthalmology, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

Luís Guilherme Arneiro Mendes, Universidade Federal de São Paulo, University of Coimbra

PhD. Engineer, Association for Innovation and Biomedical Research on Light and Image (AIBILI), Coimbra, Portugal.

Susan Fowler, Universidade Federal de São Paulo, University of Coimbra

RN, PhD. Certified Neuroscience Registered Nurse (CNRN) and Research Fellow of American Heart Association, Department of Ophthalmology, Orlando Health, Orlando, United States; Researcher, Department of Ophthalmology, Walden University, Minneapolis (MN), United States; and Researcher, Department of Ophthalmology, Thomas Edison State University (TESU), Trenton (NJ), United States.

Rufino Silva, Universidade Federal de São Paulo, University of Coimbra

MD, PhD. Fellow of the European Board of Ophthalmology and Professor, Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine, University of Coimbra, Coimbra, Portugal; Fellow, Department of Ophthalmology, Centro Hospitalar e Universitário de Coimbra (CHUC), Coimbra, Portugal; and Researcher, Association for Innovation and Biomedical Research on Light and Image (AIBILI), Coimbra, Portugal.

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2022-11-03

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1.
Martins TG dos S, Schor P, Mendes LGA, Fowler S, Silva R. Use of artificial intelligence in ophthalmology: a narrative review. Sao Paulo Med J [Internet]. 3º de novembro de 2022 [citado 12º de março de 2025];140(6):837-45. Disponível em: https://periodicosapm.emnuvens.com.br/spmj/article/view/1107

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Seção

Revisão Narrativa