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Lookup NU author(s): Professor David SteelORCiD
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© 2021 American Medical Association. All rights reserved.Importance: Quantifying severity of complications in rhegmatogenous retinal detachment (RRD) surgical trials is needed. A consensus classification system will help surgeons to more effectively compare harms of different surgical techniques. Objective: To develop a new consensus-based classification to quantify severity of complications of RRD surgery. Design, Setting, and Participants: A comprehensive list of complications was developed followed by a Delphi consensus survey of international vitreoretinal surgeons. The survey was conducted in 17 countries in mainland Europe, the United Kingdom, the United States, Asia, South Africa, and Australia. Seventy vitreoretinal surgeons were invited to take part in the Delphi survey; 45 agreed to participate. Participants were selected through boards/members lists of retinal societies. Data were analyzed between April 2019 and August 2019. Main Outcomes and Measures: Consensus-derived classification of complications of RRD surgery, according to their severity. Results: Forty-three of 45 vitreoretinal surgeons who agreed to participate in the Delphi survey completed round 1 (96%); all but 1 (98%) completed round 2. Consensus was reached for 96% of the 84 complications assessed. Examples of complications classified as least severe (graded 1) included subconjunctival hemorrhage and chemosis while those classified as most severe included endophthalmitis and sympathetic ophthalmia (graded 9) and phthisis (graded 10). Conclusions and Relevance: We propose a new classification for quantifying severity of surgical complications based on an international consensus of vitreoretinal surgeons to quantify harm and improve the reporting of complications of RRD surgery..
Author(s): Xu ZY, Azuara-Blanco A, Kadonosono K, Murray T, Natarajan S, Sii S, Smiddy W, Steel DH, Wolfensberger TJ, Lois N
Publication type: Article
Publication status: Published
Journal: JAMA Ophthalmology
Year: 2021
Volume: 139
Issue: 8
Pages: 857-864
Print publication date: 01/08/2021
Online publication date: 24/06/2021
Acceptance date: 05/03/2021
Date deposited: 30/11/2023
ISSN (print): 2168-6165
ISSN (electronic): 2168-6173
Publisher: American Medical Association
URL: https://doi.org/10.1001/jamaophthalmol.2021.1078
DOI: 10.1001/jamaophthalmol.2021.1078
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