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Optometrists' Perspectives Regarding Artificial Intelligence Aids and Contributing Retinal Images to a Repository:

Aurora Constantin1, Malcolm Atkinson1, Miguel Oscar Bernabeu2

  • 1School of Informatics, University of Edinburgh, Edinburgh, United Kingdom.

JMIR Human Factors
|May 25, 2023
PubMed
Summary

Optometrists are willing to share retinal images for a national research repository and use artificial intelligence (AI) decision support. They expressed concerns about technicalities but see AI as beneficial for eye care.

Keywords:
AIAI decision support toolsAI in optometrydecision supportdigitaldigital toolmedicalperspectives of optometrists and ophthalmologistsrepository of ocular imagesresearchtooluser studies

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Area of Science:

  • Ophthalmology and Optometry
  • Medical Imaging and Artificial Intelligence

Background:

  • A national repository of retinal images is being established in Scotland to aid in the development and deployment of artificial intelligence (AI) decision-support algorithms.
  • Research highlights the potential of AI in optometry and ophthalmology, yet adoption remains limited.

Purpose of the Study:

  • To identify optometrists' expectations and concerns regarding a national image research repository and AI decision support.
  • To gather optometrists' suggestions for enhancing eye healthcare services.
  • To understand ophthalmologists' interactions with optometrists.

Main Methods:

  • Conducted 23 semi-structured online interviews between March and August 2021.
  • Interview duration ranged from 30 to 60 minutes.
  • Analyzed transcribed and pseudonymized recordings using thematic analysis.

Main Results:

  • Optometrists expressed strong support for contributing retinal images to a research repository.
  • Key concerns included technical difficulties, standardization issues, and the effort required for data sharing.
  • Optometrists anticipate AI will improve collaboration and expand their primary care role in disease diagnosis and management, provided it complements rather than replaces their responsibilities.

Conclusions:

  • This study uniquely focuses on optometrists' perspectives on AI and data sharing in primary care settings.
  • Findings align with other medical disciplines, indicating widespread willingness to adopt AI for improved healthcare, coupled with concerns about training, costs, and professional practice integration.
  • Optometrists view a digital image-sharing infrastructure as a facilitator for better service integration and enhanced patient care.