UPolarSQ: Polar Representation Learning for Optic Disc and Peripapillary Atrophy Segmentation and Quantification in Fundus Photographs

Myopia-induced posterior-pole remodeling is frequently accompanied by Optic Disc (OD) deformation and Peripapillary Atrophy (PPA), both of which provide clinically relevant structural biomarkers. In Cartesian fundus images, however, PPA often appears as an irregular and partially visible crescent adjacent to the OD, leading to fragmented segmentation and post-processing-dependent quantification. We propose UPolarSQ, a unified polar-domain framework for OD/PPA segmentation and biomarker quantification in myopic fundus images. UPolarSQ first maps an OD-centered region of interest into polar coordinates, where OD and PPA boundaries can be represented as radial profiles. It then employs UPolarSeg, a U-Net-based segmentation network enhanced with a Radial-Angular-Decoupled Module and boundary-aware auxiliary supervision to model anisotropic polar features and radial boundary transitions. Clinical biomarkers, including disc shape and PPA-width-related measurements, are deterministically extracted from the predicted polar masks, aligning segmentation and quantification within a shared geometric representation. Experiments on internal and external cohorts demonstrate that UPolarSQ improves OD/PPA segmentation and supports reliable polar-native biomarker estimation for myopic analysis.

Real5-OmniDocBench: A Full-Scale Physical Reconstruction Benchmark for Robust Document Parsing in the Wild

While Vision-Language Models (VLMs) achieve near-perfect scores on digital document benchmarks like OmniDocBench, their performance in the unpredictable physical world remains largely unknown due to the lack of controlled yet realistic evaluations. We introduce Real5-OmniDocBench, the first benchmark that performs a full-scale, one-to-one physical reconstruction of the entire OmniDocBench v1.5 (1,355 images) across five critical real-world scenarios: Scanning, Warping, Screen-Photography, Illumination, and Skew. Unlike prior benchmark that either lack digital correspondence or employ partial sampling, our complete ground-truth mapping enables, for the first time, rigorous factor-wise attribution of performance degradation-allowing us to pinpoint whether failures stem from geometric distortions, optical artifacts, or model limitations. Our benchmark establishes a challenging new standard for the community, demonstrating that the 'reality gap' in document parsing is far from closed, and provides a diagnostic tool to guide the development of truly resilient document intelligence.