How an East-West AI Collaboration Is Changing the Face of Neuro-Ophthalmology

The work of the BONSAI (Brain and Optic Nerve Study with Artificial Intelligence) group will change the way we pratice. So a perfect time, then, to meet Dan Milea, Head of Neuro-ophthalmology at the Rothschild Foundation Hospital in Paris, Head of the Visual Neuroscience Group at the Singapore Eye Research Institute, and a founding member of the BONSAI group.Recorded in his Parisian offices within the iconic L’Espace Niemeyer - the striking headquarters of the French Communist Party - Dermot and John explore how groundbreaking AI and deep learning algorithms, developed by the BONSAI collaborators, could transform the way clinicians navigate some of neuro-ophthalmology’s most challenging diagnostic dilemmas.Together, we unpack the questions clinicians face every day:* Does this child with headaches have papilloedema?* Is an elderly patient’s optic disc swelling arteritic or non-arteritic AION?* Could this suspected optic neuritis be due to demyelination?Dan also reflects on the striking differences in the incidence of optic neuritis, giant cell arteritis, and idiopathic intracranial hypertension between the Far East and Europe and why, when 50% of neuro-ophthalmological emergencies are misdiagnosed at presentation, the growing global shortage of neuro-ophthalmologists is of grave concern.Bonus ContentSubscribers can dive deeper in our Bonus episode, where we discuss the rising tide of idiopathic intracranial hypertension in the West, the emerging therapeutic role of GLP-1 agonists, and explore three of Dan’s most influential papers featured in this month’s newsletter.Join us for a fascinating look at how East meets West - and how AI may soon be available to support clinical decision making and improve diagnostic accuracy, for many common neuro-ophthalmic conditions.Eyes on Tomorrow is supported by Topcon Healthcare and Thea UK.Produced by Matt Hill at Rethink Audio. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit eyesontomorrow.substack.com/subscribe