Glaucoma Screening Using Artificial Intelligence Assisted Clinical Model in Singapore's Diabetic Eye Screening Program
NCT07243665 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1040
Last updated 2026-01-29
Summary
Glaucoma is major cause of irreversible blindness and is characterized by optic nerve damage and visual field loss. Screening for glaucoma is challenging due to lack of a simple, accurate, cost-efficient and standardized process. Artificial intelligence, (AI) especially deep learning (DL) algorithms have potential to automate glaucoma detection, but have to be evaluated in real world settings, before public deployment. This study aims to evaluate the screening accuracy of a DL algorithm for glaucoma detection using colour fundus photographs (CFP) in a pragmatic randomised control trial (RCT). The algorithm will be tested in 1040 eligible patients with diabetes, recruited from the Diabetes \& Metabolism Centre's clinics under the Singapore Integrated Diabetic Retinopathy Program (SiDRP) and randomized to 2 arms: AI-assisted model vs current standard of care (grader assessment). The performance of both arms will be compared to performance of study ophthalmologist in diagnosing glaucoma. We hypothesize that the DL model has better screening performance in detecting glaucoma in the community, compared to the current practice method.
Conditions
Interventions
- DIAGNOSTIC_TEST
-
Artificial Intelligence model to detect glaucoma
A Vision Transformer model to detect glaucoma from fundus photos
- OTHER
-
No intervention
Control group with current practice model by human graders
Sponsors & Collaborators
-
Singapore General Hospital
collaborator OTHER -
SingHealth Polyclinics
collaborator OTHER -
Singapore Eye Research Institute
lead OTHER
Principal Investigators
-
Ching-Yu Cheng, MD, PhD · Singapore Eye Research Institute
Study Design
- Allocation
- RANDOMIZED
- Purpose
- DIAGNOSTIC
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 21 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-11-17
- Primary Completion
- 2026-08-31
- Completion
- 2027-03-31
Countries
- Singapore
Study Locations
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