Globe and Adnexal Trauma Terminology Survey

Area of Science:

• Ophthalmology
• Trauma Surgery

Background:

• Ocular trauma terminology requires periodic updates for effective clinical and research monitoring.
• Current terminology may not comprehensively capture all aspects of globe and adnexal trauma.

Purpose of the Study:

• To update and refine terminology for ocular and adnexal trauma.
• Establish expert consensus on key terms for classifying eye injuries.

Main Methods:

• A 2-round modified Delphi survey was administered to 69 ophthalmologists specializing in ocular trauma.
• Consensus was defined as at least 67% agreement among experts.
• The survey addressed existing and proposed terminology, including definitions of injury zones and mechanisms.

Main Results:

• Consensus was reached on 18 of 25 questions in round 1 and 4 of 7 in round 2.
• Existing Birmingham Eye Trauma Terminology system definitions achieved high consensus (84% in round 1, 97% in round 2).
• Experts agreed on refining definitions for zones of injury and including terms related to mechanism of injury, lacrimal system, lens, retina, and cornea.

Conclusions:

• There is consensus on the continued utility of the Birmingham Eye Trauma Terminology system.
• Additional terms are necessary to enhance the current ocular trauma terminology.
• Updated terminology will improve the comprehensive capture and monitoring of ocular trauma.