INTRAOCULAR EMULSION OF SILICONE OIL (ITEMS) GRADING SYSTEM
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INTRAOCULAR EMULSION OF SILICONE OIL (ITEMS) GRADING SYSTEM : An Evidence-Based Expert-Led Consensus. / Romano, Mario R; Ferrara, Mariantonia; Coco-Martin, Rosa M; Rickmann, Annekatrin; Spitzer, Martin S; Steel, David H W; Pastor, J Carlos.
In: RETINA-J RET VIT DIS, Vol. 43, No. 8, 01.08.2023, p. 1370-1376.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - INTRAOCULAR EMULSION OF SILICONE OIL (ITEMS) GRADING SYSTEM
T2 - An Evidence-Based Expert-Led Consensus
AU - Romano, Mario R
AU - Ferrara, Mariantonia
AU - Coco-Martin, Rosa M
AU - Rickmann, Annekatrin
AU - Spitzer, Martin S
AU - Steel, David H W
AU - Pastor, J Carlos
PY - 2023/8/1
Y1 - 2023/8/1
N2 - PURPOSE: To propose the InTraocular EMulsion of Silicone oil (ITEMS) grading system for the assessment of silicone oil (SiO) emulsion, applicable in a routine clinical setting and validated through an expert-led consensus procedure.METHODS: Seven experts on intraocular liquid tamponades, led by a facilitator, performed a literature review on the detection of SiO emulsion. Based on the proposed ideas, a questionnaire was developed and submitted to the experts on the methods to detect SiO emulsion and the items to grade. After 2 rounds of individual ranking using a 9-point scale and related discussion, the final grading system was developed including items that reached consensus (score ≥7 from ≥75% of members).RESULTS: The agreed ITEMS grading system includes the identification of SiO microbubbles and large SiO bubbles through slit-lamp biomicroscopy, gonioscopy, fundus examination under mydriasis, or ultra-wide-field fundus photography. Moreover, macular and disk optical coherence tomography are used to detect SiO-associated hyperreflective dots.CONCLUSION: An evidence-based expert-led consensus was conducted to develop grading system of SiO emulsion, allowing, for the first time, homogenous collection of data on SiO emulsion. This has the potential to improve the understanding of the role and clinical relevance of SiO emulsion, allowing comparisons between different studies.
AB - PURPOSE: To propose the InTraocular EMulsion of Silicone oil (ITEMS) grading system for the assessment of silicone oil (SiO) emulsion, applicable in a routine clinical setting and validated through an expert-led consensus procedure.METHODS: Seven experts on intraocular liquid tamponades, led by a facilitator, performed a literature review on the detection of SiO emulsion. Based on the proposed ideas, a questionnaire was developed and submitted to the experts on the methods to detect SiO emulsion and the items to grade. After 2 rounds of individual ranking using a 9-point scale and related discussion, the final grading system was developed including items that reached consensus (score ≥7 from ≥75% of members).RESULTS: The agreed ITEMS grading system includes the identification of SiO microbubbles and large SiO bubbles through slit-lamp biomicroscopy, gonioscopy, fundus examination under mydriasis, or ultra-wide-field fundus photography. Moreover, macular and disk optical coherence tomography are used to detect SiO-associated hyperreflective dots.CONCLUSION: An evidence-based expert-led consensus was conducted to develop grading system of SiO emulsion, allowing, for the first time, homogenous collection of data on SiO emulsion. This has the potential to improve the understanding of the role and clinical relevance of SiO emulsion, allowing comparisons between different studies.
KW - Humans
KW - Retinal Detachment
KW - Emulsions
KW - Silicone Oils
KW - Vitrectomy/methods
KW - Consensus
U2 - 10.1097/IAE.0000000000003811
DO - 10.1097/IAE.0000000000003811
M3 - SCORING: Review article
C2 - 37071921
VL - 43
SP - 1370
EP - 1376
JO - RETINA-J RET VIT DIS
JF - RETINA-J RET VIT DIS
SN - 0275-004X
IS - 8
ER -