RT info:eu-repo/semantics/article T1 Intraocular emulsion of silicone oil (ITEMS) grading system A1 Romano, Mario R. A1 Ferrara, mariantonia A1 Coco Martín, Rosa María A1 Rickmann, annekatrin A1 Spitzer, Martin S A1 steel, David H.W. A1 Pastor Jimeno, José Carlos K1 grading; silicone oil; silicone oil emulsion; silicone oil microbubbles; silicone oil-associated hyperreflective dots. K1 3201.09 Oftalmología AB ABSTRACT. 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 two rounds of individual ranking using a nine-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 quantification of SiO microbubbles and large SiO bubbles through slit lamp biomicroscopy, gonioscopy, fundus examination under mydriasis or ultra-widefield fundus photography. Moreover, macular and disc OCT 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 our understanding of the role and clinical relevance of SiO emulsion allowing comparisons between different studies. PB Wolters Kluwer Health SN 0275-004X YR 2023 FD 2023-08-01 LK https://uvadoc.uva.es/handle/10324/68989 UL https://uvadoc.uva.es/handle/10324/68989 LA spa NO Retina, 1 Aug 2023, vol. 43, n. 8, p. 1370-1376. NO Producción Científica DS UVaDOC RD 18-nov-2024