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Expert Insights: Navigating the Advancement of Ophthalmology with Dr. Ashkan Eliasy

In partnership with Miss Investigate

By Georgette Virgo

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(Image: Dr. Ashkan Eliasy)

Ophthalmology is no longer just about correcting vision—it’s at the forefront of a healthcare revolution. As this once traditional field rapidly evolves, it is becoming a crucial player in the early detection and management of most diseases, thanks to advancements in technology. Welcome to the world of “oculomics,” where the eyes not only offer a window to the soul but also a gateway to understanding our overall health.

In this new era, the integration of ocular data with broader health insights is transforming eye care into a powerful tool for early diagnosis and prevention. From AI-driven diagnostics and smart contact lenses to VR-enhanced eye exams and robotic surgical devices, the innovation rate in ophthalmology is accelerating like never before. These advancements promise not only to enhance the accuracy and speed of eye disease detection but also to make high-quality care more accessible to people around the globe.

For Dr. Ashkan Eliasy, a visionary scientist and investor in ophthalmology, these developments signify a shift towards empowering both patients and clinicians. By making critical health information more accessible and actionable, these technologies are helping to prevent serious conditions before they take hold. However, navigating this rapidly evolving landscape can be daunting. Dr. Eliasy offers his expert insights on how these innovations will shape the future of healthcare and provides strategic guidance for clinicians, patients, and investors to harness these advancements for optimal outcomes.

Ophthalmology: Then and Now

Historically, progress in ophthalmology before 2000 was slow, relying heavily on qualitative assessments, clinician expertise, and manual techniques. Automated or assisted diagnostic methods and treatments were limited, with only incremental improvements over time. According to Dr. Eliasy, the field focused primarily on basic visual assessments and mostly conventional surgical methods, resulting in modest advancements.

The turn of the millennium marked a new era, with rapid advancements driven by breakthroughs in computer technology and scientific research. Post-2000, the pace of innovation accelerated, leading to the development of advanced imaging techniques, improved surgical tools, and more sophisticated diagnostic methods.

This surge in technological capability intensified even further post-pandemic, as the medical community responded to increased demand for automated solutions. Regulators also implemented significant changes to support these innovations. Dr. Ashkan Eliasy notes that this period challenged experts to develop more advanced medical devices and better utilize data from imaging tools like optical coherence tomography (OCT) and fundus devices. The demand for safe, accurate remote consultations and diagnoses also grew, prompting the creation of new technologies.

Today, ophthalmology benefits from groundbreaking technologies, including clinical decision support systems (CDSS), portable eye examination devices, and AI-driven imaging tools. These advancements enable detailed assessments for conditions such as multiple sclerosis (MS), as well as the detection of systemic and neurodegenerative diseases like cardiovascular issues and Alzheimer’s. Quantitative assessments have largely replaced subjective evaluations, and the gamified nature of some tools allows for continuous, seamless vision performance assessments from home.

More Engaging Patient Journey

With the recent advances in ophthalmology, Dr. Eliasy envisions a transformed patient journey that enhances the overall clinical experience. These new tools enable earlier and more accurate detection of both eye-related and health conditions, leading to improved care quality and greater global accessibility.

Advanced and automated tools not only reduce clinic time for patients but also improve outcomes. The growing use of telehealth, supported by portable devices, extends the reach of eye care to underserved and rural areas, allowing for remote data capture and consultations.

Eye exams have become more accessible and are increasingly recognized as a non-invasive, cost-effective alternative to procedures like full-body MRI. These exams now offer a holistic view of overall health by detecting neuro and systemic conditions through simple eye images. Regular check-ups are more engaging, enabling continuous monitoring and early detection of health issues.

Dr. Eliasy notes, “Patients now benefit from quantitative assessments of condition severity and treatment effectiveness presented in easy-to-understand reports. This simplicity encourages active participation in health management. The ease and efficiency of modern eye consultations promote long-term patient engagement and frequent evaluations, as patients feel reassured by a smooth, reliable process.”

What’s Next in Ophthalmology

While the field of ophthalmology has already seen remarkable advancements, Dr. Ashkan Eliasy, a leading advocate for the integration of cutting-edge technologies in eye care, believes the most significant breakthroughs are still on the horizon.

One such innovation is the development of smart contact lenses that continuously measure intraocular pressure (IOP), glaucous, and more. These lenses offer a non-invasive solution for glaucoma patients, providing real-time data for 24-hour monitoring and reducing the risk of irreversible vision loss. This technology could transform glaucoma diagnosis and management, offering unparalleled insights into disease progression and treatment efficacy.

Another promising frontier is the advent of vision-restoring implants designed to combat degenerative diseases like age-related macular degeneration. These implants, consisting of ultra-thin sensors, work by interacting with surviving retinal neurons to restore vision. By converting light into electrical signals that the brain can interpret, these devices hold the potential to restore sight to millions.

Advanced data management and diagnostic systems, particularly those leveraging Clinical Decision Support Systems (CDSS) and AI, are also set to redefine ophthalmology. These systems utilize cloud-based platforms to enhance diagnostic accuracy, streamline information collection, and optimize the triage and referral processes. The integration of AI not only standardizes care but also accelerates the diagnostic process, ensuring timely and accurate treatment.

Virtual reality (VR) technology is another area of rapid development, with devices being created to automate eye and neuro assessments. These tools will enable more efficient diagnoses and management of complex conditions such as MS and dementia. Furthermore, the shift towards quantitative assessment technologies is replacing traditional subjective evaluations, offering precise and objective measurements of disease severity and progression. As gamified vision assessment tools continue to evolve, they will further engage patients in regular monitoring, providing deeper insights into their health.

Dr. Eliasy reflects, “These innovations represent just the beginning. As we continue to explore the capabilities of AI and machine learning, we move towards standardizing global care quality. The future of ophthalmology will see AI-driven diagnostics reduce the risk of late or misdiagnosis and empower us to identify potential conditions years in advance, ultimately transforming patient outcomes and quality of life worldwide.”

The Work to Do

As technological advancements continue to drive the evolution of the ophthalmology sector, both clinicians and investors are presented with unique challenges and opportunities to elevate service delivery and patient outcomes.

For clinicians, staying informed about the latest developments in ophthalmic technology is essential for providing top-tier care to a broader patient base. Dr. Ashkan Eliasy notes, “Technology experts develop these innovations, but it’s the clinicians who ultimately determine how they’re implemented at the grassroots level, shaping the future of patient care.”

The integration of advanced technologies into everyday practice not only enhances patient outcomes but also increases efficiency, allowing clinicians to serve more patients and optimize revenue. For example, the adoption of AI-driven diagnostic systems and portable examination devices can streamline clinical workflows, reduce the need for extensive clinician training and patients’ chair time, and support accurate and timely treatment decisions.

Investors, too, play a pivotal role in the success of these advanced ophthalmic technologies. Their task is to evaluate the potential impact of these innovations on both patient care and clinician workflows. Ensuring that these technologies can be seamlessly integrated into clinical practice with minimal disruption is critical to their adoption and success.

Dr. Eliasy advises that while the opportunities in this field are vast, investors should prioritize technologies that demonstrate clear benefits, such as improved diagnostic accuracy and enhanced patient engagement. It’s equally important to consider the scalability and long-term viability of these solutions. By investing in technologies that set new standards in ophthalmology, clinicians can continue to deliver the highest quality care, paving the way for a future where patient outcomes are continuously improved.


Rolling Stone UK newsroom and editorial staff were not involved in the creation of this featured content