title: Use of the Delphi process in paediatric cataract management.
abstract: OBJECTIVE
  To identify areas of consensus and disagreement in the management of paediatric cataract using a modified Delphi approach among individuals recognised for publishing in this field.
  
  
  METHODS
  A modified Delphi method.
  
  
  METHODS
  International paediatric cataract experts with a publishing record in paediatric cataract management.
  
  
  METHODS
  The process consisted of three rounds of anonymous electronic questionnaires followed by a face-to-face meeting, followed by a fourth anonymous electronic questionnaire. The executive committee created questions to be used for the electronic questionnaires. Questions were designed to have unit-based, multiple choice or true-false answers. The questionnaire included issues related to the preoperative, intraoperative and postoperative management of paediatric cataract.
  
  
  METHODS
  Consensus based on 85% of panellists being in agreement for electronic questionnaires or 80% for the face-to-face meeting, and near consensus based on 70%.
  
  
  RESULTS
  Sixteen of 22 invited paediatric cataract surgeons agreed to participate. We arrived at consensus or near consensus for 85/108 (78.7%) questions and non-consensus for the remaining 23 (21.3%) questions.
  
  
  CONCLUSIONS
  Those questions where consensus was not reached highlight areas of either poor evidence or contradicting evidence, and may help investigators identify possible research questions.
authors.affiliation: University Eye Clinic, San Giuseppe Hospital, University of Milan, Milan, Italy.
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Serafino
authors.affiliation: Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.
authors.forename: Rupal H
authors.initials: RH
authors.lastname: Trivedi
authors.affiliation: Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
authors.forename: Alex V
authors.initials: AV
authors.lastname: Levin
authors.affiliation: Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.
authors.forename: M Edward
authors.initials: ME
authors.lastname: Wilson
authors.affiliation: University Eye Clinic, San Giuseppe Hospital, University of Milan, Milan, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Nucci
authors.affiliation: Department of Ophthalmology, Emory University School of Medicine, Atlanta, Georgia, USA.
authors.forename: Scott R
authors.initials: SR
authors.lastname: Lambert
authors.affiliation: Eye Center of the University of Pittsburgh Medical Center and Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA.
authors.forename: Ken K
authors.initials: KK
authors.lastname: Nischal
authors.affiliation: Glick Eye Institute, Indiana University, Indianapolis, Indiana, USA.
authors.forename: David A
authors.initials: DA
authors.lastname: Plager
authors.affiliation: Ophthalmology Department, University Hospital, UPJV, Amiens, CNRS FR3636, Paris V University, Paris, France.
authors.forename: Dominique
authors.initials: D
authors.lastname: Bremond-Gignac
authors.affiliation: Jasti V Ramanamma Children's Eye Care Centre, LV Prasad Eye Institute, Hyderabad, India.
authors.forename: Ramesh
authors.initials: R
authors.lastname: Kekunnaya
authors.affiliation: National Center for Child Health and Development, Tokyo, Japan.
authors.forename: Sachiko
authors.initials: S
authors.lastname: Nishina
authors.affiliation: The Hospital for Sick Children and University of Toronto, Toronto, Canada.
authors.forename: Nasrin N
authors.initials: NN
authors.lastname: Tehrani
authors.affiliation: Altino Ventura Foundation and HOPE Eye Hospital, Recife, Brazil.
authors.forename: Marcelo C
authors.initials: MC
authors.lastname: Ventura
mesh_terms: D000293:Adolescent; D002386:Cataract / Q000150:complications*; D002387:Cataract Extraction; D002648:Child; D002675:Child, Preschool; D032921:Consensus; D003697:Delphi Technique; D019317:Evidence-Based Medicine; D006801:Humans; D007223:Infant; D010818:Practice Patterns, Physicians'