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Consensus on Severity for Ocular Emergency: The BAsic SEverity Score for Common OculaR Emergencies [BaSe SCOrE].

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Summary

Ophthalmologists established severity ratings for 86 ocular emergencies using a Delphi method. These standardized ratings can improve emergency triage and research for eye conditions.

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Area of Science:

  • Ophthalmology
  • Emergency Medicine
  • Medical Research Methodology

Background:

  • Ocular emergencies encompass a wide spectrum of conditions requiring urgent medical attention.
  • Standardized severity assessment is crucial for effective triage and resource allocation in emergency ophthalmology.
  • Existing methods for classifying ocular emergency severity may lack consensus and broad applicability.

Purpose of the Study:

  • To develop a consensus-based severity scale for common ocular emergency events.
  • To provide a standardized framework for evaluating the urgency of eye-related emergencies.
  • To facilitate consistent research and clinical management of ocular emergencies.

Main Methods:

  • A Delphi consensus method was employed, involving a panel of ophthalmologists and researchers.
  • Eighty experts from 18 countries participated in a two-round survey using a 7-point severity scale.
  • Consensus ratings were derived from the median scores after the second round of expert reevaluation.

Main Results:

  • A consensus on the severity of 86 ocular emergencies was achieved in the second round.
  • Severity ratings ranged from minor conditions like subconjunctival hemorrhages (median=1) to severe injuries such as penetrating eye trauma with foreign bodies or panophthalmitis (median=5-6).
  • Expert practice type did not significantly influence the assigned severity ratings.

Conclusions:

  • The developed severity ratings offer a standardized tool for assessing ocular emergencies.
  • These ratings can be integrated into algorithms for emergency triage and clinical decision-making.
  • The consensus scale aids in standardizing research protocols and outcomes in the field of ocular emergencies.