Evidence map›Paper›PMID 40689255›Full record

ArticleOphthalmology science

OpenAI o1 Large Language Model Outperforms GPT-4o, Gemini 1.5 Flash, and Human Test Takers on Ophthalmology Board-Style Questions.

Ryan Shean, Tathya Shah, Sina Sobhani, Alan Tang, Ali Setayesh, Kyle Bolo, Van Nguyen, Benjamin Xu

Abstract read
In one paragraph

Article in Ophthalmology science. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Ryan SheanKeck School of Medicine, University of Southern California, Los Angeles, California.
Tathya ShahKeck School of Medicine, University of Southern California, Los Angeles, California.
Sina SobhaniKeck School of Medicine, University of Southern California, Los Angeles, California.
Alan TangKeck School of Medicine, University of Southern California, Los Angeles, California.
Ali SetayeshKeck School of Medicine, University of Southern California, Los Angeles, California.
Kyle BoloRoski Eye Institute, Keck School of Medicine, University of Southern California, Los Angeles, California.
Van NguyenRoski Eye Institute, Keck School of Medicine, University of Southern California, Los Angeles, California.
Benjamin XuRoski Eye Institute, Keck School of Medicine, University of Southern California, Los Angeles, California.

Funding

Ophthalmic Therapeutics Engineering CoreP30EY029220 · NEI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Mahnaz Shahidi · 2018 to 2026
$6.5M
NEI NIH HHS P30 EY029220
6 · The paper itself

Abstract

Purpose: To evaluate and compare the performance of human test takers and three artificial intelligence (AI) models-OpenAI o1, ChatGPT-4o, and Gemini 1.5 Flash-on ophthalmology board-style questions, focusing on overall accuracy and performance stratified by ophthalmic subspecialty and cognitive complexity level. Design: A cross-sectional study. Subjects: Five hundred questions sourced from the Methods: Three large language models interpreted the questions using standardized prompting procedures. Subanalysis was performed, stratifying the questions by subspecialty and complexity defined by the Buckwalter taxonomic schema. Statistical analysis, including the analysis of variance and McNemar test, was conducted to assess performance differences. Main Outcome Measures: Accuracy of responses for each model and human test takers, stratified by subspecialty and cognitive complexity. Results: OpenAI o1 achieved the highest overall accuracy (423/500, 84.6%), significantly outperforming GPT-4o (331/500, 66.2%; Conclusions: OpenAI o1 outperformed GPT-4o, Gemini, and human test takers in answering ophthalmology board-style questions from two question banks and across three complexity levels. These findings highlight advances in AI technology and OpenAI o1's growing potential as an adjunct in ophthalmic education and care. Financial Disclosures: The author(s) have no proprietary or commercial interest in any materials discussed in this article.

Indexed as

Artificial intelligenceLarge language modelsMedical educationOphthalmology

Identifiers

PMID40689255
PMCPMC12273424

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.