arXiv AI

Detecting Glaucoma Across Multi-ethnic Myopic and Non-Myopic Populations Using an Uncertainty-Aware Vision Transformer: A Multicentre Model Development and Validation Study

The study developed a Vision Transformer-based deep learning model with uncertainty estimation to detect glaucoma from colour fundus photographs across multi‑ethnic populations, including those with high myopia. Using 56,483 images for training, the model achieved an internal AUROC of 98.7% and maintained high performance (AUROC 86.4–99.6%) on 16 external datasets from eight countries. In high‑myopia eyes, the model outperformed ophthalmologists and matched specialists when full clinical data were available.

arXiv Computer Vision
Sep 23

Interpretable AI plus Handheld, Portable Retinal Photographs: A Low-Cost Glaucoma Screening Solution for West Africa

The study presents an interpretable AI framework for glaucoma screening using low-cost handheld retinal cameras in a West African population. Trained on 681 participants, the system achieved high performance across vessel segmentation, cup/disc segmentation, and optic nerve head feature detection, with classification AUCs of 0.85 for the handheld device and 0.93 for a tabletop camera. The model provides confidence scores and visual explanations to aid clinical interpretation.

By Charis Y. N. Chiang, Tarela Sarimiye, Adeyinka Ashaye, Martin Buist, Michael A. Hauser, Olusola Olawoye, Micha\"el J. A. Girard
arXiv AI
Aug 11

An Agentic AI Framework Overcomes Fundamental Limitations of Large Language Models for Glaucoma Detection from Fundus Photography

arXiv:2608. 07651v1 Announce Type: new Abstract: Large language models (LLMs) show promise in medical image interpretation but suffer from hallucination, limited accuracy, and run-to-run inconsistency.

By Jalil Jalili, Hossein Taghizad, Anuwat Jiravarnsirikul, Christopher Bowd, Akram Belghith, Raheleh Kafieh, Christopher A. Girkin, Sally L. Baxter, Robert N. Weinreb, Linda M. Zangwill, Mark Christopher
arXiv Machine Learning
Jul 7

GlaKG: A Biomarker-Centric Fundus Knowledge Graph for Explainable Glaucoma Diagnosis and Risk Assessment

arXiv:2607. 04673v1 Announce Type: cross Abstract: Glaucoma is a leading cause of irreversible blindness worldwide, yet most automated diagnosis systems rely on opaque deep-learning models that offer little clinical interpretability.

By Cheng Huang, Jia Zhang, Yi Jiang, Yang Liu, Karanjit Kooner, Yadi Liu, Tsengdar Lee, Yang Xie, Wenqi Shi, Guanghua Xiao
arXiv AI
Sep 10

Clinician-Friendly Foundation Models for Ophthalmic Image Diagnostics without Fine-Tuning or Technical Barriers

The paper introduces GlobeReady, a clinician-friendly platform that leverages the RetiGlobe foundation model for ophthalmic image diagnostics without requiring fine-tuning. RetiGlobe was pretrained in two stages: first with self-supervised learning on 38 million synthetic images, then with contrastive learning on 475,845 real image‑text pairs from diverse ethnicities, devices, and regions. GlobeReady was evaluated on 488,448 images from multiple international centers and tested prospectively with 31 ophthalmologists, also exploring domain generalisability, uncertainty quantification, OOD detection, and feature-based case retrieval.

By Meng Wang, Tian Lin, Qingshan Hou, Aidi Lin, Lianyu Wang, Jingcheng Wang, Qingsheng Peng, Truong X. Nguyen, Zhi Da Soh, Xiayin Zhang, Jingyan Yang, Danqi Fang, Ke Zou, Ting Xu, Can Can Xue, Ten Cheer Quek, Qinkai Yu, Minxin Liu, Hui Zhou, Zixuan Xiao, Guiqin He, Huiyu Liang, Tingkun Shi, Man Chen, Zhuangling Lin, Linna Liu, Yuanyuan Peng, Li Jia Chen, Chi Ming Chan, Xiaohong Li, Junren He, Zhirong Xu, Tingbing Fang, Yanli Wang, Qingzhi Wang, Wenyi Hu, Yujie Wang, Li Li, Jiaying Ye, Tonghui Ye, Liang Lyu, Yongjian Lu, Ruoshi Cai, Yiwen Tang, Qiuming Hu, Junhong Chen, Zhenhua Zhang, Cheng Chen, Yitian Zhao, Dianbo Liu, Jianhua Wu, Xinjian Chen, Changqing Zhang, Xiaojun Wu, Triet Thanh Nguyen, Yanda Meng, Yalin Zheng, Daoqiang Zhang, Xiaochun Cao, Yih Chung Tham, Ye Zhang, Ying Han, Alvin L Young, Mary Ho, Carmen K M Chan, Clement C Tham, Zhuoting Zhu, Carol Y. Cheung, Tien Yin Wong, Huazhu Fu, Haoyu Chen, Ching-Yu Cheng
arXiv AI
Sep 25

Deep learning of longitudinal visual fields predicts glaucoma progression rate and identifies fast progressors

Deep learning framework GLAM predicts glaucoma progression rates from longitudinal Humphrey 24‑2 visual field data and five clinical features, achieving a mean absolute error of 0.139 dB yr⁻¹ and an AUC of 0.990 for fast‑progressor detection. Using attention‑based fusion and aleatoric uncertainty, GLAM outperforms a ridge regression baseline by 73.5% in MD‑rate prediction. The model demonstrates that visual field data alone can match multimodal pipelines for progression prognostication.

By Taiabur Rahman, Siddiqur Rahman, Muhammad Moniruzzaman, Ummay Kawsar, Sayedatunnessa Ratna, Shadman Siddique, Rafsan Siddique, Tausif Ahmad, Tahsin Ahmad, Golam Rabbani
arXiv AI
Jun 16

EyeMVP: OCT-Informed Fundus Representation Learning via Paired CFP--OCT Pretraining

arXiv:2606. 15129v1 Announce Type: cross Abstract: Color fundus photography (CFP) is the mainstay for large-scale retinal screening, yet its diagnostic capacity is constrained by the lack of depth-resolved structural information.

By Zhuo Deng, Ruiheng Zhang, Ziheng Zhang, Weihao Gao, Yitong Li, Qian Wang, Lei Shao, Jiaoyue Dong, Zhixi Zeng, Lijian Fang, Haibo Wang, Xiaobin Lin, Tao Liu, Zhicheng Du, Zhengwei Zhang, Lin Yang, Zheng Gong, Xinyu Zhao, Zhenquan Wu, Fang Li, Zhiguang Zhou, Guoming Zhang, Sun Jing, Han Lv, Wenbin We, Lan Ma