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Table 1 Percent of scenarios with disagreement in first-round (pre-meeting) and second-round (post-meeting) ratings

From: Expert consensus on the identification, diagnosis, and treatment of neurotrophic keratopathy

 

N

Round 1 disagreement

Round 2 disagreement

Overall

735

40%

6%

Part I: Should a test of corneal sensitivity be performed?

646

42%

7%

 Scenarios that differed by degree of epithelial defect

  No epithelial changes (no staining) or defect

256

38%

1%

  Newly observed epithelial changes (staining) but no defect

256

45%

14%

  Newly observed defect

128

46%

3%

 Scenarios that differed by history of diabetes

  No diabetes or with well-controlled diabetes without evidence of end-organ damage

320

32%

3%

  Persistent poorly controlled diabetes and/or with evidence of end-organ damage

320

53%

10%

Part II: Rate the adequacy tests to diagnose and stage neurotrophic keratopathy

20

25%

10%

Part III: Rate the appropriateness various treatments

69

20%

3%

 Scenarios that differed by disease stage

  Stage 1

23

26%

4%

  Stage 2

23

17%

0%

  Stage 3

23

17%

4%

 Scenarios that differed by treatment type

  Medical management

27

22%

0%

  Non-surgical intervention

24

25%

4%

  Surgical intervention

15

13%

7%