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Large language models and their impact in ophthalmology
Open accessAbstract
The advent of generative artificial intelligence and large language models has ushered in transformative applications within medicine. Specifically in ophthalmology, large language models offer unique opportunities to revolutionise digital eye care, address clinical workflow inefficiencies, and enhance patient experiences across diverse global eye care landscapes. Yet alongside these prospects lie tangible and ethical challenges, encompassing data privacy, security, and the intricacies of embedding large language models into clinical routines. This Viewpoint highlights the promising applications of large language models in ophthalmology, while weighing up the practical and ethical barriers towards their real-world implementation. This Viewpoint seeks to stimulate broader discourse on the potential of large language models in ophthalmology and to galvanise both clinicians and researchers into tackling the prevailing challenges and optimising the benefits of large language models while curtailing the associated risks.
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“Moreover, AI agents continuously evolve through iterative learning from new datasets, enabling them to adapt to emerging medical knowledge and evolving clinical standards.73,74”
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Metadata
- Authors
- Betzler, B. K., Chen, H., Cheng, C.-Y., Lee, C. S., Ning, G., Song, S. J., Lee, A. Y., Kawasaki, R., van Wijngaarden, P., Grzybowski, A., He, M., Li, D., Ran Ran, A., Ting, D. S. W., Teo, K., Ruamviboonsuk, P., Sivaprasad, S., Chaudhary, V., Tadayoni, R., Wang, X., Cheung, C. Y., Zheng, Y., Wang, Y. X., Tham, Y. C., & Wong, T. Y.
- Affiliations
- National University of Singapore (SG)
- Tsinghua University (CN)
- University of Washington (US)
- Kangbuk Samsung Hospital (KR)
- Osaka University Hospital (JP)
- Foundation for the Development of Ophthalmology (PL)
- Hong Kong Polytechnic University (HK)
- Peking University (CN)
- Rajavithi Hospital (TH)
- NIHR Moorfields Biomedical Research Centre (GB)
- McMaster University (CA)
- Université Paris Cité (FR)
- Beihang University (CN)
- Chinese University of Hong Kong (HK)
- Sun Yat-sen University (CN)
- Beijing Tongren Hospital (CN)
- Singapore National Eye Center (SG)
- Corresponding author
- Tham, Yih Chung
- ORCID
- Betzler, Bjorn Kaijun
- Chen, Haichao
- Cheng, Ching-Yu
- Lee, Cecilia S
- Ning, Guochen
- Song, Su Jeong
- Lee, Aaron Y
- Kawasaki, Ryo
- Grzybowski, Andrzej
- He, Mingguang
- Li, Dawei
- Ting, Daniel Shu Wei
- Teo, Kelvin
- Ruamviboonsuk, Paisan
- Sivaprasad, Sobha
- Chaudhary, Varun
- Tadayoni, Ramin
- Wang, Xiaofei
- Cheung, Carol Y
- Zheng, Yingfeng
- Wang, Ya Xing
- Tham, Yih Chung
- Wong, Tien Yin
- Venue
- The Lancet Digital Health
- Publisher
- Elsevier BV
- Published
- 2023-12
- Volume
- 5
- Issue
- 12
- Pages
- e917-e924
- ISSN
- 2589-7500 (ISSN-L)
- PMC
- PMC11003328
- OpenAlex
- W4388922836
- Cited by
- 161
- References
- 62
- Citations by year
- 2026: 52 · 2025: 60 · 2024: 49
- FWCI
- 1.89
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- The Lancet Digital Health (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion, other-oa)
- PolyU Institutional Research Archive (Hong Kong Polytechnic University) (submittedVersion, cc-by-nc-nd)
- Funders
- National Medical Research Council (NMRC/MOH/HCSAINV21nov-0001)
- National Key Research and Development Program of China (2022YFC2502800)
- Topics
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Health Sciences › Medicine › Ophthalmology › Ophthalmology and Visual Health Research
- Physical Sciences › Computer Science › Artificial Intelligence › Machine Learning in Healthcare
- Keywords
- large language models, ophthalmology, generative AI, clinical workflow, patient experience, data privacy, ethical considerations, clinical implementation
- MeSH terms
- Artificial Intelligence, Humans, Language, Medicine, Ophthalmology, Privacy
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