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An automatic screening method for strabismus detection based on image processing.

Xilang Huang1, Sang Joon Lee2, Chang Zoo Kim2,3

  • 1Department of Artificial Intelligent Convergence, Pukyong National University, Busan, Korea.

Plos One
|August 3, 2021
PubMed
Summary

An automated method for strabismus screening was developed using facial images. This technique offers a promising solution for remote areas lacking medical access, improving early detection of eye conditions.

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Area of Science:

  • Ophthalmology
  • Computer Vision
  • Medical Imaging

Background:

  • Strabismus screening is crucial for early detection and treatment of eye conditions.
  • Limited access to medical facilities in remote areas hinders timely diagnosis.
  • Automated screening methods can bridge this accessibility gap.

Purpose of the Study:

  • To develop an automated strabismus screening method.
  • To provide a tool for individuals in remote areas with poor medical accessibility.
  • To enable early detection of strabismus through image analysis.

Main Methods:

  • Utilized a convolutional neural network for face and landmark detection.
  • Applied Otsu's binarization and HSV color model to isolate the eye region.
  • Calculated pupil center coordinates and limbus-to-canthus distances for deviation measurement.

Main Results:

  • The method demonstrated significant differences in iris positional similarity between normal and strabismus images (p<0.001).
  • Positional similarity values were 1.073 ± 0.014 for normal and 1.924 ± 0.169 for strabismus images.
  • Validation on 60 images (30 normal, 30 strabismus) confirmed the method's effectiveness.

Conclusions:

  • The proposed automated method is a promising tool for strabismus screening.
  • It offers a viable solution for populations in remote or underserved areas.
  • Facilitates accessible and early detection of strabismus.