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Waisberg E, Ong J, Lee AG. El Niño and eye health: ophthalmic manifestations of changes in climate. Eye (Lond) 2024; 38:1233-1234. [PMID: 38177489 PMCID: PMC11076481 DOI: 10.1038/s41433-023-02907-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2023] [Revised: 12/06/2023] [Accepted: 12/13/2023] [Indexed: 01/06/2024] Open
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Masalkhi M, Ong J, Waisberg E, Lee AG. Deep learning in ophthalmic and orbital ultrasound for spaceflight associated neuro-ocular syndrome (SANS). Eye (Lond) 2024; 38:1397. [PMID: 38135772 PMCID: PMC11076631 DOI: 10.1038/s41433-023-02877-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Revised: 11/14/2023] [Accepted: 11/28/2023] [Indexed: 12/24/2023] Open
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Waisberg E, Ong J, Masalkhi M, Lee AG. OpenAI's Sora in ophthalmology: revolutionary generative AI in eye health. Eye (Lond) 2024:10.1038/s41433-024-03098-x. [PMID: 38693296 DOI: 10.1038/s41433-024-03098-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2024] [Revised: 03/13/2024] [Accepted: 04/18/2024] [Indexed: 05/03/2024] Open
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Carrabba NV, Ong J, Vogt AZ, Panzo NJ, Memon H, Lee VA, Waisberg E, Sarker P, Zaman N, Tavakkoli A, Laylani NA, Lee AG. National Football League Game Officials Self-Rating of Knowledge in Neuro-Ophthalmic Principles and Practice: A Pilot Program to Improve Precision and Accuracy of Game Official Calls. J Neuroophthalmol 2024:00041327-990000000-00630. [PMID: 38659103 DOI: 10.1097/wno.0000000000002129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/26/2024]
Abstract
BACKGROUND To determine whether a neuro-ophthalmic curriculum would improve National Football League (NFL) game officials' self-rated knowledge and interest in neuro-ophthalmic principles to improve precision and accuracy of NFL play-calling. METHODS The formalized and structured neuro-ophthalmic principles (NOP) curriculum was introduced to 121 NFL game officials, 17 replay officials, and 4 officiating staff who attended the NFL Official Training Camp in Irving, Texas, on September 8 and 9, 2023. Before and after the lecture and videos were introduced, participants completed an optional hard-copy feedback form pertaining to self-reported NOP knowledge, likelihood of using said terms, and interest in future content of NOP applicable NFL officiating. Paired 2-tailed t tests were used for statistical analysis to directly compare the self-reported knowledge before and after the neuro-ophthalmic curriculum introduction. RESULTS One hundred forty-two participants completed the prelecture and postlecture feedback forms self-reported knowledge after the NOP curriculum was given to the NFL officiating staff. All (142/142) participants completed a survey. There was a statistically significant improvement in the mean ratings of the prelecture vs. postlecture understanding of the specific neuro-ophthalmic terms pertinent to NFL game officials (2.6 [95% CI, 2.3-3.0] vs. 7.9 [95% CI, 7.6-8.2], P < 0.001) and 2.7 [95% CI, 2.3-3.0] vs. 7.7 [95% CI, 7.4-8.0]), respectively. There was a statistically significant greater likelihood of using said terms prelecture vs. postlecture (2.9 [95% CI, 2.4-3.4] vs. 7.5 [95% CI, 7.2-7.9], P < 0.001). CONCLUSIONS This study found a statistically significant improvement in neuro-ophthalmic knowledge and a greater likelihood of using NOP terms following the NOP curriculum. NFL game officials, replay officials, and staff are interested in expanding their knowledge in the vision science of neuro-ophthalmic concepts and applications involved in play-calling. We hope that our pilot data will lead to a model of education that will improve the precision and accuracy of NFL play-calls by officials on game days.
