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Management of postoperative inflammation after cataract and complex ocular surgeries: a systematic review and Delphi survey
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  • Published on:
    Reply to Aptel et al.: Management of postoperative inflammation after cataract and complex ocular surgeries: a systematic review and Delphi survey
    • Andrzej Grzybowski, MD, PhD, Professor of Ophthalmology Department of Ophthalmology, University of Warmia and Mazury, Olsztyn, Poland
    • Other Contributors:
      • Piotr Kanclerz, MD, PhD

    Aptel et al. [1] presented the prevention and management of postoperative ocular inflammation after cataract surgery based on randomised controlled trials, while after trabeculectomy, vitrectomy and combined phacovitrectomy in a two-round Delphi survey.

    The Delphi survey is a technique applied mainly to develop healthcare quality indicators. [2] In this study not only was it applied to evaluate practice patterns among ophthalmologists, but to obtain information on inflammatory potential of a surgical procedure that can be assessed by objective methods.

    It should be underlined that even within the formerly mentioned indications there is little recommendation among researchers to use the Delphi method. [2] The use and reporting of the method needs to be improved, while a panel composition of experts in one field significantly influences ratings. [2,3] Several issues regarding the selection of the panel members is critical if the group consensus technique is to work properly. Two hundred and twenty surgeons from Europe (35%) and the USA (59%) were invited to participate in this Delphi survey. The response rate among the invited experts should be thoroughly explained, as finally 82% of the participating experts were from Europe and the balance was from the USA. This discrepancy might have a high risk of bias and should be thoroughly discussed. Of record, in the United States retinal surgeons do not routinely perform cataract surgery, thus including them in the e...

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    Conflict of Interest:
    None declared.