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<p>Autonomous artificial intelligence (AI) systems are finding their way into ophthalmological care, particularly in imaging diagnostics (fundus photographs, OCT) and screening set-ups; however, the term “autonomous” is used inconsistently in routine clinical practice: in addition to fully automated systems (AI only decisions), care services are emerging in which doctors make the diagnosis but there is no direct doctor-patient contact (asynchronous diagnosis). These forms are ethically relevant because responsibilities, duties of disclosure, trust and the consequences of errors are different from those in a&#xa0;traditional consultation. This article categorizes autonomous care concepts, outlines potential clinical benefits and discusses key ethical and regulatory issues.</p>

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Mehr als nur Technik: autonome KI in ophthalmologischer Versorgung

  • 期刊论文

  • 发表日期：

    2026年6月22日

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  • Thilo Gronow

摘要

Autonomous artificial intelligence (AI) systems are finding their way into ophthalmological care, particularly in imaging diagnostics (fundus photographs, OCT) and screening set-ups; however, the term “autonomous” is used inconsistently in routine clinical practice: in addition to fully automated systems (AI only decisions), care services are emerging in which doctors make the diagnosis but there is no direct doctor-patient contact (asynchronous diagnosis). These forms are ethically relevant because responsibilities, duties of disclosure, trust and the consequences of errors are different from those in a traditional consultation. This article categorizes autonomous care concepts, outlines potential clinical benefits and discusses key ethical and regulatory issues.