Abstract

Accurate measurements of ophthalmic parameters and postoperative appearance prediction are essential for the diagnosis and treatment of many ophthalmic diseases. Nevertheless, it remains challenging due to (1) inconsistent ophthalmic image sampling standards, including ocular-camera distance, facial angle, and patient number, (2) complicated ocular morphology, such as subconjunctival hemorrhage, ocular movements, lighting effects, and morphological aging. It is difficult for a model to measure parameters and make predictions in variable sampling methods and morphology conditions. Therefore, the Global attention-based Ophthalmic Image Measurement and Postoperative Appearance Prediction System (GOMPS) is proposed, which quantifies ophthalmic image parameters to diagnose disease and simultaneously predict postoperative appearance of blepharoptosis. By perceiving the global structure of the ophthalmic image, GOMPS makes logical inference predictions of the sclera and cornea morphology, to overcome the above difficulties. Concretely, a global attention unit (GAU) and a novel global attention structure-aware network (GASA-Net) are designed to enhance GOMPS’s global structure awareness ability to perform logical reasoning. Extensive experimental results on our collected ophthalmic dataset for diagnosis & prediction (OD2P) demonstrate that GOMPS surpasses the state-of-the-art methods in segmentation accuracy and achieves the current optimal performance in measurement and postoperative prediction under many clinical scenes.

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