| While few randomized clinical trials have been conducted on children with cataracts, there have been increased attempts to study the subject methodically over the last 15 years. They have been carried out using a method to recognize areas of contention could aid in focusing research dollars and restricting the use of children in research to areas where there isn't enough proof and consensus. The Delphi method1 is a commonly used and accepted method for achieving expert consensus in contentious areas. Using a panel of experts, this analysis tool offers a versatile and adaptable approach for gathering and analyzing data about practice trends. Unlike unstructured group discussions, the Delphi methodology ensures that each member has an equal voice and that no single person exerts undue influence. An expert panel was asked to complete confidential questionnaires in two or more rounds. The aim of this study was to use a modified Delphi methodology, we were able to recognize areas of agreement and disagreement in the management of pediatric cataract. There was no agreement on which formula should be used to calculate IOL power regardless of globe scale. Although it was accepted that a hydrophobic IOL is preferred for in-the-bag fixation, the form of IOL (i.e., single piece Vs three piece) could not be agreed upon. As far as we are aware, this recognition of areas of agreement and disagreement in the management of pediatric cataract has never been done previously, and could serve as a model for its application in other areas of pediatric ophthalmologyddd |
