地理缩管理共识 (GA-MAC):关于识别,诊断和治疗的德尔菲小组研究
Peter K Kaiser1, Paul M Karpecki2, Carl D Regillo3
1Ophthalmology, Cleveland Clinic Cole Eye Institute, Cleveland, Ohio, USA pkkaiser@gmail.com.
BMJ open ophthalmology
|October 19, 2023
概括
在使用光连贯断层扫描来诊断和管理地理缩 (GA) 方面达成了共识. 这些指导方针有助于眼科专业人员管理GA患者,通过新的治疗方法改善结果.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
背景情况:
- 由于新的治疗方法,地理缩 (GA) 管理正在转变.
- 眼科专业人员 (ECP) 需要标准化的识别,诊断和管理.
研究的目的:
- 在ECP之间建立关于GA识别,诊断和管理的共识.
- 通过一致的临床实践改善患者的治疗结果.
主要方法:
- 修改了Delphi面板过程,包括调查和虚拟会议.
- 专家小组包括验光师,眼科医生和视网膜专家.
- 用于计算共识的兰德/UCLA适当性方法.
主要成果:
- 在77个关于GA管理的陈述上达到了91%的共识.
- 光学连贯断层扫描 (OCT) 是首选的诊断和监测工具.
- 对新兴GA疗法的转诊模式和治疗标准达成共识.
结论:
- 意识到早期的GA症状和有效的评估工具至关重要.
- 由于与GA相关的逐渐视力丧失,新的管理策略至关重要.
- 建立的共识有助于ECP优化患者护理和结果.
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