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[More than just technology: autonomous AI in ophthalmological care]
1Augenärzte am Theaterwall, Theaterwall 22, 26122, Oldenburg, Deutschland. gronow@augenaerzte-am-theaterwall.de.
Abstract:
Autonomous artificial intelligence (AI) systems are finding their way into ophthalmological care, particularly in imaging diagnostics (fundus photographs, OCT) and screening set-ups; however, the term "autonomous" is used inconsistently in routine clinical practice: in addition to fully automated systems (AI only decisions), care services are emerging in which doctors make the diagnosis but there is no direct doctor-patient contact (asynchronous diagnosis). These forms are ethically relevant because responsibilities, duties of disclosure, trust and the consequences of errors are different from those in a traditional consultation. This article categorizes autonomous care concepts, outlines potential clinical benefits and discusses key ethical and regulatory issues.
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