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Fig 1.

Anterior segment imaging.

Anterior segment imaging captured using the Smart Eye Camera (left), showcasing the device’s capability in delivering high-quality diagnostic images for ophthalmic evaluation. On the right, a co-author demonstrates the practical application of the Smart Eye Camera at the Dr. Gong Clinic, highlighting its portability and ease of use in a clinical setting for the assessment of anterior segment conditions.

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Fig 2.

Teleophthalmology assessment.

Online assessment of findings in the anterior segment of the eyes using the Smart Eye Camera (SEC) cloud-based image filing system. This system allows clinicians to upload and store high-resolution images securely, facilitating remote evaluations, consultations, and collaborative decision-making. The cloud-based platform enhances accessibility and ensures efficient management of patient data, enabling real-time monitoring and comprehensive assessments from various locations.

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Fig 3.

Characteristics and prevalence of anterior segment findings in the study population.

The average age was 85.69 ± 12.11 years, with a male-to-female ratio of 55:92. The most common eyelid abnormality was meibomian gland dysfunction. Other findings included conjunctival chalasis, and corneal opacity. Cataracts were present in all patients, with 48.33% having an intraocular lens.

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Fig 4.

Representative cases.

Slit-lamp photographs of anterior segment findings. Left: 93-year-old male with cataract in the left eye. Center: 88-year-old female with pterygium in the right eye. Right: 96-year-old male with bullous keratopathy in the right eye.

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Fig 5.

Prevalence of the lens and anterior chamber findings.

Pseudophakic eyes accounted for 48.33%, and 51.67% were phakic. Nuclear sclerosis (NS) grades increased with age, with NS2 and NS3 being the most common. Shallow anterior chambers were present in 33.63% of phakic eyes, and the proportion of pseudophakic eyes increased in patients over 90 years old.

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