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Waisberg E, Ong J, Lee AG. Correction: Ethical Considerations of Neuralink and Brain-Computer Interfaces. Ann Biomed Eng 2024:10.1007/s10439-024-03524-x. [PMID: 38656638 DOI: 10.1007/s10439-024-03524-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/26/2024]
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Suh A, Ong J, Waisberg E, Lee AG. Corneal thermal burn injuries during long-duration spaceflight: mechanisms, evaluation, and management. Eye (Lond) 2024:10.1038/s41433-024-03072-7. [PMID: 38643267 DOI: 10.1038/s41433-024-03072-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2024] [Revised: 03/12/2024] [Accepted: 04/05/2024] [Indexed: 04/22/2024] Open
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Waisberg E, Ong J, Lee AG. Ethical Considerations of Neuralink and Brain-Computer Interfaces. Ann Biomed Eng 2024:10.1007/s10439-024-03511-2. [PMID: 38602573 DOI: 10.1007/s10439-024-03511-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2024] [Accepted: 04/03/2024] [Indexed: 04/12/2024]
Abstract
Neuralink is a neurotechnology company founded by Elon Musk in 2016, which has been quietly developing revolutionary technology allowing for ultra-high precision bidirectional communication between external devices and the brain. In this paper, we explore the multifaceted ethical considerations surrounding neural interfaces, analyzing potential societal impacts, risks, and call for a need for responsible innovation. Despite the technological, medical, medicolegal, and ethical challenges ahead, neural interface technology remains extremely promising and has the potential to create a new era of medicine.
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Keshvani C, Laylani N, Davila-Siliezar P, Kopel J, Lee AG. Neuro-ophthalmic challenges and multi-morbidity in vasculitis among the older adults. Expert Rev Clin Immunol 2024:1-11. [PMID: 38572928 DOI: 10.1080/1744666x.2024.2339893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Accepted: 04/03/2024] [Indexed: 04/05/2024]
Abstract
INTRODUCTION Vasculitides are a heterogeneous group of disorders producing inflammation of blood vessels (e.g. arteries or veins). All major vasculitides potentially have ophthalmological symptoms and signs including visual loss. Co-morbidity, multimorbidity, polypharmacy, and geriatric syndromes all play important roles in patient outcomes for these rheumatic conditions in the elderly. This monograph reviews the NCBI PubMed database (Feb 2023) literature on the neuro-ophthalmic and geriatric considerations in vasculitis. AREAS COVERED Cogan Syndrome, Granulomatosis with Polyangiitis, Giant Cell Arteritis, Polyarteritis Nodosa, Takayasu Arteritis, Vasculitis epidemiology, and neuro-ophthalmological symptoms. EXPERT OPINION Geriatric patient care for vasculitis with neuro-ophthalmological manifestations can be complicated by the interplay of multiple co-morbidities, polypharmacy, and specific geriatric syndromes. The valuation and treatment of vasculitis and the complications associated with the disease can negatively impact patient care. Advances in noninvasive imaging and updates in diagnostic criteria have enabled increased identification of patients at earlier stages with less severe disease burden. Novel therapeutic agents can be glucocorticoid sparing and might reduce the adverse effects of chronic steroid use. Holistic care models like the 5 M geriatric care model (mind, mobility, medications, multicomplexity, and matters most) allow patients' needs to be in the forefront with biopsychosocial aspects of a patient being addressed.
