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Artificial Intelligence in Health                                     Perspective on AI in eye care practices




            Table 1. Summary of the systematic review
            Source     Sample size           Objective     Survey type         Findings          Questionnaire
            Scanzera    400 optometrists  Assess the opinions of   Quantitative  Most optometrists (72.0%) believed   Electronic-based
            et al. 38                  optometrists on using AI in   that AI could enhance the practice of
                                       eye care                     optometry.
            Gunasekeran    1,176       Assess the opinions of   Quantitative  Ophthalmologists were open to integrating  Electronic-based
            et al. 39  ophthalmologists  ophthalmologists on using   and   AI as a support tool for managing ocular
                                       AI in four primary ocular   qualitative  conditions.
                                       conditions
            Ho et al. 40  133 optometrists  Assess the opinions of   Quantitative  Optometrists were optimistic about the   Paper-based
                                       optometrists on using AI for   potential application of AI in diagnosing
                                       diagnosing retinal diseases  retinal diseases.
            Constantin    18 optometrists  Assess the perception of   Qualitative  Optometrists were willing to share their   Electronic-based
            et al. 41                  optometrists on utilizing AI   patients' eye images but raised concerns
                                       in primary eye care and their   about technical challenges. They supported
                                       willingness to provide their   AI utilization but emphasized the
                                       patients' ocular scan images   importance of maintaining their role and
                                       to a research repository     responsibilities without diminishment.
            Al-Khaled    170           Assess the perception of   Quantitative  Most respondents (75%) reported that   Electronic-based
            et al. 42  ophthalmologists  ophthalmologists on AI     AI will advance ophthalmic practice, and
                                                                    45% of respondents expressed concern
                                                                    about the technology’s ability to diagnose
                                                                    patients accurately.
            Scheetz    632 healthcare   Assess the present   Quantitative  Most respondents (71%) believed that AI   Electronic-based
            et al. 43  specialists (305   utilization, comprehension,   and   would improve their respective health-care
                       ophthalmologists)  and viewpoints on AI in   qualitative  sectors.
                                       ophthalmology, radiology,
                                       and dermatology
            Valikodath    80           Assess the viewpoints of   Quantitative  Most respondents (70%) were optimistic   Electronic-based
            et al. 44  ophthalmologists  pediatric ophthalmologists on  and   that AI will enhance ophthalmology
                                       utilizing AI in ophthalmology qualitative  practices, while 26% expressed concerns
                                                                    about its potential negative impact on the
                                                                    patient-doctor relationship.
            Alwadani    57 ophthalmologists  Assess the knowledge and   Qualitative   The ophthalmologists had a thorough   Online and
            et al. 45                  awareness of junior and      comprehension of the application of AI in  paper-based
                                       senior ophthalmologists on   the treatment of eye disorders and had a
                                       AI                           positive attitude toward it.
            Abbreviation: AI: Artificial intelligence.

            the optometrists were generally agreeable to utilizing AI   eye care professionals with regard to the aim of their
            technology if it had demonstrated improvements in patient   study. All of the respondents agreed that retinal images
            access  to  healthcare (mean score:  of  4.4  out  of 5).  The   should be contributed to create a comprehensive and long-
            study also reported that optometrists preferred to use AI   lasting research archive. The respondents also recognized
            to obtain an additional opinion after patient consultation   the possible advantages of the research archive and
            rather than at the point of care. This finding illustrates the   anticipated improved collaboration between optometry
            potential of integrating AI technology into the patients’   and ophthalmology, particularly with regard to patient
            therapeutic process to facilitate decision-making with   referrals. However, the respondents also raised concerns
            regard to patient care.                            regarding the perceived effort involved in sharing digital
              Medical images in research archives offer a viable way to   photos, lack of standardization, and technical complexity.
            improve clinical practice in healthcare.  Constantin et al.    The respondents displayed their willingness to adopt AI
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            evaluated the attitudes and perspectives of optometrists   technology to support the diagnosis and treatment of
            toward the creation of an image research library and the   eye disorders. However, the respondents stressed that
            application of AI to support decision-making in primary   the application of AI should not diminish their roles and
            eye care. Structured interviews were conducted to determine   responsibilities and expressed concerns regarding the cost
            the expectations, concerns, and recommendations of the   associated with implementing AI technology in eye care.


            Volume 1 Issue 2 (2024)                         69                               doi: 10.36922/aih.2809
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