The explainable AI dilemma under knowledge imbalance in specialist AI for glaucoma referrals in primary care - Takeaways - MDSpire
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Navigating the Explainable AI Challenge Amid Knowledge Disparities in Specialist AI for Glaucoma Referrals in Primary Care Settings

  • By

  • Catalina Gomez

  • Ruolin Wang

  • Katharina Breininger

  • Corinne Casey

  • Chris Bradley

  • Mitchell Pavlak

  • Alex Pham

  • Jithin Yohannan

  • Mathias Unberath

  • November 20, 2025

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  • 1

    Primary eye care providers rely on clinical experience for glaucoma referrals, but specialized AI can enhance decision-making with data-driven insights.

  • 2

    AI models developed for glaucoma referrals achieved higher accuracy in identifying urgent cases, but human-AI teams still underperformed compared to AI alone.

  • 3

    Explanations provided by AI did not improve referral accuracy and introduced uncertainty, leading to over-reliance on incorrect AI recommendations.

  • 4

    Post-hoc explanations contributed to anchoring bias, causing participants to align more closely with AI referrals than their own clinical judgment.

  • 5

    Challenges remain in designing effective AI support mechanisms that enhance human decision-making while preserving clinician autonomy.

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