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CC BY 4.0 · Klin Monbl Augenheilkd 2025; 242(04): 515-520
DOI: 10.1055/a-2543-4330
Übersicht

Stakeholder Attitudes on AI Integration in Ophthalmology

Einstellungen der Stakeholder zur KI-Integration in der Ophthalmologie
Amr Saad 
1   Department of Ophthalmology, Stadtspital Zurich Triemli, Zurich, Switzerland
2   Spross Research Institute, Zurich, Switzerland
,
Ferhat Turgut
1   Department of Ophthalmology, Stadtspital Zurich Triemli, Zurich, Switzerland
2   Spross Research Institute, Zurich, Switzerland
3   Ophthalmology, Gutblick, Pfäffikon, Switzerland
,
Matthias Becker
1   Department of Ophthalmology, Stadtspital Zurich Triemli, Zurich, Switzerland
2   Spross Research Institute, Zurich, Switzerland
4   Department of Ophthalmology, University of Heidelberg, Germany
,
Delia DeBuc
5   Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, FL, USA
,
Gabor Mark Somfai 
1   Department of Ophthalmology, Stadtspital Zurich Triemli, Zurich, Switzerland
2   Spross Research Institute, Zurich, Switzerland
6   Department of Ophthalmology, Semmelweis University, Budapest, Hungary
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Abstract

Artificial intelligence (AI) is gaining widespread traction in ophthalmology, with multiple screening and diagnostic tools already being approved by U. S. and EU authorities. However, the adoption of these tools among medical professionals and their acceptance among patients is still questionable. This narrative review analyses the current literature on stakeholder perspectives on the integration of AI in ophthalmology, with a focus on comparing views across different global healthcare contexts. A PubMed search was conducted for original research articles published between January 1, 2015 and August 31, 2024. The analysis revealed different levels of acceptance for different AI applications among different stakeholder groups. Ophthalmologists and optometrists generally showed positive attitudes toward AI as an adjunct tool, while patients expressed mixed views, appreciating potential benefits while expressing concerns about a lack of transparency in the integration of AI into healthcare. This review reveals a complex landscape of stakeholder perspectives on AI in ophthalmology, highlighting the need for tailored approaches to AI implementation that address specific concerns and consider different healthcare contexts. The findings underscore the importance of collaborative efforts to develop context-specific, effective AI solutions in ophthalmology.

Zusammenfassung

Der Einsatz Künstlicher Intelligenz (KI) in der Augenheilkunde erfährt eine zunehmende Beliebtheit. Mehrere Screening- und Diagnoseinstrumente wurden bereits von den US-amerikanischen und europäischen Behörden zugelassen. Die Akzeptanz dieser Anwendungen durch das medizinische Fachpersonal und die Patienten ist jedoch noch unklar. In dieser Übersichtsarbeit wird die aktuelle Literatur zu den Perspektiven der Stakeholder bez. der Integration von KI in die Augenheilkunde analysiert. Es wurde eine PubMed-Suche nach Original-Forschungsartikeln durchgeführt, die zwischen dem 1. Januar 2015 und dem 31. August 2024 veröffentlicht wurden. Die Analyse ergab eine unterschiedliche Akzeptanz verschiedener KI-Anwendungen bei den verschiedenen Interessengruppen. Augenärzte und Optometristen zeigten eine generell positive Einstellung gegenüber KI als ergänzendes Instrument, während Patienten eine gemischte Meinung äußerten, indem sie einerseits die potenziellen Vorteile schätzten, andererseits aber auch Bedenken hinsichtlich der mangelnden Transparenz bei der Integration von KI in die Gesundheitsversorgung äußerten. Dieser Überblick zeigt eine komplexe Landschaft von Stakeholder-Perspektiven zu KI in der Augenheilkunde und unterstreicht die Notwendigkeit maßgeschneiderter Ansätze zur Implementierung von KI, die auf spezifische Bedenken eingehen und unterschiedliche Kontexte im Gesundheitswesen berücksichtigen. Die Ergebnisse unterstreichen die Bedeutung gemeinsamer Anstrengungen zur Entwicklung kontextspezifischer, effektiver KI-Lösungen in der Augenheilkunde.

Keywords

artificial intelligence - ophthalmology - implementation

Schlüsselwörter

künstliche Intelligenz - Augenheilkunde - Implementierung


Publikationsverlauf

Eingereicht: 27. Oktober 2024

Angenommen: 06. Januar 2025

Artikel online veröffentlicht:
16. April 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

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