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Peer-Reviewed Publication
Asia Pac J Ophthalmol (Phila)2026;100333.May 30, 2026Journal Article

Does lens opacity matter? The effect of cataract on deep learning based cardiovascular disease risk scores from fundus photos.

Jee Eun Lee1, Jungkyung Cho2, Yong-Seok Lee3, Simon Nusinovici4, Sahil Thakur5, Junseok Park2, Dongjin Nam6, Jaewon Seo7, Wonyoung Seo7, Yong Yu Tan7, Zhi Da Soh4, Can Can Xue4, Ching-Yu Cheng8, Sunjin Hwang9
1Department of Ophthalmology, Kim's Eye Hospital, Seoul, South Korea.
2Seoul National University College of Medicine, Seoul, South Korea.
3Yonsei University College of Medicine, Seoul, South Korea.
4Ophthalmology and Visual Sciences Academic Clinical Program (Eye ACP), Duke-NUS Medical School, Singapore.
5Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Republic of Singapore.
6Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.
7Mediwhale Inc., Seoul, South Korea.
8Ophthalmology and Visual Sciences Academic Clinical Program (Eye ACP), Duke-NUS Medical School, Singapore. Electronic address: chingyu.cheng@duke-nus.edu.sg.
9Department of Ophthalmology, Hanyang University Guri Hospital, Guri, South Korea. Electronic address: sunjin1989@hanyang.ac.kr.

Abstract

PURPOSE: To investigate the effect of cataracts on a deep learning (DL) model for cardiovascular disease (CVD) risk prediction. METHODS: This retrospective, dual-cohort study analyzed fundus images at baseline, 1, and 6-months post-cataract surgery from a longitudinal cohort (patients who underwent cataract surgery at Hanyang University Guri Hospital [HUGH]) and a cross-sectional replication coho…

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