Impact Factor (2025): 6.9
DOI Prefix: 10.47001/IRJIET
Ophthalmic
diseases continue to pose a significant public health burden worldwide, with
herpes simplex virus (HSV) keratitis and progressive myopia ranking among the
leading causes of avoidable visual impairment and blindness. HSV keratitis is
particularly problematic because of its recurrent nature, driven by viral
latency in trigeminal ganglia and periodic reactivation triggered by
environmental or systemic factors such as stress, fever, ultraviolet exposure,
and immune suppression. Despite the availability of antiviral therapy,
recurrence rates remain high, and repeated episodes often culminate in corneal
scarring, stromal opacities, and irreversible vision loss, underscoring the
urgent need for more effective long-term preventive strategies. At the same time,
the rapid digital transformation of modern lifestyles has introduced new
challenges to ocular health. The global increase in prolonged screen
exposure—from smartphones, computers, and digital learning platforms—has been
strongly associated with digital eye strain, accommodative dysfunction, dry eye
disease, and even accelerated myopia onset in children and young adults. These
trends raise important clinical and social concerns, especially in the
post-pandemic era where remote work and online education have become
widespread. Parallel to these concerns is the escalating myopia epidemic,
projected to affect nearly half of the world’s population by 2050. Within this
context, artificial intelligence (AI) and predictive analytics have emerged as
transformative tools in ophthalmology, offering unprecedented capabilities in
modeling axial length growth, predicting refractive error progression, and
guiding personalized intervention strategies. Deep learning and advanced
machine learning models can integrate genetic, environmental, and biometric
data to deliver tailored clinical recommendations, representing a crucial step
toward precision medicine in myopia control. Preventive interventions for
pre-myopia—a stage where children are at risk of developing myopia but have not
yet crossed the diagnostic threshold—are equally critical. Both clinical
approaches (such as low-dose atropine and optical interventions like peripheral
defocus lenses) and behavioral strategies (increased outdoor activity, reduced
near work, and screen management) have shown promise in slowing myopia
progression and reducing long-term risks of high myopia. Notably, the rate of
axial elongation is significantly influenced by baseline refractive error and
age, with younger children and those presenting with higher myopia at baseline
demonstrating faster progression and greater lifetime risk of pathological
complications such as retinal detachment, glaucoma, and myopic maculopathy.
Adding another dimension to modern ophthalmic research, ocular drug delivery
systems are being revolutionized through investigations into contact lens
material properties. The hydrophilicity, hydrophobicity, and electrostatic
charge of lens materials are pivotal in determining drug absorption, retention,
and release kinetics, with implications for sustained delivery of therapeutics
in conditions ranging from dry eye disease to glaucoma and infectious
keratitis. Advances in this field promise to overcome the limitations of
conventional eye drops by enhancing bioavailability, patient compliance, and
therapeutic efficacy. Collectively, these diverse but interconnected research
areas reflect the multifaceted challenges and innovations shaping contemporary
ophthalmology. By integrating insights from infectious disease, behavioral
science, artificial intelligence, and biomedical engineering, the field is
progressing toward a comprehensive, personalized, and technology-driven future
for vision preservation.
Country : India
IRJIET, Volume 9, Issue 10, October 2025 pp. 37-46