Table 2.
Consensus reached on items from the 4 main categories of ocular emergencies and sorted by median weight rating severity.
| Category | Item | Opinion submitted | Median weights | Quartile [1st; 3rd] | |
|---|---|---|---|---|---|
| Yes (n) | No (n) | ||||
| Anterior segment items | |||||
| Conjunctivitis | Noninfectious | 74 | 6 | 1 | [1.0; 1.0] |
| Keratitis | Superficial punctate keratitis | 73 | 7 | 1 | [1.0; 1.0] |
| Contact lens | Mechanical complication (dislocation, vacuum, etc.) | 74 | 6 | 1 | [1.0; 2.0] |
| Pterygia | Inflamed pterygia | 74 | 6 | 1 | [1.0; 2.0] |
| Conjunctivitis | Viral conjunctivitis | 74 | 6 | 2 | [1.0; 2.0] |
| Scleral and episcleral inflammation | Episcleritis (regardless of the cause) | 74 | 6 | 2 | [1.0; 2.0] |
| Corneal ulcer (not infected) | Unperforated—isolated epithelial defect | 73 | 7 | 2 | [1.0; 3.0] |
| Conjunctivitis | Bacterial conjunctivitis | 74 | 6 | 2 | [2.0; 2.0] |
| Keratitis | Noninfectious interstitial keratitis | 72 | 8 | 2 | [2.0; 3.0] |
| Anterior acute uveitis | First episode (regardless of the cause) | 72 | 8 | 2 | [2.0; 3.0] |
| Contact lens | Infectious keratitis without severity factor | 74 | 6 | 3 | [2.0; 3.0] |
| Anterior acute uveitis | Iterative (regardless of the cause) | 73 | 7 | 3 | [2.0; 3.0] |
| Scleral and episcleral inflammation | Scleritis (regardless of the cause) | 74 | 6 | 3 | [2.0; 3.0] |
| Lacrimal ducts | Acute dacryocystitis | 73 | 7 | 3 | [2.0; 3.0] |
| Corneal ulcer (not infected) | Unperforated, with stromal involvement | 74 | 6 | 3 | [2.0; 4.0] |
| Keratitis | Infectious keratitis | 73 | 7 | 3 | [3.0; 4.0] |
| Ocular surface burn | <9 clock hours of limbus and <75% of conjunctiva | 73 | 7 | 3 | [3.0; 4.0] |
| Contact lens | Infectious keratitis with severity factor(s) | 74 | 6 | 4 | [4.0; 5.0] |
| Glaucoma | Acute angle-closure glaucoma | 73 | 7 | 4 | [4.0; 5.0] |
| Glaucoma | Neovascular glaucoma | 73 | 7 | 4 | [4.0; 5.0] |
| Corneal ulcer (not infected) | Perforating ulcer | 74 | 6 | 5 | [5.0; 5.0] |
|
| |||||
| Posterior segment items | |||||
| Nonspecific visual symptoms | Ophthalmic migraine | 70 | 10 | 1 | [1.0; 2.0] |
| Nonspecific visual symptoms | Vitreous floaters | 70 | 10 | 1 | [1.0; 2.0] |
| Choroidal new vessels (CNV) or direct complication | Peripheral (exclusively) | 70 | 10 | 2 | [2.0; 3.0] |
| Macula | Macular edema | 71 | 9 | 3 | [2.0; 3.0] |
| Chorioretinal toxoplasmosis (active phase) | Peripheral | 71 | 9 | 3 | [2.0; 3.0] |
| Pupil disorders | No oculomotor disturbance | 71 | 9 | 3 | [2.0; 3.0] |
| Retinal peripheral tear | No detached edges, no RD associated | 70 | 10 | 3 | [2.0; 3.0] |
| Chorioretinal toxoplasmosis (active phase) | Vitreous hemorrhage—isolated/unidentified cause | 71 | 9 | 3 | [2.0; 4.0] |
| Acute binocular diplopia | Without neurological symptoms | 71 | 9 | 3 | [2.0; 4.0] |
| Macula | Macular hole | 70 | 10 | 3 | [2.0; 4.0] |
| Optic neuritis (regardless of the cause) | Without neurological symptoms | 71 | 9 | 3 | [3.0; 4.0] |
| Retinal vein occlusion | Branch (BRVO) | 70 | 10 | 3 | [3.0; 4.0] |
| Retinal peripheral tear | Detached edges, no RD associated | 70 | 10 | 3 | [3.0; 4.0] |
| Posterior segment inflammation | Vitritis (unidentified etiology) | 70 | 10 | 3 | [3.0; 4.0] |
| Posterior segment inflammation | Retinal vasculitis | 71 | 9 | 4 | [3.0; 4.0] |
| Retinal artery occlusion | Branch (BRAO) | 70 | 10 | 4 | [3.0; 4.0] |
| Choroidal new vessels (CNV) or direct complication | Subfoveal | 70 | 10 | 4 | [3.0; 4.0] |
| Optic neuritis (regardless of the cause) | With associated neurological symptoms | 71 | 9 | 4 | [3.0; 5.0] |
| Pupil disorders | Associated with oculomotor disturbance | 71 | 9 | 4 | [3.0; 5.0] |
| Retinal vein occlusion | Central (CRVO) | 70 | 10 | 4 | [3.0; 5.0] |
| Ischemic optic neuropathy | Isolated | 69 | 11 | 4 | [3.0; 5.0] |
| Retinal detachment (RD) | Macula off | 71 | 9 | 4 | [4.0; 5.0] |
