Evaluation of Three Advanced Language Models for Identifying Ophthalmic Assessments and Assisting in Preoperative Toric IOL Planning - Scorecard - MDSpire
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Evaluation of Three Advanced Language Models for Identifying Ophthalmic Assessments and Assisting in Preoperative Toric IOL Planning

  • By

  • Xuanqiao Lin

  • Yizhou Yang

  • Songlian Wang

  • Lei Cai

  • Jin Yang

  • January 1, 2026

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Clinical Scorecard: Evaluation of Three Advanced Language Models for Identifying Ophthalmic Assessments and Assisting in Preoperative Toric IOL Planning

At a Glance

CategoryDetail
ConditionCataract surgery with toric intraocular lens (IOL) implantation
Key MechanismsAutomated technologies for preoperative ocular biometry and IOL power calculations
Target PopulationCataract patients with corneal astigmatism
Care SettingOphthalmology clinics performing cataract surgery

Key Highlights

  • Cataract surgery is the most common surgical procedure globally.
  • Toric IOLs address corneal astigmatism to improve uncorrected vision.
  • Preoperative corneal measurement is the largest source of error in toric IOL calculations.
  • Large language models can assist in biometric data extraction and IOL planning.
  • Study evaluates three LLMs for accuracy in supporting toric IOL planning.

Guideline-Based Recommendations

Diagnosis

  • Assess corneal astigmatism and ocular biometry preoperatively.

Management

  • Utilize toric IOLs for patients with significant corneal astigmatism.

Monitoring & Follow-up

  • Evaluate postoperative corrected distance visual acuity (CDVA) and IOL rotation.

Risks

  • Consider risks of IOL misalignment and tilt affecting refractive outcomes.

Patient & Prescribing Data

Cataract patients undergoing phacoemulsification with AcrySof IQ Toric IOL.

Accurate biometric measurements are critical for successful toric IOL implantation.

Clinical Best Practices

  • Ensure precise preoperative ocular biometry.
  • Adopt automated technologies to minimize human errors in IOL planning.
  • Regularly monitor postoperative outcomes to assess IOL effectiveness.

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