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Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
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In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
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Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
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Predicting Glaucoma before Onset Using Deep Learning.

Anshul Thakur1, Michael Goldbaum2, Siamak Yousefi3

  • 1School of Computing and Electrical Engineering, Indian Institute of Technology Mandi, Mandi, Himachal Pradesh, India; Department of Ophthalmology, University of Tennessee Health Science Center, Memphis, Tennessee.

Ophthalmology. Glaucoma
|October 5, 2020
PubMed
Summary
This summary is machine-generated.

Deep learning models show promise in predicting glaucoma years before onset using fundus photos. These AI tools achieved notable accuracy, aiding early detection and intervention for this vision-threatening disease.

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Area of Science:

  • Ophthalmology
  • Artificial Intelligence
  • Medical Imaging

Background:

  • Glaucoma is a leading cause of irreversible blindness worldwide.
  • Early detection of glaucoma is crucial for preventing vision loss.
  • Predictive models can aid in identifying at-risk individuals before significant optic nerve damage occurs.

Purpose of the Study:

  • To evaluate the accuracy of deep learning (DL) models in predicting glaucoma development.
  • To assess the models' ability to forecast disease onset from fundus photographs several years in advance.
  • To analyze the performance of DL algorithms in early glaucoma detection.

Main Methods:

  • Utilized a prospective longitudinal study dataset from the Ocular Hypertension Treatment Study (OHTS).
  • Included 66,721 fundus photographs from 3,272 eyes of 1,636 participants.
  • Trained and validated DL models on 85% of fundus photographs, with final testing on the remaining 15%.

Main Results:

  • The DL model achieved an Area Under the Curve (AUC) of 0.77 for predicting glaucoma 4-7 years before onset.
  • Model accuracy reached 0.88 for predicting glaucoma 1-3 years before onset.
  • High accuracy (0.95) was observed in detecting glaucoma after disease onset.

Conclusions:

  • Deep learning models demonstrate reasonable accuracy in predicting glaucoma development prior to clinical onset.
  • These AI-driven tools offer potential for earlier glaucoma detection and management.
  • Further refinement may be needed to improve detection of cases with visual field abnormalities but without clear glaucomatous optic neuropathy.