Evidence map›Paper›PMID 40257570›Full record

ArticleOphthalmology and therapy2025

Large Language Models: Pioneering New Educational Frontiers in Childhood Myopia.

Mohammad Delsoz, Amr Hassan, Amin Nabavi, Amir Rahdar, Brian Fowler, Natalie C Kerr, Lauren Claire Ditta, Mary E Hoehn, Margaret M DeAngelis, Andrzej Grzybowski and 2 more

Abstract read
In one paragraph

Article in Ophthalmology and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Artificial intelligence in pediatric myopia - a narrative review.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
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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

12 authors.

Mohammad DelsozHamilton Eye Institute, Department of Ophthalmology, University of Tennessee Health Science Center, 930 Madison Ave., Suite 471, Memphis, TN, 38163, USA.
Amr HassanDepartment of Ophthalmology, Gavin Herbert Eye Institute, University of California, Irvine, CA, USA.
Amin NabaviHamilton Eye Institute, Department of Ophthalmology, University of Tennessee Health Science Center, 930 Madison Ave., Suite 471, Memphis, TN, 38163, USA.
Amir RahdarHamilton Eye Institute, Department of Ophthalmology, University of Tennessee Health Science Center, 930 Madison Ave., Suite 471, Memphis, TN, 38163, USA.
Brian FowlerHamilton Eye Institute, Department of Ophthalmology, University of Tennessee Health Science Center, 930 Madison Ave., Suite 471, Memphis, TN, 38163, USA.
Natalie C KerrHamilton Eye Institute, Department of Ophthalmology, University of Tennessee Health Science Center, 930 Madison Ave., Suite 471, Memphis, TN, 38163, USA.
Lauren Claire DittaHamilton Eye Institute, Department of Ophthalmology, University of Tennessee Health Science Center, 930 Madison Ave., Suite 471, Memphis, TN, 38163, USA.
Mary E HoehnHamilton Eye Institute, Department of Ophthalmology, University of Tennessee Health Science Center, 930 Madison Ave., Suite 471, Memphis, TN, 38163, USA.
Margaret M DeAngelisDepartement of Ophthalmology, University at Buffalo, Buffalo, NY, USA.
Andrzej GrzybowskiInstitute for Research in Ophthalmology, Foundation for Ophthalmology Development, Poznan, Poland.
Yih-Chung ThamYong Loo Lin School of Medicine, National University of Singapore, Singapore, Republic of Singapore.
Siamak YousefiHamilton Eye Institute, Department of Ophthalmology, University of Tennessee Health Science Center, 930 Madison Ave., Suite 471, Memphis, TN, 38163, USA. Siamak.Yousefi@uthsc.edu.ORCID http://orcid.org/0000-0001-8633-5730

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to evaluate the performance of three large language models (LLMs), namely ChatGPT-3.5, ChatGPT-4o (o1 Preview), and Google Gemini, in producing patient education materials (PEMs) and improving the readability of online PEMs on childhood myopia.

methodsLLM-generated responses were assessed using three prompts. Prompt A requested to "Write educational material on childhood myopia." Prompt B added a modifier specifying "a sixth-grade reading level using the FKGL (Flesch-Kincaid Grade Level) readability formula." Prompt C aimed to rewrite existing PEMs to a sixth-grade level using FKGL. Reponses were assessed for quality (DISCERN tool), readability (FKGL, SMOG (Simple Measure of Gobbledygook)), Patient Education Materials Assessment Tool (PEMAT, understandability/actionability), and accuracy.

resultsChatGPT-4o (01) and ChatGPT-3.5 generated good-quality PEMs (DISCERN 52.8 and 52.7, respectively); however, quality declined from prompt A to prompt B (p = 0.001 and p = 0.013). Google Gemini produced fair-quality (DISCERN 43) but improved with prompt B (p = 0.02). All PEMs exceeded the 70% PEMAT understandability threshold but failed the 70% actionability threshold (40%). No misinformation was identified. Readability improved with prompt B; ChatGPT-4o (01) and ChatGPT-3.5 achieved a sixth-grade level or below (FGKL 6 ± 0.6 and 6.2 ± 0.3), while Google Gemini did not (FGKL 7 ± 0.6). ChatGPT-4o (01) outperformed Google Gemini in readability (p < 0.001) but was comparable to ChatGPT-3.5 (p = 0.846). Prompt C improved readability across all LLMs, with ChatGPT-4o (o1 Preview) showing the most significant gains (FKGL 5.8 ± 1.5; p < 0.001).

conclusionsChatGPT-4o (o1 Preview) demonstrates potential in producing accurate, good-quality, understandable PEMs, and in improving online PEMs on childhood myopia.

Indexed as

Childhood myopiaLarge language modelsPatient education materials

Identifiers

PMID40257570
PMCPMC12069199

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.