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Related Experiment Video

Updated: Sep 9, 2025

Subjective Refraction Test Using a Smartphone for Vision Screening
05:36

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Refractive error detection in smartphone images via convolutional neural network.

M K Michael Cheung1, Zhongqi Yang2, Xinwei Zhai3

  • 1School of Optometry, The Hong Kong Polytechnic University, Hong Kong, China.

International Journal of Medical Informatics
|August 30, 2025
PubMed
Summary

This study introduces a novel method using convolutional neural network (CNN) models to estimate refractive error from smartphone images. The approach shows potential for accessible and efficient vision screening, particularly for myopia.

Keywords:
Computer-aided healthcareMobile healthcarePhotorefractionVision screening

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Area of Science:

  • Ophthalmology
  • Computer Vision
  • Artificial Intelligence

Background:

  • Refractive error is a common vision impairment that can lead to amblyopia.
  • Current vision screening methods are often inaccessible due to cost and expertise requirements.
  • Smartphone-based analysis offers a potential solution for democratizing vision screening.

Purpose of the Study:

  • To investigate the use of CNN-based models for accurate refractive error estimation.
  • To develop a method for screening visually significant myopic refractive error using smartphone images.
  • To assess the feasibility of an accessible and efficient vision screening tool.

Main Methods:

  • Utilized CNN models (MobileNetV2, EfficientNetB0, ResNet18) pre-trained on ImageNet.
  • Employed data augmentation to address data insufficiency.
  • Explored feature application for refractive error estimation and binary classification.

Main Results:

  • The MobileNetV2 model achieved a mean absolute error of approximately 0.616 for refractive error estimation.
  • Achieved around 85.3% accuracy in binary refractive error detection.
  • Demonstrated promising performance for both estimation and screening applications.

Conclusions:

  • This research is the first to apply CNN models for refractive error estimation and myopia screening.
  • The proposed method demonstrates potential as an accessible and efficient vision screening solution.
  • Smartphone-based CNN analysis could significantly improve global access to vision diagnostics.