Evidence map›Paper›PMID 41623694›Full record

ArticleBioMed research international2026

Predicting Intraocular Pressure From Glaucoma Patients Receiving Medication Treatment Using Explainable Machine Learning.

Robert T James, Wenke Liu, Gadi Wollstein, Joel S Schuman, David Fenyo, Kevin C Chan

Abstract read
In one paragraph

Article in BioMed research international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Robert T JamesDepartments of Ophthalmology and Radiology, Tech4Health Institute and Neuroscience Institute, New York University Grossman School of Medicine, NYU Langone Health, New York University, New York, New York, USA, nyu.edu.ORCID https://orcid.org/0009-0000-8037-1634
Wenke LiuInstitute for Systems Genetics, New York University Grossman School of Medicine, NYU Langone Health, New York University, New York, New York, USA, nyu.edu.ORCID https://orcid.org/0000-0002-4014-4477
Gadi WollsteinDepartments of Ophthalmology and Radiology, Tech4Health Institute and Neuroscience Institute, New York University Grossman School of Medicine, NYU Langone Health, New York University, New York, New York, USA, nyu.edu.ORCID https://orcid.org/0000-0001-7036-2726
Joel S SchumanDepartments of Ophthalmology and Radiology, Tech4Health Institute and Neuroscience Institute, New York University Grossman School of Medicine, NYU Langone Health, New York University, New York, New York, USA, nyu.edu.ORCID https://orcid.org/0000-0002-8885-3766
David FenyoInstitute for Systems Genetics, New York University Grossman School of Medicine, NYU Langone Health, New York University, New York, New York, USA, nyu.edu.ORCID https://orcid.org/0000-0001-5049-3825
Kevin C ChanDepartments of Ophthalmology and Radiology, Tech4Health Institute and Neuroscience Institute, New York University Grossman School of Medicine, NYU Langone Health, New York University, New York, New York, USA, nyu.edu.ORCID https://orcid.org/0000-0003-4012-7084

Funding

Novel Glaucoma Diagnostics for Structure and Function - Renewal - 1R01EY013178 · NEI · WILLS EYE HEALTH SYSTEM · PI Joel S Schuman · 2000 to 2026
$17.5M
Glaucoma Neuroimaging in Humans and Experimental Animal ModelsR01EY028125 · NEI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CHAN, KEVIN C · 2017 to 2021
$2.2M
Cholinergic Dysfunction in GlaucomaR01EY036070 · NEI · STANFORD UNIVERSITY · PI Kevin C Chan · 2025 to 2026
$1.4M
NEI NIH HHS R01 EY013178NEI NIH HHS R01 EY028125NEI NIH HHS R01 EY036070
6 · The paper itself

Abstract

Glaucoma is a chronic neurodegenerative disease of the visual system, and treatment is targeted toward lowering intraocular pressure. However, some patients fail to respond to treatment and their intraocular pressure levels remain high, risking continuous vision loss. Explainable machine learning provides a mechanism for both individual prognostication and the identification of factors associated with treatment outcome. Here, we used explainable machine learning to predict intraocular pressure for glaucoma patients receiving medication treatment. We accessed the UK Biobank to obtain information on 290 eyes from 161 participants who reported a diagnosis of glaucoma and were receiving treatment. Features were divided into three distinct datasets containing demographic data only, physiometabolic parameters and medication prescription data, and all data combined. We evaluated five machine learning techniques for each feature set in terms of their ability to predict intraocular pressure at a follow-up visit in a classification task. We then calculated SHapley Additive exPlanation (SHAP) values for the best performing model to determine feature importance, stability, and interactions. We found that eXtreme Gradient Boosting (XGBoost) outperformed all other models when trained and tested on the combined feature set with an area under receiver operating characteristic curve (AUC) of 0.708. Insulin-like growth factor 1 (IGF-1), low-density lipoprotein (LDL), and lymphocyte count ranked as the three most important features for this model. LDL and IGF-1 exhibited a low degree of global variability in contribution to the model output across all cross-validation repeats. SHAP values demonstrated the strongest interactions being between LDL and IGF-1. In summary, our studies indicated the importance of blood LDL and IGF-1 in contributing to the outcomes of intraocular pressure lowering treatment and demonstrated the ability of XGBoost to predict these outcomes.

Indexed as

GlaucomaIntraocular PressureMachine LearningAgedBoosting Machine Learning AlgorithmsFemaleHumansInsulin-Like Growth Factor ILipoproteins, LDLMaleMiddle AgedPrediction AlgorithmsPredictive Learning ModelsROC CurveInsulin-Like Growth Factor ILipoproteins, LDLexplainable machine learningglaucomainsulin-like growth factor 1 (IGF-1)intraocular pressure (IOP)low-density lipoprotein (LDL)

Identifiers

PMID41623694
PMCPMC12858418

What OpenQuestion holds

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LicenceCC BY
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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.