Prediction of visual field progression in glaucoma: existing methods and artificial intelligence

Jpn J Ophthalmol. 2023 Sep;67(5):546-559. doi: 10.1007/s10384-023-01009-3. Epub 2023 Aug 4.

Abstract

Timely treatment is essential in the management of glaucoma. However, subjective assessment of visual field (VF) progression is not recommended, because it can be unreliable. There are two types of artificial intelligence (AI) strong and weak (machine learning). Weak AIs can perform specific tasks. Linear regression is a method of weak AI. Using linear regression in the real-world clinic has enabled analyzing and predicting VF progression. However, caution is still required when interpreting the results, because whenever the number of VF data sets investigated is small, the predictions can be inaccurate. Several other non-ordinal, or modern AI methods have been constructed to improve prediction accuracy, such as clustering and more modern AI methods of Analysis with Non-Stationary Weibull Error Regression and Spatial Enhancement (ANSWERS), Variational Bayes Linear Regression (VBLR), Kalman Filter and sparse modeling (The least absolute shrinkage and selection operator regression: Lasso). It is also possible to improve the prediction performance using retinal thickness measured with optical coherence tomography by using machine learning methods, such as multitask learning.

Keywords: AI; Glaucoma; Progression; Visual field.

Publication types

  • Review

MeSH terms

  • Artificial Intelligence
  • Bayes Theorem
  • Disease Progression
  • Glaucoma* / diagnosis
  • Humans
  • Intraocular Pressure
  • Tomography, Optical Coherence
  • Visual Field Tests / methods
  • Visual Fields*