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Advances in machine learning for keratoconus diagnosis.

Zahra J Muhsin1, Rami Qahwaji2, Ibrahim Ghafir1

  • 1Faculty of Engineering and Digital Technologies, University of Bradford, Bradford, BD7 1DP, UK.

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|March 30, 2025
PubMed
Summary

Machine learning (ML) shows promise for diagnosing keratoconus (KC), but a gap exists between research and clinical use. Overcoming challenges in standardization and data access is key for integrating ML into eye care.

Keywords:
Corneal imaging modalitiesDetectionEarly diagnosisOphthalmologySeverity staging

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Area of Science:

  • Ophthalmology
  • Medical Informatics
  • Artificial Intelligence

Background:

  • Keratoconus (KC) diagnosis relies on various clinical and imaging data.
  • Machine learning (ML) offers potential for improving KC detection and staging.
  • A gap persists between academic ML research and its clinical application in ophthalmology.

Purpose of the Study:

  • To review Machine Learning (ML) applications in keratoconus (KC) diagnosis over the last decade.
  • To identify advancements, common methodologies, and challenges in ML for KC.
  • To highlight the gap between ML research and clinical implementation.

Main Methods:

  • Systematic literature search of digital libraries for ML in KC diagnosis.
  • Inclusion/exclusion criteria applied to 62 identified articles.
  • Analysis focused on ML algorithms, imaging modalities, datasets, and KC conditions studied.

Main Results:

  • Supervised classifiers dominate KC diagnosis (97%), with Random Forest most frequent.
  • Pentacam is the leading imaging modality (56%); most studies use local numerical data (91%).
  • Research primarily compares normal vs. keratoconus eyes, with limited focus on KC severity stages (20%).

Conclusions:

  • Lack of consensus on early KC detection standards and severity staging hinders progress.
  • Limited multidisciplinary collaboration and restricted access to public datasets are key obstacles.
  • Further research and roadmap models are needed for clinical integration of ML in KC diagnosis.