Reply to Letter to the Director: “Artificial Intelligence and new language models in Ophthalmology: Complications of the use of silicone oil in vitreoretinal surgery”

Valentín-Bravo, F.J.; Mateos-Álvarez, E.; Usategui-Martín, R.; Andrés-Iglesias, C.; Pastor-Jimeno, J.C.; Pastor-Idoate, S.

doi:10.1016/j.oftale.2023.06.010

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We welcome your comments, understand your concerns and would like to address the points you have raised.First of all, we want to clarify that the authors do not consider this language model as "their equal" or a substitute but as a complementary tool that can be useful in daily clinical practice as well as in the academic environment. However, human reasoning is essential for its interpretation.AI and language models are generating considerable interest not only in the field of medicine. Therefore, the article is not intended to generate "excitement", but rather to raise awareness of these tools in relation to our speciality. Likewise, no attempt has been made to compare ChatGPT's personal skills.We share his perspective that AI and ChatGPT have multiple limitations,<a class="elsevierStyleCrossRefs" href="#bib0005">1,2</a> such as those mentioned, i.e., "the ability to understand the complexity of human language and conversation, soft skills, etc.". These models are designed to generate text based on specific inputs, without having a deep understanding of the meaning of the words. Therefore, it is to be expected that the tool does not possess these intrinsic human skills.We understand your concern about ChatGPT's possible "imagination or invention". However, just as it lacks those "soft and complex skills" that allow it, among other tasks, to evaluate works, it also lacks the capacity for invention.In fact, we wanted to check your example of assessing the diagnostic criteria generated by ChatGPT for the invented ophthalmological condition called "Inherited Visual Malingering". Using the same terminology, the model responds as follows: "Unfortunately, I cannot provide specific information on the "diagnostic criteria for Inherited Visual Malingering", as there is no recognised medical condition or term by that name in my knowledge base as of my cut-off date in September 2021. It is possible that "Inherited Visual Malingering" is a specific term used in a limited context or a rare condition that has not been widely documented or recognised by the medical community at large. It is also possible that there has been a typographical error or confusion with the correct term.As can be seen, the model acknowledges the lack of specific information on this condition and suggests possible explanations for its absence.Finally, we would like to thank you for your reflection on this currently relevant topic, as it is undeniable that ChatGPT and other similar tools are here to stay. However, we recognise that scientific accuracy and reliability are still insufficient.<a class="elsevierStyleCrossRefs" href="#bib0005">1,2</a> Therefore, any professional using these tools must engage in critical thinking, be aware of their limitations and actively verify the information generated with reliable sources.<a class="elsevierStyleCrossRefs" href="#bib0005">1–3</a>Conflict of interestNo Conflicts of interest." 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ISSN: 2173-5794
e-ISSN: 1989-7286

Archivos de la Sociedad Española de Oftalmología is the official journal of the Ophthalmology Society of Spain, that has over 4,000 members. It gives priority to the publication of basic, translational and clinic research including reviews, original articles, short communications, editorials, letters to the editor and clinic practice guides related to Ophthalmology and its subspecialties. A small section of the journal is reserved for the most relevant papers presented at the annual Congress of the Society. All manuscripts considered for publication are reviewed by expert examiner peers (double blind). The journal is published monthly and even though its official language is Spanish all articles are translated into English to increase the dissemination of scientific information. At present, Archivos is the only Spanish language Ophthalmology journal indexed in PubMed/MEDLINE in addition to other prestigious international databases such as Scopus.

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Vol. 98. Issue 8.