| Chorioretinal toxoplasmosis (active phase) | Foveal or peripapillary | 71 | 9 | 4 | [4.0; 5.0] |
| Retinal detachment (RD) | Macula on | 71 | 9 | 5 | [4.0; 5.0] |
| Acute binocular diplopia | With associated neurological symptoms | 71 | 9 | 5 | [4.0; 5.0] |
| Retinal artery occlusion | Central (CRAO) | 69 | 11 | 5 | [4.0; 6.0] |
|
| |||||
| Traumatisms items | |||||
| Conjunctiva | Subconjunctival hemorrhage | 71 | 9 | 1 | [0.0; 1.0] |
| Conjunctiva | Conjunctival wound without scleral exposure | 71 | 9 | 1 | [1.0; 2.0] |
| Corneal injury | Corneal foreign body away from the axis | 71 | 9 | 2 | [1.0; 2.0] |
| Other injuries | Eyelid skin injury | 71 | 9 | 2 | [1.0; 2.0] |
| Conjunctiva | Conjunctival wound with scleral exposure | 71 | 9 | 2 | [2.0; 3.0] |
| Corneal injury | Nonperforating laceration away from the axis | 71 | 9 | 2 | [2.0; 3.0] |
| Commotio retinae | Peripheral posttraumatic retinopathy | 70 | 10 | 2 | [2.0; 3.0] |
| Corneal injury | Corneal foreign body in the visual axis | 71 | 9 | 3 | [2.0; 3.0] |
| Blunt injuries with impaired vision | Hyphema (isolated) | 71 | 9 | 3 | [2.0; 3.0] |
| Other injuries | Eyelid-margin injury | 71 | 9 | 3 | [2.0; 3.0] |
| Other injuries | Eyelid levator injury | 71 | 9 | 3 | [3.0; 3.0] |
| Corneal injury | Nonperforating laceration in the visual axis | 71 | 9 | 3 | [3.0; 4.0] |
| Commotio retinae | Posttraumatic maculopathy | 70 | 10 | 3 | [3.0; 4.0] |
| Blunt injuries with impaired vision | Iridodialysis (avulsion of the iris root) | 71 | 9 | 3 | [3.0; 4.0] |
| Other injuries | Tear ducts injury | 71 | 9 | 3 | [3.0; 4.0] |
| Corneal injury | Perforating but self-sealing laceration | 70 | 10 | 4 | [3.0; 4.0] |
| Blunt injuries with impaired vision | Choroidal rupture | 71 | 9 | 4 | [3.0; 4.0] |
| Blunt injuries with impaired vision | Lens dislocation | 71 | 9 | 4 | [3.0; 5.0] |
| Penetrating eye injury | Without intraocular foreign body, eye not collapsed | 71 | 9 | 4 | [4.0; 5.0] |
| Corneal injury | Perforating and leaking laceration | 71 | 9 | 5 | [4.0; 5.0] |
| Penetrating eye injury | With intraocular foreign body, eye not collapsed | 71 | 9 | 5 | [4.0; 5.0] |
| Blunt injuries with impaired vision | Scleral rupture | 71 | 9 | 5 | [4.0; 5.0] |
| Other injuries | Optic nerve injury | 71 | 9 | 5 | [4.0; 5.0] |
| Penetrating eye injury | Without intraocular foreign body, eye collapsed | 71 | 9 | 5 | [5.0; 5.0] |
| Penetrating eye injury | With intraocular foreign body, eye collapsed | 71 | 9 | 5 | [5.0; 6.0] |
|
| |||||
| Items from complication following ocular surgery | |||||
| Acute pain | With normal postoperative course | 69 | 11 | 2 | [2.0; 3.0] |
| High intraocular pressure (except AACG) | 25 < IOP < 35 mmHg | 69 | 11 | 2 | [2.0; 3.0] |
| Suture-related complication | Noninfectious suture-related complication | 70 | 10 | 2 | [2.0; 3.0] |
| High intraocular pressure (except AACG) | IOP = 35 mmHg or IOP > 35 mmHg | 67 | 13 | 3 | [3.0; 4.0] |
| Laser keratomileusis in situ (LASIK) | Complication related to the flap | 70 | 10 | 3 | [3.0; 4.0] |
| Keratoplasty (corneal grafting procedure) | Suture-related complication (no infection) | 70 | 10 | 3 | [3.0; 4.0] |
| Intraocular hemorrhage | Within 3 days after the surgery | 70 | 10 | 4 | [3.0; 4.0] |
| Keratoplasty (corneal grafting procedure) | Acute rejection | 70 | 10 | 4 | [3.0; 5.0] |
| Mechanical complication following surgery | Reopening of the surgical wound | 68 | 12 | 4 | [3.0; 5.0] |
| Suture-related complication | Infectious suture-related complication | 69 | 11 | 4 | [3.0; 5.0] |
| Mechanical complication following surgery | Collapsed eyeball (athalamia) | 61 | 19 | 4 | [4.0; 5.0] |
| Keratoplasty (corneal grafting procedure) | Graft dislocation | 70 | 10 | 5 | [4.0; 5.0] |
| Infection following surgery | Blebitis | 70 | 10 | 5 | [4.0; 5.0] |
| Infection following surgery | Panophthalmitis | 70 | 10 | 5 | [5.0; 6.0] |