Evidence map›Paper›PMID 40597830›Full record

ArticleBMC ophthalmology2025

Zero-shot LLM-based visual acuity extraction: a pilot study.

Shrirajh Satheakeerthy, Daniel Jesudason, Bobak Bahrami, Stephen Bacchi, Yong Min Lee, Robert Casson, Michelle Sun, WengOnn Chan

Abstract read
In one paragraph

Article in BMC ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

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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

8 authors.

Shrirajh SatheakeerthySA Health - Central Adelaide Local Health Network, Adelaide, SA, 5000, Australia.
Daniel JesudasonFaculty of Health & Medical Sciences, University of Adelaide, North Terrace, Adelaide, SA, 5000, Australia. daniel.jesudason@student.adelaide.edu.au.ORCID http://orcid.org/0009-0001-7604-0119
Bobak BahramiSA Health - Central Adelaide Local Health Network, Adelaide, SA, 5000, Australia.
Stephen BacchiSA Health - Central Adelaide Local Health Network, Adelaide, SA, 5000, Australia.
Yong Min LeeSA Health - Central Adelaide Local Health Network, Adelaide, SA, 5000, Australia.
Robert CassonSA Health - Central Adelaide Local Health Network, Adelaide, SA, 5000, Australia.
Michelle SunSA Health - Central Adelaide Local Health Network, Adelaide, SA, 5000, Australia.
WengOnn ChanSA Health - Central Adelaide Local Health Network, Adelaide, SA, 5000, Australia.

Funding

Kinghorn Foundation Fullbright Scholarship
6 · The paper itself

Abstract

introductionVisual acuity (VA) and intraocular pressure (IOP) measurements are crucial indicators of ocular health. However, the documentation of these vital parameters in clinical notes often lacks standardisation. The aim of this study was to evaluate the feasibility of using of large language models (LLMs) for automated extraction of VA and IOP data from unstructured ophthalmology clinic notes.

methodOutpatient clinic notes from The Queen Elizabeth Hospital Ophthalmology department were analysed using a 70 billion parameter LLaMA-3 model in a zero-shot learning approach. Nine data points per eye were extracted, including various VA measurements, IOP, and measurement methods. Results were compared to expert-verified ground truth data.

resultsSixty-nine outpatient clinic notes were collected. Locally deployed LLM analysis of clinic notes was feasible. High accuracy was observed in extracting best corrected VA and IOP (above 90% for both eyes). Performance varied for other measurements, with lower accuracy for uncorrected VA (67-75%) and challenges in interpreting ambiguous documentation. The model struggled to identify assumed uncorrected VA cases, highlighting issues which may correlate with documentation clarity.

conclusionThis study has demonstrated that it is feasible to deploy a LLM locally to extract VA data from free-text notes. However, the accuracy of extracted data was lacking in several domains. These performance issues highlight that further research is required to optimise the accuracy of the retrieved data.

Indexed as

Intraocular PressureVisual AcuityFeasibility StudiesHumansPilot ProjectsAIData ExtractionIntraocular PressureLLMVisual AcuityZero-Shot

Identifiers

PMID40597830
PMCPMC12219876

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.