Flexible organic optical devices have been used extensively in next-generation wearable electronics owing to advantages such as light-weight, thinness, and flexibility. Making such organic optical devices ultrathin enables long-term monitoring of health conditions owing to the increased conformability of ultrathin devices to human skin. Long-term biological signal monitoring also requires the integration of organic optical devices with an energy harvesting power sources which does not require recharging; to make devices self-powered. However, system-level integration of such thin organic optical sensors with power sources is challenging. An important obstacle to this type of integration is the insufficient operational stability of ultrathin organic light-emitting diodes under ambient air conditions. Here we develop an ultrathin self-powered organic optical system for photoplethysmogram (PPG) monitoring. This system consists of three types of ultrathin electronic devices: polymer light-emitting diodes (PLEDs), organic solar cells, and organic photodetectors. By adopting an inverted structure and a polyethylenimine ethoxylated layer doped with 8-hydroxyquinolinato-lithium as the electron-transport layer, PLEDs exhibit improved operational stability under ambient air conditions without external encapsulation. Ultraflexible PLEDs with no passivation retain 70% of the initial luminance lifetime of 11.3 h under ambient air. Integrated optical sensors exhibit a high linearity with the light intensity exponent of 0.98 by PLED light source. Such self-powered, ultraflexible PPG sensors can perform long-term stable monitoring of blood pulse signals on human hands.