Evidence map›Paper›PMID 37227761›Full record

ArticleJMIR human factors2023

Optometrists' Perspectives Regarding Artificial Intelligence Aids and Contributing Retinal Images to a Repository: Web-Based Interview Study.

Aurora Constantin, Malcolm Atkinson, Miguel Oscar Bernabeu, Fiona Buckmaster, Baljean Dhillon, Alice McTrusty, Niall Strang, Robin Williams

Open access · goldAbstract read
In one paragraph

Article in JMIR human factors, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
2.1field-weighted citation impact, top 13% of its field
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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Artificial intelligence for age-related macular degeneration diagnosis in Australia: A Novel Qualitative Interview Study.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
    Article
  6. Review
  7. Article
  8. Stakeholder Attitudes on AI Integration in Ophthalmology.Klinische Monatsblatter fur Augenheilkunde · 2025
    Review
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

8 authors at 2 institutions in 1 country.

Aurora ConstantinSchool of Informatics, University of Edinburgh, Edinburgh, United Kingdom.ORCID https://orcid.org/0000-0001-5352-5300
Malcolm AtkinsonSchool of Informatics, University of Edinburgh, Edinburgh, United Kingdom.ORCID https://orcid.org/0000-0003-2632-0013
Miguel Oscar BernabeuCentre for Medical Informatics, Usher Institute, University of Edinburgh, Edinburgh, United Kingdom.ORCID https://orcid.org/0000-0002-6456-3756
Fiona BuckmasterCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.ORCID https://orcid.org/0009-0001-6460-9961
Baljean DhillonCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.ORCID https://orcid.org/0000-0001-5993-0278
Alice McTrustyCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.ORCID https://orcid.org/0000-0003-3726-6956
Niall StrangDepartment of Vision Sciences, Glasgow Caledonian University, Glasgow, United Kingdom.ORCID https://orcid.org/0000-0001-7062-8846
Robin WilliamsSchool of Social and Political Science, University of Edinburgh, Edinburgh, United Kingdom.ORCID https://orcid.org/0000-0002-9044-4611
University of Edinburgh · GBGlasgow Caledonian University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA repository of retinal images for research is being established in Scotland. It will permit researchers to validate, tune, and refine artificial intelligence (AI) decision-support algorithms to accelerate safe deployment in Scottish optometry and beyond. Research demonstrates the potential of AI systems in optometry and ophthalmology, though they are not yet widely adopted.

objectiveIn this study, 18 optometrists were interviewed to (1) identify their expectations and concerns about the national image research repository and their use of AI decision support and (2) gather their suggestions for improving eye health care. The goal was to clarify attitudes among optometrists delivering primary eye care with respect to contributing their patients' images and to using AI assistance. These attitudes are less well studied in primary care contexts. Five ophthalmologists were interviewed to discover their interactions with optometrists.

methodsBetween March and August 2021, 23 semistructured interviews were conducted online lasting for 30-60 minutes. Transcribed and pseudonymized recordings were analyzed using thematic analysis.

resultsAll optometrists supported contributing retinal images to form an extensive and long-running research repository. Our main findings are summarized as follows. Optometrists were willing to share images of their patients' eyes but expressed concern about technical difficulties, lack of standardization, and the effort involved. Those interviewed thought that sharing digital images would improve collaboration between optometrists and ophthalmologists, for example, during referral to secondary health care. Optometrists welcomed an expanded primary care role in diagnosis and management of diseases by exploiting new technologies and anticipated significant health benefits. Optometrists welcomed AI assistance but insisted that it should not reduce their role and responsibilities.

conclusionsOur investigation focusing on optometrists is novel because most similar studies on AI assistance were performed in hospital settings. Our findings are consistent with those of studies with professionals in ophthalmology and other medical disciplines: showing near universal willingness to use AI to improve health care, alongside concerns over training, costs, responsibilities, skill retention, data sharing, and disruptions to professional practices. Our study on optometrists' willingness to contribute images to a research repository introduces a new aspect; they hope that a digital image sharing infrastructure will facilitate service integration.

Indexed as

AIAI decision support toolsAI in optometrydecision supportdigitaldigital toolmedicalperspectives of optometrists and ophthalmologistsrepository of ocular imagesresearchtooluser studies

Identifiers

PMID37227761
PMCPMC10251229
OpenAlexW4366382044

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.