Exophthalmometry

Cole, Harvey P.; Couvillion, John T.; Fink, Alan J.; Haik, Barrett G.; Kastl, Peter R.

doi:10.1097/00002341-199709000-00005

Cited by 44 publications

(4 citation statements)

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“…In the evaluation of proptosis, the AI mentioned the commonly used Hertel exophthalmometer but overlooked the Naugle exophthalmometer, which is potentially more accurate. 28,29 Furthermore, ChatGPT missed some potential mimickers of proptosis, such as anisometropia and refractive error. In thyroid eye disease, key diagnostic markers and contemporary treatment options were missed, such as the superiority of intravenous compared to oral corticosteroids.…”

Section: Resultsmentioning

confidence: 99%

Evaluating ChatGPT on Orbital and Oculofacial Disorders: Accuracy and Readability Insights

Balas,

Janic,

Daigle

et al. 2023

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose: To assess the accuracy and readability of responses generated by the artificial intelligence model, ChatGPT (version 4.0), to questions related to 10 essential domains of orbital and oculofacial disease. Methods: A set of 100 questions related to the diagnosis, treatment, and interpretation of orbital and oculofacial diseases was posed to ChatGPT 4.0. Responses were evaluated by a panel of 7 experts based on appropriateness and accuracy, with performance scores measured on a 7-item Likert scale. Inter-rater reliability was determined via the intraclass correlation coefficient. Results: The artificial intelligence model demonstrated accurate and consistent performance across all 10 domains of orbital and oculofacial disease, with an average appropriateness score of 5.3/6.0 (“mostly appropriate” to “completely appropriate”). Domains of cavernous sinus fistula, retrobulbar hemorrhage, and blepharospasm had the highest domain scores (average scores of 5.5 to 5.6), while the proptosis domain had the lowest (average score of 5.0/6.0). The intraclass correlation coefficient was 0.64 (95% CI: 0.52 to 0.74), reflecting moderate inter-rater reliability. The responses exhibited a high reading-level complexity, representing the comprehension levels of a college or graduate education. Conclusions: This study demonstrates the potential of ChatGPT 4.0 to provide accurate information in the field of ophthalmology, specifically orbital and oculofacial disease. However, challenges remain in ensuring accurate and comprehensive responses across all disease domains. Future improvements should focus on refining the model’s correctness and eventually expanding the scope to visual data interpretation. Our results highlight the vast potential for artificial intelligence in educational and clinical ophthalmology contexts.

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Section: Resultsmentioning

confidence: 99%

Evaluating ChatGPT on Orbital and Oculofacial Disorders: Accuracy and Readability Insights

Balas,

Janic,

Daigle

et al. 2023

Ophthalmic Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

“…2 Cole et al further discussed the poor reliability of the Hertel instrument in serial measurements. 3 This arises because all distance measurements between a patient’s 2 lateral orbital rims must be identical to validate subsequent readings. 3 The use of the Hertel instrument assumes that the practitioner will use the preset interorbital distance of the Hertel placed exactly at the original reference points located at the lateral orbital margins.…”

Section: To the Editormentioning

confidence: 99%

“…3 This arises because all distance measurements between a patient’s 2 lateral orbital rims must be identical to validate subsequent readings. 3 The use of the Hertel instrument assumes that the practitioner will use the preset interorbital distance of the Hertel placed exactly at the original reference points located at the lateral orbital margins. 3 In practice, this interorbital distance is likely to vary substantially between consecutive measurements and between practitioners.…”

Section: To the Editormentioning

confidence: 99%

“…3 The use of the Hertel instrument assumes that the practitioner will use the preset interorbital distance of the Hertel placed exactly at the original reference points located at the lateral orbital margins. 3 In practice, this interorbital distance is likely to vary substantially between consecutive measurements and between practitioners. This concerning notion is discussed below, in a clinical study carried out recently at Prince of Wales Hospital in Sydney by the Authors, on a small cohort of notionally expert observers.…”

Section: To the Editormentioning

confidence: 99%

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