Evidence map›Paper›PMID 41153596›Full record

ArticleChildren (Basel, Switzerland)2025

Neural Network-Based Prediction of Post-Operative Visual Outcomes Following Secondary Pediatric Intraocular Lens Implantation.

Andrew Farah, Raheem Remtulla, Robert K Koenekoop

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Andrew FarahFaculty of Medicine and Health Sciences, McGill University, Montreal, QC H3G 2M1, Canada.ORCID 0009-0005-3165-4829
Raheem RemtullaDepartment of Ophthalmology & Visual Sciences, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC H3G 2M1, Canada.
Robert K KoenekoopMcGill University Health Center Research Institute, Montreal, QC H3G 2M1, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo develop a proof-of-concept machine learning (ML) neural network model to predict post-operative visual outcomes in children with congenital cataracts undergoing intraocular lens (IOL) implantation, thereby guiding the optimal timing for IOL insertion. Determining the ideal timing and predicting outcomes for IOL implantation in children remains clinically complex due to variability in eye development and measurement accuracy.

methodsRetrospective analysis using a publicly available dataset from 110 children diagnosed with congenital cataracts, who underwent IOL implantation at the Eye and ENT Hospital of Fudan University. A neural network model with a hidden layer of 10 nodes was developed in MATLAB 2024a using the scaled conjugate gradient algorithm. Input variables included demographic and clinical features; the target was achieving visual acuity greater than 20/40. Performance metrics were evaluated using cross-entropy loss, sensitivity, specificity, and accuracy.

resultsTraining completed after 14 epochs with the test set reaching the highest performance metrics: 88.2% accuracy, 88.9% sensitivity, and 87.5% specificity. ROC curve analysis showed AUC values of 0.942 (training), 0.920 (validation), 0.885 (test), and 0.917 (overall).

conclusionsThe neural network effectively predicted post-operative visual outcomes, offering potential clinical utility in guiding IOL implantation decisions. Despite limitations in dataset diversity, this study lays the foundation for future development of personalized strategies in pediatric cataract care.

Indexed as

artificial intelligencecongenital cataractintraocular lensmachine learningneural networkspediatric ophthalmologyvisual outcomes

Identifiers

PMID41153596
PMCPMC12562337

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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.