Advances in artificial intelligence deep learning (DL) have made tremendous impacts on the field of ocular imaging over the last few years. Specifically, DL has been utilised to detect and classify various ocular diseases on retinal photographs, optical coherence tomography (OCT) images, and OCT-angiography images. In order to achieve good robustness and generalisability of model performance, DL training strategies traditionally require extensive and diverse training datasets from various sites to be transferred and pooled into a “centralised location”. However, such a data transferring process could raise practical concerns related to data security and patient privacy. Federated learning (FL) is a distributed collaborative learning paradigm which enables the coordination of multiple collaborators without the need for sharing confidential data. This distributed training approach has great potential to ensure data privacy among different institutions and reduce the potential risk of data leakage from data pooling or centralisation. This review article aims to introduce the concept of FL, provide current evidence of FL in ocular imaging, and discuss potential challenges as well as future applications.

Chronic Glaucoma is an eye disease with progressive optic nerve damage. It is the second leading cause of blindness after cataract and the first leading cause of irreversible blindness. Glaucoma forecast can predict future eye state of a patient by analyzing the historical fundus images, which is helpful for early detection and intervention of potential patients and avoiding the outcome of blindness. In this paper, we propose a GLaucoma forecast transformer based on Irregularly saMpled fundus images named GLIM-Net to predict the probability of developing glaucoma in the future. The main challenge is that the existing fundus images are often sampled at irregular times, making it difficult to accurately capture the subtle progression of glaucoma over time. We therefore introduce two novel modules, namely time positional encoding and time-sensitive MSA (multi-head self-attention) modules, to address this challenge. Unlike many existing works that focus on prediction for an unspecified future time, we also propose an extended model which is further capable of prediction conditioned on a specific future time. The experimental results on the benchmark dataset SIGF show that the accuracy of our method outperforms the state-of-the-art models. In addition, the ablation experiments also confirm the effectiveness of the two modules we propose, which can provide a good reference for the optimization of Transformer models.