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Optical Coherence Tomography Versus Optic Disc Photo Assessment in Glaucoma Screening
Luiz Arthur F Beniz1, Veronica P Campos, Felipe A Medeiros
1Department of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL.
Journal of Glaucoma
|March 28, 2024
Summary
Optical coherence tomography (OCT) and optic disc photography offer distinct glaucoma screening benefits. Integrating artificial intelligence (AI) with objective OCT data shows promise for improving large-scale glaucoma detection accuracy.
Area of Science:
- Ophthalmology
- Medical Imaging
- Artificial Intelligence in Healthcare
Background:
- Glaucoma screening is crucial for early detection and prevention of vision loss.
- Optical coherence tomography (OCT) and optic disc photography are key diagnostic tools.
- Each method has unique strengths and limitations impacting screening efficacy.
Purpose of the Study:
- To review and compare the capabilities of OCT and optic disc photography for glaucoma screening.
- To identify the limitations and challenges associated with each screening method.
- To explore the potential of artificial intelligence (AI) in enhancing glaucoma screening.
Main Methods:
- Comprehensive literature review on OCT and optic disc photography in glaucoma screening.
- Analysis of accuracy, feasibility, cost-effectiveness, and technological advancements.
- Evaluation of AI and deep learning applications in diagnostic interpretation.
Main Results:
- OCT offers high accuracy and reproducibility but is limited by cost and portability.
- Optic disc photography is accessible and cost-effective but suffers from subjective interpretation.
- AI shows potential to improve optic disc photo analysis, especially when trained on objective OCT data.
Conclusions:
- Both OCT and optic disc photography are valuable for glaucoma screening but are not interchangeable.
- AI integration, particularly with objective OCT data, may optimize large-scale glaucoma screening programs.
- Addressing challenges like low positive predictive value (PPV) is essential for effective screening.
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