Skip to main content

Table 4 A summary table of artificial intelligence (AI) applications in corneal transplant, in reverse chronological order

From: Potential applications of artificial intelligence in image analysis in cornea diseases: a review

Year

Authors

Imaging modality

Sample size (eyes)

Study population

Outcome measures

AI algorithms

Diagnostic performance

Validation model

Corneal transplants

 2023

Hayashi et al. [104]

AS-OCT

300

Patients undergoing DMEK

Predict graft detachment and rebubbling

EfficientNet

AUC: 0.875, Sens: 78.9%

Spec: 78.6%

Hold-out validation

 2023

Patefield et al. [105]

AS-OCT

24

Patients undergoing DMEK

Predict graft detachment

ResNet-101

Acc: 77%, Precis: 67%

Spec: 45%, Sens: 92%

AUC: 0.63

Hold-out validation

 2022

Bitton et al. [141]

AS-OCT

290

Healthy and FECD pre-DMEK eyes

Corneal edema detection

U-Net models

AUC: 0.97

N.A

 2022

Mujizer et al. [142]

91 different parameters

3647

Patients undergoing PLK

Predict graft detachment

Logistic regression, CTA and RF

AUC: 0.65–0.72

Cross validation

 2021

Hayashi et al. [106]

AS-OCT

46

Patients undergoing DALK

Predicting success of big bubble formation

VGG16 CNN

AUC: 0.746

Cross validation

 2020

Yousefi et al. [99]

CASIA AS-OCT

3162

Post-surgery of PKP, LKP, DALK, DSAEK or DMEK

Predicting the need for future keratoplasty surgery

Unsupervised machine learning

No validation of prediction

N.A

 2020

Hayashi et al. [143]

AS-OCT

31

Patients post-DMEK requiring and not requiring rebubbling

Predicting the need for rebubbling post-DMEK

Multiple CNNs

AUC: 0.964, Sens: 96.7%

Spec: 91.5%

N.A

 2020

Heslinga et al. [103]

AS-OCT

1280

Patients post-DMEK

Localize and quantify graft detachment

CNN

Dice: 0.896

Hold-out validation

 2019

Treder et al. [144]

AS-OCT

1172

Patients post-DMEK

Detect graft detachment

Classifier tree

Acc: 96%, Sens: 98%

Spec: 94%

Hold-out validation

  1. Acc = accuracy; AS-OCT = anterior-segment optical coherence tomography; AUC = area under curve; CNN = convoluted neural networks; CTA = classification tree analysis; DALK = deep anterior lamellar keratoplasty; DMEK = Descemet membrane endothelial keratoplasty; DSAEK = Descemet stripping automated endothelial keratoplasty; FECD = Fuchs endothelial corneal dystrophy; LKP = lamellar keratoplasty; PKP = penetrating keratoplasty; N.A. = not available; PLK = posterior lamellar keratoplasty; Precis = precision; RF = random forest; Sens = sensitivity; Spec = specificity