Evidence map›Paper›PMID 40678192›Full record

ArticleAdvances in ophthalmology practice and research

DeepSeek-R1 outperforms Gemini 2.0 Pro, OpenAI o1, and o3-mini in bilingual complex ophthalmology reasoning.

Pusheng Xu, Yue Wu, Kai Jin, Xiaolan Chen, Mingguang He, Danli Shi

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Article in Advances in ophthalmology practice and research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

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36citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

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

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  5. Comparative evaluation of large language models and clinicians in real-world glaucoma clinical reasoning.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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  10. 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

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5 · Who and what money

Authors and funding

6 authors.

Pusheng XuSchool of Optometry, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China.
Yue WuSchool of Optometry, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China.
Kai JinEye Center, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Xiaolan ChenSchool of Optometry, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China.
Mingguang HeSchool of Optometry, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China.
Danli ShiSchool of Optometry, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To evaluate the accuracy and reasoning ability of DeepSeek-R1 and three recently released large language models (LLMs) in bilingual complex ophthalmology cases. Methods: A total of 130 multiple-choice questions (MCQs) related to diagnosis (n ​= ​39) and management (n ​= ​91) were collected from the Chinese ophthalmology senior professional title examination and categorized into six topics. These MCQs were translated into English. Responses from DeepSeek-R1, Gemini 2.0 Pro, OpenAI o1 and o3-mini were generated under default configurations between February 15 and February 20, 2025. Accuracy was calculated as the proportion of correctly answered questions, with omissions and extra answers considered incorrect. Reasoning ability was evaluated through analyzing reasoning logic and the causes of reasoning errors. Results: DeepSeek-R1 demonstrated the highest overall accuracy, achieving 0.862 in Chinese MCQs and 0.808 in English MCQs. Gemini 2.0 Pro, OpenAI o1, and OpenAI o3-mini attained accuracies of 0.715, 0.685, and 0.692 in Chinese MCQs (all Conclusions: DeepSeek-R1 demonstrated superior performance in bilingual complex ophthalmology reasoning tasks than three state-of-the-art LLMs. These findings highlight the potential of advanced LLMs to assist in clinical decision-making and suggest a framework for evaluating reasoning capabilities.

Indexed as

Clinical decision supportDeepSeekGeminiLarge language modelsOpenAIOphthalmology professional examinationReasoning ability

Identifiers

PMID40678192
PMCPMC12269606

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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.