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McAnnis KE, Ruiz-Montenegro A, Davila PA, Laylani NA, Lee AG. Leber Hereditary Optic Neuropathy Plus Phenotype With Double Point Mutations (m.11778 G>A and m.14484T>C) and Concurrent Myelin Oligodendrocyte Glycoprotein Antibody-Associated Disease (MOGAD). J Neuroophthalmol 2024:00041327-990000000-00617. [PMID: 38587899 DOI: 10.1097/wno.0000000000002153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/10/2024]
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Cayenne SA, Anozie CC, Nanduri RS, Burgelin B, Alryalat SA, Al Deyabat O, Lee AG. Symmetrical Drug-Related Intertriginous and Flexural Exanthema Skin Reaction After Acetazolamide Use. J Neuroophthalmol 2024:00041327-990000000-00614. [PMID: 38578696 DOI: 10.1097/wno.0000000000002144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/07/2024]
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Waisberg E, Ong J, Masalkhi M, Lee AG. OpenAI's Sora in medicine: revolutionary advances in generative artificial intelligence for healthcare. Ir J Med Sci 2024:10.1007/s11845-024-03680-y. [PMID: 38570404 DOI: 10.1007/s11845-024-03680-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2024] [Accepted: 03/23/2024] [Indexed: 04/05/2024]
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Waisberg E, Ong J, Zaman N, Kamran SA, Sarker P, Tavakkoli A, Lee AG. Head-mounted display cataract surgery: a new frontier with eye tracking and foveated rendering technology. Eye (Lond) 2024; 38:1022-1023. [PMID: 37857719 DOI: 10.1038/s41433-023-02794-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2023] [Revised: 09/29/2023] [Accepted: 10/10/2023] [Indexed: 10/21/2023] Open
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Masalkhi M, Ong J, Waisberg E, Zaman N, Sarker P, Lee AG, Tavakkoli A. ChatGPT to document ocular infectious diseases. Eye (Lond) 2024; 38:826-828. [PMID: 37968516 DOI: 10.1038/s41433-023-02823-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2023] [Revised: 10/26/2023] [Accepted: 11/01/2023] [Indexed: 11/17/2023] Open
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Waisberg E, Ong J, Masalkhi M, Lee AG. Concerns with OpenAI's Sora in Medicine. Ann Biomed Eng 2024:10.1007/s10439-024-03505-0. [PMID: 38558354 DOI: 10.1007/s10439-024-03505-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2024] [Accepted: 03/28/2024] [Indexed: 04/04/2024]
Abstract
Open AI's Sora represents a ground-breaking innovation in AI that can generate lifelike and imaginative visual scenes based on text prompts. However, Sora has also produced some new concerns surrounding artificial video generation in medicine. While Sora is highly promising to enhance patient education, facilitate remote consultations and simulate surgical procedures, AI-generated videos also bring technical, legal, and ethical challenges. In this paper, we explore the clinical and ethical implications of Sora's AI-generated videos in the field of medicine.
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Chen JJ, McNussen PJ, Lee AG, Subramanian PS. Re: Pakravan et al.: Demographics, practice analysis and geographic distribution of neuro-ophthalmologists in the United States in 2023 (Ophthalmology. 2024;131:333-340). Ophthalmology 2024; 131:e17-e18. [PMID: 38189696 DOI: 10.1016/j.ophtha.2023.11.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Accepted: 11/22/2023] [Indexed: 01/09/2024] Open
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Waisberg E, Ong J, Lee AG. Anaemia, idiopathic intracranial hypertension (IIH) and spaceflight associated neuro-ocular syndrome (SANS). Eye (Lond) 2024; 38:1029-1030. [PMID: 38042917 PMCID: PMC11009225 DOI: 10.1038/s41433-023-02834-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2023] [Revised: 11/06/2023] [Accepted: 11/09/2023] [Indexed: 12/04/2023] Open
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Masalkhi M, Ong J, Waisberg E, Lee AG. Ocular oxidative changes and antioxidant therapy during spaceflight. Eye (Lond) 2024; 38:1034-1035. [PMID: 38001279 PMCID: PMC11009295 DOI: 10.1038/s41433-023-02841-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Revised: 11/06/2023] [Accepted: 11/10/2023] [Indexed: 11/26/2023] Open
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Rivolta MC, Waisberg E, Ong J, Masalkhi M, Lee AG. Ocular effects of hyperbaric oxygen therapy. Eye (Lond) 2024; 38:1031-1033. [PMID: 38052865 PMCID: PMC11009234 DOI: 10.1038/s41433-023-02840-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Revised: 11/01/2023] [Accepted: 11/10/2023] [Indexed: 12/07/2023] Open
