Quantitative analysis of optic disc changes in school-age children with ametropia based on artificial intelligence

AIM: To explore changes in the optic disc and peripapillary atrophy (PPA) in school-age children with ametropia using color fundus photography combined with artificial intelligence (AI) technology. METHODS: Based on the retrospective case-controlled study, 226 eyes of 113 children aged aged 6–12y we...

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Main Authors: Fang Liu, Xing-Hui Yu, Yu-Chuan Wang, Miao Cao, Lian-Feng Xie, Jing Liu, Lin-Lin Liu
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2023-11-01
Series:International Journal of Ophthalmology
Subjects:
Online Access:http://ies.ijo.cn/en_publish/2023/11/20231101.pdf
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author Fang Liu
Xing-Hui Yu
Yu-Chuan Wang
Miao Cao
Lian-Feng Xie
Jing Liu
Lin-Lin Liu
author_facet Fang Liu
Xing-Hui Yu
Yu-Chuan Wang
Miao Cao
Lian-Feng Xie
Jing Liu
Lin-Lin Liu
author_sort Fang Liu
collection DOAJ
description AIM: To explore changes in the optic disc and peripapillary atrophy (PPA) in school-age children with ametropia using color fundus photography combined with artificial intelligence (AI) technology. METHODS: Based on the retrospective case-controlled study, 226 eyes of 113 children aged aged 6–12y were enrolled from October 2021 to May 2022. According to the results of spherical equivalent (SE), the children were divided into four groups: low myopia group (66 eyes), moderate myopia group (60 eyes), high myopia group (50 eyes) and emmetropia control group (50 eyes). All subjects underwent un-aided visual acuity, dilated pupil optometry, best-corrected visual acuity (BCVA), intraocular pressure, ocular axis measurement and color fundus photography. RESULTS: The width of PPA, horizontal diameter ratio of PPA to the optic disc and area ratio of PPA to the optic disc were significantly different among the four groups (P<0.05). The width of the nasal and temporal neuroretinal rim, the roundness of the optic disc, the height of PPA, the vertical diameter ratio of PPA to the optic disc, and the average density of PPA in the high myopia group were significantly different compared with the other three groups (P<0.05). There were strong negative correlations between SE and area ratio of PPA to the optic disc (r=-0.812, P<0.001) and strong positive correlation between axial length (AL) and area ratio of PPA to the optic disc (r=0.736, P<0.001). CONCLUSION: In school-age children with high myopia, the nasal and temporal neuroretinal rims are narrowed and even lost, which have high sensitivity. The area ratio of the PPA to the optic disc could be used as an early predictor of myopia progression, which is of great significance for the development prevention and management of myopia.
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spelling doaj.art-0fb0b0137a694454ab5b6a951aba5c072023-10-25T06:50:11ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982023-11-0116111727173310.18240/ijo.2023.11.0120231101Quantitative analysis of optic disc changes in school-age children with ametropia based on artificial intelligenceFang Liu0Xing-Hui Yu1Yu-Chuan Wang2Miao Cao3Lian-Feng Xie4Jing Liu5Lin-Lin Liu6Lin-Lin Liu. Department of Ophthalmology, the First Affiliated Hospital of Gannan Medical University, No.23 Qingnian Road, Ganzhou 341000, Jiangxi Province, China. 2766541487@qq.comThe First Clinical Medical College of Gannan Medical University, Ganzhou 341000, Jiangxi Province, ChinaThe First Clinical Medical College of Gannan Medical University, Ganzhou 341000, Jiangxi Province, ChinaThe First Clinical Medical College of Gannan Medical University, Ganzhou 341000, Jiangxi Province, ChinaDepartment of Ophthalmology, the First Affiliated Hospital of Gannan Medical University, Ganzhou 341000, Jiangxi Province, ChinaDepartment of Ophthalmology, the First Affiliated Hospital of Gannan Medical University, Ganzhou 341000, Jiangxi Province, ChinaDepartment of Ophthalmology, the First Affiliated Hospital of Gannan Medical University, Ganzhou 341000, Jiangxi Province, ChinaAIM: To explore changes in the optic disc and peripapillary atrophy (PPA) in school-age children with ametropia using color fundus photography combined with artificial intelligence (AI) technology. METHODS: Based on the retrospective case-controlled study, 226 eyes of 113 children aged aged 6–12y were enrolled from October 2021 to May 2022. According to the results of spherical equivalent (SE), the children were divided into four groups: low myopia group (66 eyes), moderate myopia group (60 eyes), high myopia group (50 eyes) and emmetropia control group (50 eyes). All subjects underwent un-aided visual acuity, dilated pupil optometry, best-corrected visual acuity (BCVA), intraocular pressure, ocular axis measurement and color fundus photography. RESULTS: The width of PPA, horizontal diameter ratio of PPA to the optic disc and area ratio of PPA to the optic disc were significantly different among the four groups (P<0.05). The width of the nasal and temporal neuroretinal rim, the roundness of the optic disc, the height of PPA, the vertical diameter ratio of PPA to the optic disc, and the average density of PPA in the high myopia group were significantly different compared with the other three groups (P<0.05). There were strong negative correlations between SE and area ratio of PPA to the optic disc (r=-0.812, P<0.001) and strong positive correlation between axial length (AL) and area ratio of PPA to the optic disc (r=0.736, P<0.001). CONCLUSION: In school-age children with high myopia, the nasal and temporal neuroretinal rims are narrowed and even lost, which have high sensitivity. The area ratio of the PPA to the optic disc could be used as an early predictor of myopia progression, which is of great significance for the development prevention and management of myopia.http://ies.ijo.cn/en_publish/2023/11/20231101.pdfoptic discartificial intelligenceametropiaperipapillary atrophyspherical equivalent
spellingShingle Fang Liu
Xing-Hui Yu
Yu-Chuan Wang
Miao Cao
Lian-Feng Xie
Jing Liu
Lin-Lin Liu
Quantitative analysis of optic disc changes in school-age children with ametropia based on artificial intelligence
International Journal of Ophthalmology
optic disc
artificial intelligence
ametropia
peripapillary atrophy
spherical equivalent
title Quantitative analysis of optic disc changes in school-age children with ametropia based on artificial intelligence
title_full Quantitative analysis of optic disc changes in school-age children with ametropia based on artificial intelligence
title_fullStr Quantitative analysis of optic disc changes in school-age children with ametropia based on artificial intelligence
title_full_unstemmed Quantitative analysis of optic disc changes in school-age children with ametropia based on artificial intelligence
title_short Quantitative analysis of optic disc changes in school-age children with ametropia based on artificial intelligence
title_sort quantitative analysis of optic disc changes in school age children with ametropia based on artificial intelligence
topic optic disc
artificial intelligence
ametropia
peripapillary atrophy
spherical equivalent
url http://ies.ijo.cn/en_publish/2023/11/20231101.pdf
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