在糖尿病黄斑瘤中协同发挥黄斑功能和结构,以改善患者护理:国际德尔菲共识
Christiana Dinah1, Andrew Chang2,3,4, Pierre-Henry Gabrielle5
1London Northwest University Healthcare NHS Trust, London, UK. christiana.dinah@nhs.net.
Ophthalmology and therapy
|February 26, 2026
概括
目前糖尿病黄斑的评估可能不反映患者的视力障碍. 专家们一致认为,需要综合功能评估,以更好地与结构变化相关,并改善患者护理.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
- 视觉科学 视觉科学 视觉科学
背景情况:
- 糖尿病黄斑 (DMO) 的结构性和功能性评估与它们对患者的影响之间的相关性缺乏共识.
- 目前的DMO评估可能不准确地反映患者经历的视力障碍.
研究的目的:
- 了解眼科界对优化DMO患者护理的看法.
- 确定在DMO管理中改善功能和结构评估的需求.
主要方法:
- 修改了Delphi方法,由六名专家组成的指导委员会.
- 在文献审查后,在三个共识主题中开发了40个陈述.
- 全球在线调查使用四点利克特比例和雪球采样 (n=93).
主要成果:
- 在40个声明中,35个声明 (88%) 达到了共识.
- 强烈同意目前的DMO评估可能不反映患者的视力障碍.
- 关于特定解剖特征 (如中心子场厚度,液体体积) 与视力敏度结果的相关性,仍然存在不确定性.
结论:
- 共识支持制定综合评估,以加强DMO患者护理.
- 拟议的综合评估包括对比度灵敏度,低亮度视力和患者报告的结果.
- 改进的以患者为中心的评估旨在更好地反映DMO患者的生活质量和功能经验.
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