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GlaukomAI: Clinical Validation of an AI System for Early Glaucoma Screening
Sponsor: Fondazione G.B. Bietti, IRCCS
Summary
Glaucoma is one of the leading causes of irreversible blindness worldwide. Early diagnosis is crucial to prevent vision loss, but current diagnostic pathways require multiple specialist visits and tests, leading to long waiting times and delayed diagnosis. This study aims to evaluate the accuracy of GlaukomAI, an artificial intelligence (AI)-based software that analyzes fundus photographs of the eye to detect glaucoma at an early stage. The study is conducted at IRCCS Fondazione G. B. Bietti (Rome, Italy) and is structured in two phases: * Phase 1 enrolls 200 participants (100 with diagnosed glaucoma and 100 healthy controls) to assess how accurately GlaukomAI can distinguish between glaucoma and healthy eyes, compared to the judgment of a panel of three expert glaucoma specialists. * Phase 2 enrolls 1,000 consecutive outpatients to evaluate whether GlaukomAI can correctly identify patients who need referral to a glaucoma specialist, and to compare its performance with that of non-specialist ophthalmologists. Participants undergo a single study visit including standard ophthalmic examinations (visual acuity, eye pressure measurement, visual field test, OCT, and fundus photography). No investigational drugs or invasive procedures are involved. The results of this study will provide evidence to support the integration of AI-based tools into routine glaucoma screening pathways, with the goal of reducing diagnostic delays and improving access to care.
Official title: GlaukomAI: Clinical Validation of an Artificial Intelligence-Based System for Early Glaucoma Screening and Diagnosis - A Case-Control Study and Referral Accuracy Assessment
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
1200
Start Date
2026-06
Completion Date
2028-05
Last Updated
2026-06-25
Healthy Volunteers
Yes
Conditions
Interventions
GlaukomAI (Sens-vue GlaukomAI)
GlaukomAI is an AI-based diagnostic software (Sens-vue ApS) that analyzes standard fundus photographs to detect glaucomatous changes. The system uses deep learning with Convolutional Neural Network and Transformer architecture to evaluate key glaucoma biomarkers, including neuroretinal rim appearance in the inferior and superior sectors. It accepts standard fundus images acquired with conventional fundus cameras or portable devices and provides a diagnostic classification (Referable Glaucoma / Non-Referable Glaucoma) within 2-8 seconds per image. The system is not CE-marked. Fundus images are acquired using a widefield TrueColor Confocal fundus imaging system (iCare DRS Plus), pseudonymized, and uploaded to the GlaukomAI secure platform by an operator blinded to the clinical diagnosis.