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. 2025 Mar 12;17:83–114. doi: 10.2147/OPTO.S494911

Table 10.

AI Tools for Diagnosis of Refractive Errors

Index Ref Model and Explainability Function No. Training Samples Validation Data Validation Method Evaluation Parameters
1 Sogawa et al51 DL based on VGG-16 architecture (B) Diagnosing those with and without myopic macular lesions 910 910 Cross Validation OCT (A: 97%, Se: 90.6, Sp: 94.2)
2 Hemelings et al52 CNN (B) Classify pathological myopia and perform semantic segmentation of myopia-induced lesions. 2000 400 Hold-Out Validation PM: (A:98.6%); RD: (A: 99.0%)
3 Wan et al53 CNN (B) Diagnosis algorithm to determine the risk of high myopia 758 100 Hold-Out Validation A: 98.2%
4 Wu et al54 DL (B) Diagnosing vision-threatening conditions in high myopia 1483 370 Hold-Out Validation Atrophy (A: 92.4%); Tractional: A: 85.3%); Neo-vascular: A: 94.2%)
5 Tong et al55 RF (B), SVM (B), XGBoost (B), AdaBoost (B) Classification of myopia and identification of influencing factors 5,067 2,172 Hold-Out Validation (70:30 split) Overall: (AUC: 0.752); Primary: (Se: 41.3, Sp: 69.7, AUC: 0.710); Senior High: Se: 64.3, Sp: 98.0, AUC: 0.722)
6 Manoharan et al56 ML (B) Assess an individual with myopia is ”at-risk” or ”low-risk” for myopia progression. 149 149 Cross Validation Se: 89.0, Sp: 94.0, AUC: 0.89–0.90
7 Huang et al57 Time-Aware Long Short-Term Memory (T-LSTM) (B) Predict spherical equivalent (SE) for children and adolescents based on historical vision records 398336 49,042 Hold-Out Validation T-LSTM: (MAE: 0.103 ± 0.140 D)
8 Ye et al58 ResNeSt101 + Focal Loss (B) Identifies 5 myopic maculopathies 2,342 450 Hold Out validation Se: 92.8, Sp: 94.0, AUC: 0.927–0.974
9 He et al59 (Model A: DNN from ground up) (B); (Model B: Transferred Learned on ImageNet based models (B) Classification of myopic maculopathy (MM) using optical coherence tomography (OCT) images 2380 680 Hold-Out validation, External validation DNN model-A: (A: 95%); ImageNet based Model B: (A: 96.4)

Abbreviations: VGG-16, Visual Geometry Group; OCT, Optical Coherence Tomography; ONH, Optic Nerve Head; RD, Retinal Detachment; MAE, Mean Absolute Error.