The continuous advancements in healthcare technology have empowered the discovery, diagnosis, and prediction of diseases, revolutionizing the field. Artificial intelligence (AI) is expected to play a pivotal role in achieving the goals of precision medicine, particularly in disease prevention, detection, and personalized treatment. This study aims to determine the optimal combination of the mother wavelet and AI model for the analysis of pediatric electroretinogram (ERG) signals. The dataset, consisting of signals and corresponding diagnoses, undergoes Continuous Wavelet Transform (CWT) using commonly used wavelets to obtain a time-frequency representation. Wavelet images were used for the training of five widely used deep learning models: VGG-11, ResNet-50, DensNet-121, ResNext-50, and Vision Transformer, to evaluate their accuracy in classifying healthy and unhealthy patients. The findings demonstrate that the combination of Ricker Wavelet and Vision Transformer consistently yields the highest median accuracy values for ERG analysis, as evidenced by the upper and lower quartile values. The median balanced accuracy of the obtained combination of the three considered types of ERG signals in the article are 0.83, 0.85, and 0.88. However, other wavelet types also achieved high accuracy levels, indicating the importance of carefully selecting the mother wavelet for accurate classification. The study provides valuable insights into the effectiveness of different combinations of wavelets and models in classifying ERG wavelet scalograms.

A clinical case of atypical endophthalmitis in an 82-year-old patient who underwent complicated cataract phacoemulsification. Clinical manifestations showed signs of a bacterial process, however, the treatment was not effective. Antifungal therapy had yielded positive results, despite the low probability of a fungal etiology of the process.

The electroretinography (ERG) is a diagnostic test that measures the electrical activity of the retina in response to a light stimulus. This test has a long history and has been extensively studied among years. Dr. James Dewar recorded the first electroretinogram signal in 1873. Later he described signal analysis using 4 components, namely amplitude, and latency of a-wave and b-wave. Nowadays, the international electrophysiology community has established the standard for electroretinography in 2008. However, from the point of view of signal analysis, the major change did not happen. ERG analysis is still based on the 4 components evaluation. The article describes ERG database including the classification of signals by using advanced analysis of electroretinograms based on wavelet scalogram processing. To implement an extended analysis of the ERG, the parameters extracted from the wavelet scalogram of the signal were obtained using digital image processing and machine learning methods. The results of the study show that the proposed algorithm implements the classification of adult electroretinogram signals by 19% more accurately and pediatric signals by 20% more accurately than the classical algorithm. The promising use of ERG is differential diagnostics, which may also be used in preclinical toxicology and experimental modeling. The problem of developing methods for electrophysiological signals analysis in ophthalmology is associated with the complex morphological structure of electrophysiological signals components, due to the generation of retina cell electrical responses to light stimulus.

Background: The electroretinogram is a clinical test used to assess the function of the photoreceptors and retinal circuits of various cells in the eye, with the recorded waveform being the result of the summated response of neural generators across the retina. Methods: The present investigation involved an analysis of the electroretinogram waveform in both the time and time-frequency domain through the utilization of the discrete wavelet transform and continuous wavelet transform techniques. The primary aim of this study was to monitor and evaluate the effects of treatment in a New Zealand rabbit model of endophthalmitis via electroretinogram waveform analysis and to compare these with normal human electroretinograms Results: The wavelet scalograms were analyzed using various mother wavelets, including the Daubechies, Ricker, Wavelet Biorthogonal 3.1 (bior3.1), Morlet, Haar, and Gaussian wavelets. Distinctive variances were identified in the wavelet scalograms between rabbit and human electroretinograms. The wavelet scalograms in the rabbit model of endophthalmitis showed recovery with treatment in parallel with the time -domain features. Conclusions: The study compared Adult, Child, and Rabbit electroretinogram responses using DWT and CWT, finding that Adult signals had higher power than Child signals, and Rabbit signals showed differences in a-wave and b-wave depending on the type of response tested, while Haar Wavelet was found to be superior in visualizing frequency components in electrophysiological signals in following the treatment of endophthalmitis and may give additional outcome measures for the management of retinal disease.