Evidence map›Paper›PMID 30689990›Full record

ArticleAmerican journal of ophthalmology2019

A Deep Learning Algorithm to Quantify Neuroretinal Rim Loss From Optic Disc Photographs.

Atalie C Thompson, Alessandro A Jammal, Felipe A Medeiros

Abstract readValidation Study
In one paragraph

Article in American journal of ophthalmology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Genetic discovery using deep learning-derived optic nerve integrity phenotypes.medRxiv : the preprint server for health sciences · 2026
    Article
  3. Artificial Intelligence in Glaucoma Detection and Progression.Advances in ophthalmology and optometry · 2026
    Article
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  11. Artificial intelligence virtual assistants in primary eye care practice.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
    Article
  12. Artificial intelligence in ophthalmology: opportunities, challenges, and ethical considerations.Medical hypothesis, discovery & innovation ophthalmology journal · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Atalie C ThompsonVision, Imaging and Performance (VIP) Laboratory, Duke Eye Center and Department of Ophthalmology, Duke University, Durham, North Carolina, USA.
Alessandro A JammalVision, Imaging and Performance (VIP) Laboratory, Duke Eye Center and Department of Ophthalmology, Duke University, Durham, North Carolina, USA.
Felipe A MedeirosVision, Imaging and Performance (VIP) Laboratory, Duke Eye Center and Department of Ophthalmology, Duke University, Durham, North Carolina, USA. Electronic address: felipe.medeiros@duke.edu.

Funding

Diagnostic Innovations in Glaucoma Study (DIGS): Functional ImpairmentR01EY021818 · NEI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MEDEIROS, FELIPE · 2011 to 2015
$3.4M
The BCI (Brain Computer Interface) Glaucoma Study: Objective Home-Based Detection of Progressive Visual Function Loss in GlaucomaR01EY029885 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ASRANI, SANJAY, MEDEIROS, FELIPE · 2019 to 2022
$2.2M
Development of a Portable Objective Method for Assessment of Visual Field LossR21EY025056 · NEI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI JUNG, TZYY-PING, MEDEIROS, FELIPE · 2015 to 2016
$422k
NEI NIH HHS R01 EY021818NEI NIH HHS R01 EY029885NEI NIH HHS R21 EY025056
6 · The paper itself

Abstract

purposeTo train a deep learning (DL) algorithm that quantifies glaucomatous neuroretinal damage on fundus photographs using the minimum rim width relative to Bruch membrane opening (BMO-MRW) from spectral-domain optical coherence tomography (SDOCT).

designCross-sectional study.

methodsA total of 9282 pairs of optic disc photographs and SDOCT optic nerve head scans from 927 eyes of 490 subjects were randomly divided into the validation plus training (80%) and test sets (20%). A DL convolutional neural network was trained to predict the SDOCT BMO-MRW global and sector values when evaluating optic disc photographs. The predictions of the DL network were compared to the actual SDOCT measurements. The area under the receiver operating curve (AUC) was used to evaluate the ability of the network to discriminate glaucomatous visual field loss from normal eyes.

resultsThe DL predictions of global BMO-MRW from all optic disc photographs in the test set (mean ± standard deviation [SD]: 228.8 ± 63.1 μm) were highly correlated with the observed values from SDOCT (mean ± SD: 226.0 ± 73.8 μm) (Pearson's r = 0.88; R

conclusionsA DL network can be trained to quantify the amount of neuroretinal damage on optic disc photographs using SDOCT BMO-MRW as a reference. This algorithm showed high accuracy for glaucoma detection, and may potentially eliminate the need for human gradings of disc photographs.

Indexed as

Deep LearningAgedAged, 80 and overAlgorithmsArea Under CurveBruch MembraneCross-Sectional StudiesFemaleGlaucoma, Open-AngleHumansIntraocular PressureMaleMiddle AgedNerve FibersOptic DiskOptic Nerve Diseases

Identifiers

PMID30689990
PMCPMC6884088

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.