Abstract
Optical Coherence Tomography (OCT) is a crucial imaging modality for diagnosing and monitoring retinal diseases. However, the accurate segmentation of fluid regions and lesions remains challenging due to noise, low contrast, and blurred edges in OCT images. Although feature modeling with wide or global receptive fields offers a feasible solution, it typically leads to significant computational overhead. To address these challenges, we propose LKMU-Lite, a lightweight U-shaped segmentation method tailored for retinal fluid segmentation. LKMU-Lite integrates a Decoupled Large Kernel Attention (DLKA) module that captures both local patterns and long-range dependencies, thereby enhancing feature representation. Additionally, it incorporates a Multi-scale Group Perception (MSGP) module that employs Dilated Convolutions with varying receptive field scales to effectively predict lesions of different shapes and sizes. Furthermore, a novel Aggregating-Shift decoder is proposed, reducing model complexity while preserving feature integrity. With only 1.02 million parameters and a computational complexity of 3.82 G FLOPs, LKMU-Lite achieves state-of-the-art performance across multiple metrics on the ICF and RETOUCH datasets, demonstrating both its efficiency and generalizability compared to existing methods.