Evidence map›Paper›PMID 40615678›Full record

SynthesisJournal of medical systems2025

Evaluating the Performance of ChatGPT on Board-Style Examination Questions in Ophthalmology: A Meta-Analysis.

Jiawen Wei, Xiaoyan Wang, Mingxue Huang, Yanwu Xu, Weihua Yang

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Journal of medical systems, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Comparing the performance of four mainstream large language models on medical literature review generation: a human expert evaluation in SMILE surgery.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jiawen Wei *School of Nursing, Southwest Medical University, Luzhou, 646099, Sichuan Province, China.
Xiaoyan Wang *School of Nursing, Southwest Medical University, Luzhou, 646099, Sichuan Province, China.
Mingxue HuangSchool of Nursing, Southwest Medical University, Luzhou, 646099, Sichuan Province, China.
Yanwu XuSchool of Future Technology, South China University of Technology, Guangzhou, 510641, Guangdong Province, China.
Weihua YangShenzhen Eye Hospital, Shenzhen Eye Medical Center, Southern Medical University, No. 18 Zetian Road, Futian District, Shenzhen, 518040, Guangdong Province, China. benben0606@139.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To review empirical research on ChatGPT's accuracy in answering ophthalmology board-style examination questions up to March 2025 and to analyze the effects of GPT versions, question types, language differences, and ophthalmology topics on accuracy. A search was conducted in PubMed, Web of Science, Embase, Scopus, and the Cochrane Library in March 2025. Two authors extracted data and independently assessed study quality. Accuracy rates were calculated with Stata 17.0. GPT-4 had an integrated accuracy of 73%, higher than GPT-3.5's 54%. It scored 77% in text and 55% in image tasks. GPT-4's accuracy was 73% in English-speaking countries and 71% in non-English ones. In ophthalmology, General Medicine achieved the highest accuracy (80%), while Clinical Optics had the lowest performance (55%). GPT-4 outperforms GPT-3.5, but its image processing capability needs further validation. Performance varies by language and topic, suggesting the need for more research on cross-linguistic efficacy and error analysis.

Indexed as

Clinical CompetenceEducational MeasurementOphthalmologyGenerative Artificial IntelligenceHumansBoard-styleChatGPTExamination questionLarge language modelMeta-analysisNatural language processingOphthalmology

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.