Evidence map›Paper›PMID 39539903›Full record

ArticleCureus2024

Evaluation of the Clinical Impact of a Smartphone Application for Cataract Detection.

Siddharam S Janti, Rohit Saluja, Nivedita Tiwari, Raghavendra Rao Kolavai, Kalpana Mali, Abhishek J Arora, Amita Johar, Durgesh Prasad Sahoo, Eereti Sahithi

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

9 authors.

Siddharam S JantiOphthalmology, All India Institute of Medical Sciences, Bibinagar, Bibinagar, IND.
Rohit SalujaBiochemistry, All India Institute of Medical Sciences, Bibinagar, Bibinagar, IND.
Nivedita TiwariOphthalmology, All India Institute of Medical Sciences, Bibinagar, Bibinagar, IND.
Raghavendra Rao KolavaiOphthalmology, All India Institute of Medical Sciences, Bibinagar, Bibinagar, IND.
Kalpana MaliPharmacology, All India Institute of Medical Sciences, Bibinagar, Bibinagar, IND.
Abhishek J AroraRadiodiagnosis, All India Institute of Medical Sciences, Bibinagar, Bibinagar, IND.
Amita JoharArtificial Intelligence and Machine Learning, Samskruti College of Engineering and Technology, Hyderabad, IND.
Durgesh Prasad SahooCommunity and Family Medicine, All India Institute of Medical Sciences, Bibinagar, Bibinagar, IND.
Eereti SahithiOphthalmology, All India Institute of Medical Sciences, Bibinagar, Bibinagar, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Approximately 10 million people in India suffer from bilateral blindness, with cataracts accounting for roughly 70% of these cases. However, there is a severe scarcity of ophthalmologists in India (12,000 across the country), which makes routine cataract screening very difficult, particularly in rural areas. To tackle this problem, we investigated the use of an artificial intelligence (AI)-based application for cataract screening at All India Institute of Medical Sciences (AIIMS), Bibinagar, that can be used by nursing officers and other healthcare professionals as a primary screening tool. Ophthalmologists from AIIMS Bibinagar additionally validate the results of this application. Purpose The aim of this study was to assess the clinical performance of a smartphone-based cataract screening application that uses an AI module to identify cataracts in photos taken with the device's camera. The study compared the application's results with diagnoses made by ophthalmologists using a slit lamp. Methods At AIIMS Bibinagar, 495 patients participated in a prospective clinical trial. The AI-based screening solution examined smartphone images that were taken in accordance with a set protocol to identify whether cataracts were present. The results of the application were then compared with the diagnoses made by ophthalmologists based on slit-lamp tests. Results The study included 990 eye images. The AI screening application demonstrated an overall accuracy of 90.01% for cataract detection. Specific metrics include a sensitivity of 89.50%, specificity of 89.73%, precision of 91.43%, and an F1 score of 90.36%. The positive predictive value (PPV) was approximately 91.3%, based on 485 true positives and 46 false positives. The negative predictive value (NPV) was approximately 87.6%, based on 402 true negatives and 57 false negatives. Conclusions The smartphone-based cataract screening application proves to be an effective tool for community-level cataract screening in remote areas where access to expensive equipment and specialized ophthalmic care is limited. Its high accuracy and efficiency make it a valuable option for low-resource settings and suitable for home screening, particularly in the post-COVID era.

Indexed as

artificial intelligencecataractdeep learningdigital healthsmart phonetelemedicine

Identifiers

PMID39539903
PMCPMC11560082

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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.