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Tuesday, 07 Apr, 2026

SERI, Duke-NUS spin-off uses AI to turn patient feedback into better vision care

AI-driven tests jointly developed by Singapore Eye Research Institute (SERI) and Duke-NUS capture patients’ quality of life in minutes, helping doctors and researchers make faster, better-informed decisions.


SINGAPORE, 7 APRIL 2026—In eye clinics and clinical trials, doctors increasingly rely on patients’ own reports of how eye disease and treatment affect daily life. Yet these patient questionnaires are often long, repetitive and difficult to use in real-time care, limiting their value in both research and care improvement.

A spin-off from the Singapore Eye Research Institute (SERI) and Duke-NUS Medical School, PROMinsight is tackling this problem by using AI-driven, computerised adaptive tests (CATs) to measure patients’ quality of life quickly and precisely, turning lived experiences into data that clinicians and researchers can act on for better vision care. The core technology was developed by leveraging years of specialised ophthalmic research and data from SERI.

AI-driven PROMs capture more targeted patient feedback

The system adapts in real time to patients’ previous answers, selecting only the most relevant questions. This shortens assessments, improves completion rates and captures more meaningful insights when compared to fixed questionnaires. These adaptive tests enhance the accurate capture of Patient-Reported Outcome Measures (PROMs), which reflect patients’ health status, quality of life and overall well-being.

PROMinsight’s Co-Founder and Chief Scientific Adviser, Professor Ecosse Lamoureux, who holds joint appointments at Duke-NUS’ Health Services Research & Population Health Programme and SERI as Director of Population Health and Epidemiology Platform, said:

 

“AI-enabled computerised PROMs are still rarely used in eye care. To harness the potential of this emerging approach, we developed our tools incorporating feedback and data from thousands of patients with various eye conditions, together with established psychometric methods. By asking relevant questions that are adapted to patients’ ability levels in real time, these assessments capture their quality of life more accurately and efficiently than traditional, fixed questionnaires.” 

 



Built using technology developed by Professor Lamoureux, PROMinsight’s CATs are tailored for patients with diabetic retinopathy and macular edema, cataract & refractive error, myopia, glaucoma and age-related macular degeneration (AMD). By measuring patients’ experiences with vision impairment, including mobility and visual comfort, emotional concerns and treatment management, the CATs translate these insights into precise, clinically meaningful data that can inform both care and research.

 

PROMinsight CATs Visual
An illustration of PROMinsight’s AI-driven, computerised adaptive tests to measure patients’ quality of life, turning lived experiences into data that clinicians and researchers can act on for better vision care. // Image credit: PROMinsight

PROMinsight has licensed three CAT-based technologies from the SingHealth Duke-NUS Academic Medical Centre:

  • MyoRI-CAT, for patients undergoing myopia interventions such as spectacles, contact lenses or laser procedures
  • GlauCAT-Asian, for glaucoma patients in Asian clinical settings
  • MacCAT, for patients with AMD.

With cloud-based delivery and real-time scoring, the CATs are designed to integrate into routine workflows, enabling clinicians to act on patient-reported insights during consultations.

In a one-year implementation study conducted at the Singapore National Eye Centre (SNEC) to test the feasibility and uptake of PROMinsight’s eye-related CATs in patients undergoing treatment for diabetic macular edema, glaucoma, and cataract, outcomes exceeded expectations.

The CATs were very well-received by patients with a high uptake rate of more than 80 per cent and patients reporting a very positive experience using the CATs. Discussions are on-going to roll this out soon across several departments in SNEC.

A retinal patient:

The questionnaire asked about things my doctor doesn’t usually ask, like coping with daily vision problems. This is what is lacking right now in the current clinical situation.

 

 

 

Doctors also found value in having the Quality of Life (QoL) scores available in SNEC’s electronic medical records to guide clinical management.

Prof Shamira Perera, Senior Glaucoma Consultant, Singapore National Eye Centre:

One patient had good vision but poor QoL scores. Without CAT, I'd have assumed everything was fine and moved on.

 

 

Associate Professor Christopher Laing, Vice-Dean for the Office of Innovation and Entrepreneurship at Duke-NUS and Co-Chair of the SingHealth Duke-NUS Academic Medicine Innovation Institute (AMII), said: 

 

“PROMinsight shows what’s possible when clinicians, researchers and entrepreneurs come together and put patient care at the centre of their collaboration. By translating research into tools that clinicians can use immediately, we shorten the distance between discovery and better care.” 

 

 

 

Dr Fang Xiaoqin, Director of Technology Development & Commercialization at the Singapore Eye Research Institute, added:

 

“This collaboration between Duke-NUS and SERI demonstrates how academic partnerships can accelerate innovation, turning research discoveries into practical tools for ophthalmologists and bringing better eye care to patients faster.”

 

 

Improving care through patient-centred measurement

 

PROMinsight is internationally recognised in the PROMs field, with collaborations spanning pharmaceutical and MedTech companies, ophthalmologists at tertiary eye centres worldwide, and organisations such as the International Consortium for Health Outcomes Measurement, the US Food and Drug Administration and the European Medicines Agency.

Most recently, PROMinsight received a significant non-dilutive investment from one of the world’s leading pharmaceutical companies specialising in ophthalmology. This provides strong support for the company’s plans to deploy these technologies across clinical trials and healthcare settings.

Dr Eva Fenwick, Co-Founder and Chief Executive Officer of PROMinsight, who’s also an Adjunct Associate Professor at Duke-NUS Medical School, said:

 

“Our CATs will support pharmaceutical companies and contract research organisations in capturing robust patient-reported data on the effectiveness of new therapies and devices. In clinical care, they will help eye clinics and hospitals monitor outcomes, support follow-up and advance value-based care initiatives.”

 

 

As healthcare systems place greater emphasis on outcomes that matter to patients, tools that can reliably capture lived experience at scale are becoming essential. PROMinsight’s work shows how patient-centred measurement can move from research into everyday clinical practice.

For media enquiries, please contact Duke-NUS Communications.

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