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Artificial Intelligence Applications in Sickle Cell Retinopathy Imaging: Current Progress, Challenges, and Future
Parim Shah1, Hamza Ahmed Farah1, Daniel J Wisotsky1
1Department of Radiology, Albert Einstein College of Medicine and Montefiore Health System, Bronx, New York, USA.
Journal of Ophthalmology
|February 23, 2026
Summary
Artificial intelligence (AI) shows promise in detecting and monitoring sickle cell retinopathy (SCR), a major cause of vision loss. AI tools can improve diagnostic accuracy and patient outcomes, but further research is needed for widespread clinical use.
Area of Science:
- Ophthalmology
- Medical Imaging
- Artificial Intelligence
Background:
- Sickle cell retinopathy (SCR) is a primary cause of vision loss in sickle cell disease patients.
- Current SCR detection and monitoring face challenges due to complex retinal changes and reliance on expert interpretation.
- Artificial intelligence (AI) has demonstrated expert-level performance in analyzing retinal images for various eye conditions.
Purpose of the Study:
- To review recent advancements in AI applications for sickle cell retinopathy imaging.
- To highlight the potential of AI in improving SCR diagnosis, staging, and monitoring.
- To identify future opportunities for the clinical translation of AI-based tools in SCR management.
Main Methods:
- Systematic literature review adhering to PRISMA guidelines.
- Comprehensive searches conducted in PubMed/MEDLINE, Embase, and Web of Science databases.
- Analysis of studies employing classical machine learning and deep learning algorithms for SCR detection and classification from ophthalmological images.
Main Results:
- Four studies met the inclusion criteria for the review.
- Two studies utilized classical machine learning for SCR classification based on extracted imaging features.
- Four studies employed deep learning algorithms for detecting SCR features in ophthalmological images, with one study differentiating SCR from other retinal diseases.
Conclusions:
- Deep learning holds significant potential for enhancing SCR detection, staging, and monitoring across various imaging modalities.
- Further research is essential to facilitate the clinical adoption of AI-driven SCR diagnostic tools.
- AI-based solutions can potentially improve diagnostic precision, personalize patient care, and enhance outcomes for individuals with sickle cell retinopathy.
Keywords:
AIconvolutional neural networks (CNNs)deep learningfluorescein angiographyfundus photographyoptical coherence tomographyretinal imagingsickle cell disease
