基于共识的建议,用于视网膜激光治疗的指示和程序,在血管黄斑的TelCaps毛细血管 (TelCaps):一个德尔菲研究
Marie-Noëlle Delyfer1,2,3, Jean-François Girmens3,4, Corinne Dot5,6
1Univ Bordeaux, INSERM, BPH, Bordeaux, France.
Acta ophthalmologica
|June 10, 2025
概括
建议在慢性黄斑 (ME) 没有对注射产生反应时,对远程毛细血管 (TelCaps) 进行焦点激光治疗,特别是当它们远离膜时. 准则澄清了对更好的ME管理的评估和治疗.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
- 血管生物学 血管生物学
背景情况:
- 慢性黄斑 (ME) 耐受于静脉内注射 (IVI) 是一个临床挑战.
- 在这种耐火性ME病例中,越来越多地识别出长管状毛细血管 (TelCaps).
- 正在重新考虑焦点激光治疗,但需要明确的指导方针.
研究的目的:
- 在法国黄斑激光专家之间就与TelCaps相关的ME的焦点激光治疗的指示和方式达成共识.
- 制定准确的指导方针,用于评估,治疗和后续的TelCaps在ME.
主要方法:
- 为了达到专家的共识,采用了经过修改的Delphi方法.
- 参与者包括法国黄斑激光专家.
- 建议涵盖了TelCap评估,治疗指示,程序和后续行动.
主要成果:
- 共识支持TelCaps≥1000微米的激光治疗,从光与视网膜加厚,通常与IVI结合.
- 对于TelCaps<1000微米的fovea,只有IVI是最好的.
- 建议使用ICG指导治疗,但不是强制性的;评估依赖于3个月后OCT黄斑厚度的减少.
结论:
- 已经制定了使用TelCaps激光治疗血管性ME的准确指导方针.
- 病变选择和激光参数的标准化对于安全有效的ME管理至关重要.
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