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Artificial Intelligence in Health                                     Perspective on AI in eye care practices



            Moreover, several studies have highlighted the significant   Furthermore, health-care professionals, including
            advancements in eye care practices through the integration   ophthalmologists, have expressed concerns regarding
            of AI technology. 17-19,34                         patient privacy and care quality on AI integration. 43,44
              This systematic review revealed that eye care professionals   Patient well-being and privacy stand as crucial pillars in
            have typically demonstrated favorable enthusiasm and   healthcare, 59,60  and it is generally believed that human
            openness toward the integration of AI technology into their   involvement in health-care delivery surpasses AI due
            clinical practices, considering the remarkable progress AI has   to factors such as confidentiality, empathy, adaptability,
            made in the field of ophthalmology and optometry. 39,40,44,45    and  experiences  only inherent in  human  health
                                                                          61,62
            The gradual acceptance of AI technology among eye care   professionals.   These aspects collectively influence the
            professionals suggests that AI technology could potentially   willingness of health-care practitioners to fully embrace AI
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            establish itself as a fundamental component within eye care   in patient care.
            practices. Therefore, the opinions of clinicians, as elucidated   Nonetheless, the generally positive viewpoints expressed
            in this review, are imperative for maximizing the clinical   by eye care professionals toward adopting AI  highlight
            utility of AI and ensuring its successful implementation into   the necessity for targeted interventions to effectively
            routine eye care practice.                         address the challenges associated with implementing
                                                               AI in eye care. To facilitate this, it is crucial to consider
              Nonetheless, significant concerns were also raised
            among eye care professionals regarding AI applications.   initiatives, such as increased funding specifically allocated
            Some professionals indicated the potential inaccuracy   for  AI  advancements  in  eye  care.  This  funding  would
            and reliability issues of AI technology in diagnosing eye   support research, development, and implementation of AI
            conditions within the clinical setting. 38,42  These concerns   technologies tailored to the needs of the eye care sector.
            raised are valid as precise medical diagnoses are crucial for   Moreover, it is important to also emphasize the pivotal role
            implementing the right treatment procedures and ensuring   of AI in improving eye care outcomes through education
            patient safety in any medical practice. 55,56  This negative   and training programs designed for eye care professionals.
            viewpoint sheds light on the diverse perspectives and   By imparting knowledge about AI technology, its benefits,
            preferences of eye care professionals toward implementing   and  its  potential  impact on  eye  care,  professionals  can
            AI technology in their daily eye care practices, essentially   develop a deeper understanding of how to integrate these
            enabling us to identify the gaps in implementing AI in eye   technologies into  their  practice. The training programs
            care practices.                                    should also address concerns surrounding the accuracy of
                                                               AI diagnoses and their effect on patient care. Furthermore,
              The cost of implementing AI technology is another   it is beneficial to foster an environment that encourages
            significant concern among eye care professionals. Despite   the adoption of AI technology while actively addressing
            their willingness to embrace AI in eye care, the financial   apprehensions and doubts within the eye care community.
            limitations in accessing this technology were noted by the   This could be achieved by establishing channels for open
            eye care professionals.  A  study  investigated the cost  of   communication, information exchange, and collaborations
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            AI implementation and emphasized that the practitioners   between researchers, technologists, and eye care specialists
            would  have  to  evaluate  whether  the  benefits  would   to overcome current limitations and realize the full
            outweigh the cost of AI implementation.  This highlights   potential of AI in the field of eye care.
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            the business aspect of clinical practice, where stakeholders
            typically strive to balance the cost of production and   5. Conclusion
            service delivery with profit. 58                   This systematic review demonstrated the generally positive
              Another notable concern was the potential replacement   perception of most eye care professionals regarding the
            of eye care professionals by AI technology. 39,44  A survey   implementation of AI technology in eye care practices.
            among  ophthalmologists  revealed that most  of  them   However, there were several key concerns raised, such
            were not worried about their roles being replaced, but   as the high costs associated with implementing AI,
            they did acknowledge the likelihood of certain primary   the uncertain reliability of AI in performing diagnoses
            eye care jobs and responsibilities being partially taken   and making clinical decisions, and the fear of AI
            over by AI.  The study by Valikodath  et al.  indicated   potentially replacing eye care professionals. Overall, this
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                     17
            that AI is more of an assisting tool rather than a complete   study highlighted the importance of optometrists and
            replacement. However, AI is increasingly integrated into   ophthalmologists embracing technological advancements
            various aspects of life in the present day, thereby justifying   such as AI, emphasizing the necessity of addressing the
            the  apprehension of AI  technology  potentially replacing   expressed concerns to ensure a harmonious integration of
            primary eye care professionals.                    AI technology into eye care.


            Volume 1 Issue 2 (2024)                         71                               doi: 10.36922/aih.2809
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