斑点孔 德尔菲共识声明 (MHOST)
Filippo Confalonieri1,2, Hanna Haave1, Susanne Binder3,4
1Center for Eye Research and Innovative Diagnostics, Department of Ophthalmology, Oslo University Hospital and University of Oslo, Oslo, Norway.
Acta ophthalmologica
|July 26, 2023
概括
这项研究使用了Delphi方法,以在外科医生之间找到关于管理全厚黄斑孔 (FTMH) 和状黄斑孔 (LMH) 的共识. 虽然在一些领域达成一致,但在这些共同疾病的外科决策方面仍然存在重大分歧.
科学领域:
- 眼科医生 眼科 眼科
- 手术创新 在外科创新.
- 视网膜外科手术 视网膜外科手术
背景情况:
- 黄斑孔,包括全厚黄斑孔 (FTMH) 和状黄斑孔 (LMH),是常见的视网膜疾病.
- 针对FTMH和LMH的标准化外科管理协议正在发展.
- 专家的共识可以指导复杂的眼科手术的临床决策.
研究的目的:
- 建立关于FTMH和LMH的手术管理的玻璃甲状腺外科医生之间的共识.
- 确定在黄斑孔的诊断和治疗中存在共识和分歧的领域.
- 为FTMH和LMH病例提供手术决策指南.
主要方法:
- 基于德尔菲方法的问卷调查对37名专家玻璃甲状腺外科医生进行了管理.
- 参与者代表了21个欧洲国家.
- 进行了两轮问卷调查,以达成关于诊断和治疗策略的共识.
主要成果:
- 在第一轮的36个项目中,就10个项目达成共识,包括手术内PVD验证和基于OCT的FTMH分类.
- 达成一致的领域包括ocriplasmin的无效性和特定的ILM剥离技术.
- 第二轮进一步讨论涉及18个问题,最终达成共识,所有问题的35%.
- 具体的共识点包括SF6气作为首选的吸管和对不透明透镜的联合白内障手术.
结论:
- 德尔菲研究强调了在FTMH和LMH手术管理中存在共识和重大分歧的领域.
- 对于这些相对常见的视网膜疾病,存在不同的方法和持续的辩论.
- 这些发现为手术决策提供了宝贵的见解,并确定了未来研究和标准化的领域.
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