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Waisberg E, Ong J, Masalkhi M, Zaman N, Sarker P, Lee AG, Tavakkoli A. Meta smart glasses-large language models and the future for assistive glasses for individuals with vision impairments. Eye (Lond) 2024; 38:1036-1038. [PMID: 38049627 PMCID: PMC11009354 DOI: 10.1038/s41433-023-02842-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Revised: 11/01/2023] [Accepted: 11/10/2023] [Indexed: 12/06/2023] Open
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Waisberg E, Ong J, Lee AG. Pickleball eye injuries: ocular protection recommendations and guidelines. Eye (Lond) 2024; 38:1039-1040. [PMID: 38097802 PMCID: PMC11009287 DOI: 10.1038/s41433-023-02870-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Revised: 11/13/2023] [Accepted: 11/23/2023] [Indexed: 04/13/2024] Open
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Kamran SA, Hossain KF, Ong J, Zaman N, Waisberg E, Paladugu P, Lee AG, Tavakkoli A. SANS-CNN: An automated machine learning technique for spaceflight associated neuro-ocular syndrome with astronaut imaging data. NPJ Microgravity 2024; 10:40. [PMID: 38548790 PMCID: PMC10978911 DOI: 10.1038/s41526-024-00364-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Accepted: 02/12/2024] [Indexed: 04/01/2024] Open
Abstract
Spaceflight associated neuro-ocular syndrome (SANS) is one of the largest physiologic barriers to spaceflight and requires evaluation and mitigation for future planetary missions. As the spaceflight environment is a clinically limited environment, the purpose of this research is to provide automated, early detection and prognosis of SANS with a machine learning model trained and validated on astronaut SANS optical coherence tomography (OCT) images. In this study, we present a lightweight convolutional neural network (CNN) incorporating an EfficientNet encoder for detecting SANS from OCT images titled "SANS-CNN." We used 6303 OCT B-scan images for training/validation (80%/20% split) and 945 for testing with a combination of terrestrial images and astronaut SANS images for both testing and validation. SANS-CNN was validated with SANS images labeled by NASA to evaluate accuracy, specificity, and sensitivity. To evaluate real-world outcomes, two state-of-the-art pre-trained architectures were also employed on this dataset. We use GRAD-CAM to visualize activation maps of intermediate layers to test the interpretability of SANS-CNN's prediction. SANS-CNN achieved 84.2% accuracy on the test set with an 85.6% specificity, 82.8% sensitivity, and 84.1% F1-score. Moreover, SANS-CNN outperforms two other state-of-the-art pre-trained architectures, ResNet50-v2 and MobileNet-v2, in accuracy by 21.4% and 13.1%, respectively. We also apply two class-activation map techniques to visualize critical SANS features perceived by the model. SANS-CNN represents a CNN model trained and validated with real astronaut OCT images, enabling fast and efficient prediction of SANS-like conditions for spaceflight missions beyond Earth's orbit in which clinical and computational resources are extremely limited.
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Trobe JD, Moss HE, Lee AG, Van Stavern GP. Functional Visual Disorder Is Primarily a Psychiatric Condition. J Neuroophthalmol 2024:00041327-990000000-00599. [PMID: 38526629 DOI: 10.1097/wno.0000000000002121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/27/2024]
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Wong CW, Laylani NAR, Davila-Siliezar P, Lee AG. Alpha-gal-related bilateral orbital inflammatory syndrome in a strict vegan. CANADIAN JOURNAL OF OPHTHALMOLOGY 2024:S0008-4182(24)00058-9. [PMID: 38513715 DOI: 10.1016/j.jcjo.2024.02.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Revised: 01/18/2024] [Accepted: 02/25/2024] [Indexed: 03/23/2024]
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Masalkhi M, Ong J, Waisberg E, Lee AG. Ocular immunology and inflammation under microgravity conditions and the pathogenesis of spaceflight associated neuro-ocular syndrome (SANS). Eye (Lond) 2024:10.1038/s41433-024-03005-4. [PMID: 38443543 DOI: 10.1038/s41433-024-03005-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2024] [Revised: 02/02/2024] [Accepted: 02/28/2024] [Indexed: 03/07/2024] Open
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Ishihara R, Pakravan M, Charoenkijkajorn C, Lee AG. Sphenoid Sinusitis-Associated Optic Neuropathy: A Forgotten Disease. J Neuroophthalmol 2024; 44:e113-e114. [PMID: 36255078 DOI: 10.1097/wno.0000000000001702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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