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屈光手术中的人工智能

Artificial intelligence in refractive surgery.

作者信息

Hoopes Phillip C, Moin Kayvon A, Moshirfar Majid

机构信息

Ophthalmology, Hoopes Vision Research Center, Hoopes Vision, Draper.

Ophthalmology, John A. Moran Eye Center, University of Utah School of Medicine, Salt Lake City.

出版信息

Curr Opin Ophthalmol. 2025 Jul 1;36(4):271-275. doi: 10.1097/ICU.0000000000001139. Epub 2025 Apr 21.

Abstract

PURPOSE OF REVIEW

Advances in artificial intelligence have integrated into modern medicine decision making and diagnostics. Artificial intelligence in ophthalmology has become more ingrained in refractive surgery because of extensive use of diagnostic modalities including interpretation of anterior segment imaging used in refractive surgery. The role of artificial intelligence has increased to include biometry for the accurate selection of intraocular lenses (IOLs), detection of pathology such as cornea ectasia and keratoconus, sizing of phakic IOLs, as well as surgical decision making for the surgeon and patient. Artificial intelligence will also play a role in education of future medical professionals who will choose refractive surgery as a career.

RECENT FINDINGS

Research regarding artificial intelligence is on the rise. Interest in artificial intelligence for ophthalmology is international with the largest numbers of studies coming from China and the United States of America. During this review, the most common themes encountered included the role of artificial intelligence in the fields of biometry for IOL selection, detection of keratoconus and cornea ectasia, sizing for phakic IOLs and surgical decision making and education.

SUMMARY

Artificial intelligence will become increasingly important in the field of refractive surgery. With advancements in artificial intelligence, machine learning, and deep learning, the safety and efficacy of refractive surgery will improve due to more accurate detection of pathology and more accurate outcomes in the realm of laser vision correction procedures and (IOL) selection.

摘要

综述目的

人工智能的进展已融入现代医学决策和诊断中。由于包括屈光手术中使用的眼前节成像解读在内的诊断方式的广泛应用,眼科人工智能在屈光手术中变得更加根深蒂固。人工智能的作用不断增加,包括用于准确选择人工晶状体(IOL)的生物测量、检测诸如角膜扩张和圆锥角膜等病变、有晶状体眼IOL的尺寸测量,以及为外科医生和患者进行手术决策。人工智能还将在教育未来选择屈光手术作为职业的医学专业人员方面发挥作用。

最新发现

关于人工智能的研究正在兴起。对眼科人工智能的兴趣是国际性的,研究数量最多的是中国和美国。在本次综述期间,遇到的最常见主题包括人工智能在IOL选择的生物测量领域、圆锥角膜和角膜扩张的检测、有晶状体眼IOL的尺寸测量、手术决策和教育方面的作用。

总结

人工智能在屈光手术领域将变得越来越重要。随着人工智能、机器学习和深度学习的进步,屈光手术的安全性和有效性将得到提高,这是因为在激光视力矫正手术和(IOL)选择领域能够更准确地检测病变并获得更准确的结果。

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