Macular hole Delphi consensus statement (MHOST)

被引：3

作者：

Confalonieri, Filippo ^{[1
,2
,3
]}

Haave, Hanna ^{[1
,2
]}

Binder, Susanne ^{[4
,5
]}

Bober, Agnieszka Monika ^{[6
]}

Bragadottir, Ragnheidur ^{[6
,7
]}

Baerland, Thomas ^{[6
]}

Faber, Rowan ^{[6
]}

Forsaa, Vegard ^{[8
,9
]}

Gonzalez-Lopez, Julio J. ^{[10
,11
]}

Govetto, Andrea ^{[12
]}

Haugstad, Marta ^{[6
]}

Ivastinovic, Domagoj ^{[13
]}

Jenko, Neza Cokl ^{[14
]}

Nicoara, Simona Delia ^{[15
,16
]}

Kaljurand, Kuldar ^{[17
]}

Kozak, Igor ^{[18
]}

Kvanta, Anders ^{[19
]}

Lytvynchuk, Lyubomyr ^{[20
,21
]}

Nawrocka, Zofia Anna ^{[22
]}

Pajic, Sanja Petrovic ^{[23
]}

Petrovic, Mojca Globocnik ^{[24
]}

Radecka, Liga ^{[25
]}

Rehak, Matus ^{[26
,27
]}

Romano, Mario R. ^{[3
]}

Ruban, Andrii ^{[28
]}

Speckauskas, Martynas ^{[29
]}

Stene-Johansen, Ingar ^{[7
]}

Stranak, Zbynek ^{[30
,31
,32
,33
]}

Thaler, Angela ^{[14
]}

Thein, Anna Sophie Aagaard ^{[34
]}

Theocharis, Ioannis ^{[35
]}

Tomic, Zoran ^{[35
]}

Yan, Xiaohe ^{[36
]}

Zekolli, Muhamet ^{[37
]}

Zhuri, Burim ^{[37
]}

Znaor, Ljubo ^{[38
,39
]}

Petrovski, Beata Eva ^{[40
]}

Kolko, Miriam ^{[41
]}

Lumi, Xhevat ^{[1
,2
,15
]}

Petrovski, Goran ^{[1
,2
,38
]}

机构：

[1] Oslo Univ Hosp, Dept Ophthalmol, Ctr Eye Res & Innovat Diagnost, Kirkeveien 166, N-0450 Oslo, Norway

[2] Univ Oslo, Kirkeveien 166, N-0450 Oslo, Norway

[3] Humanitas Univ, Dept Biomed Sci, Milan, Italy

[4] Sigmund Freud Univ, Dept Ophthalmol, Vienna, Austria

[5] Weill Cornell Med, Dept Ophthalmol, New York, NY USA

[6] Oslo Univ Hosp, Dept Ophthalmol, Oslo, Norway

[7] Univ Oslo, Fac Med, Oslo, Norway

[8] Stavanger Univ Hosp, Dept Ophthalmol, Stavanger, Norway

[9] Univ Stavanger, Dept Qual & Hlth Technol, Stavanger, Norway

[10] Univ Alcala, Sch Med, Surg Dept, Madrid, Spain

[11] Hosp Univ Ramon & Cajal, IRYCIS, Ophthalmol Dept, Madrid, Spain

[12] Fatebenefratelli & Ophthalm Hosp, Ophthalmol Dept, ASSt Fatebenefratelli Sacco, Milan, Italy

[13] Med Univ Graz, Dept Ophthalmol, Graz, Austria

[14] Univ Med Ctr Ljubljana, Eye Hosp, Ljubljana, Slovenia

[15] Iuliu Hatieganu Univ Med & Pharm, Dept Ophthalmol, Cluj Napoca, Romania

[16] Emergency Cty Hosp, Dept Ophthalmol, Cluj Napoca, Romania

[17] Tartu Univ Clin, Eye Clin, Tartu, Estonia

[18] Moorfields Eye Hosp, Abu Dhabi, U Arab Emirates

[19] St Erik Eye Hosp, Karolinska Inst, Div Eye & Vis, Dept Clin Neurosci, Stockholm, Sweden

[20] Justus Liebig Univ, Univ Hosp Giessen & Marburg GmbH, Dept Ophthalmol, Giessen, Germany

[21] Karl Landsteiner Inst Retinal Res & Imaging, Vienna, Austria

[22] Ophthalm Clin Jasne Blonia, Lodz, Poland

[23] Eye Hosp, Clin Ctr Serbia, Belgrade, Serbia

[24] Univ Ljubljana, Eye Hosp Univ Med Ctr, Fac Med, Ljubljana, Slovenia

[25] Riga East Univ Hosp, Riga, Latvia

[26] Univ Leipzig, Dept Ophthalmol, Leipzig, Germany

[27] Justus Liebig Univ Giessen, Dept Ophthalmol, Giessen, Germany

[28] Ctr Clin Ophthalmol, Kiev, Ukraine

[29] Lithuanian Univ Hlth Sci, Dept Ophthalmol, Kaunas, Lithuania

[30] Charles Univ Prague, Fac Med 2, Dept Ophthalmol Children & Adults, Prague, Czech Republic

[31] Motol Univ Hosp, Prague, Czech Republic

[32] Charles Univ Prague, Fac Med 3, Dept Ophthalmol, Prague, Czech Republic

[33] Univ Hosp Kralovske Vinohrady, Prague, Czech Republic

[34] Univ Copenhagen, Dept Drug Design & Pharmacol, Copenhagen, Denmark

[35] Univ Hosp, Dept Ophthalmol, Uppsala, Sweden

[36] Jinan Univ, Shenzhen Eye Inst, Shenzhen Eye Hosp, Shenzhen, Peoples R China

[37] Laser Eye Ctr Kubati, Pristina, Kosovo

[38] Univ Split, Sch Med, Dept Ophthalmol, Split, Croatia

[39] Univ Hosp Split, Dept Ophthalmol, Split, Croatia

[40] Univ Oslo, Fac Dent, Oslo, Norway

[41] Copenhagen Univ Hosp, Rigshosp, Dept Ophthalmol, Glostrup, Denmark

来源：

ACTA OPHTHALMOLOGICA | 2023年 / 101卷 / 07期

关键词：

DELPHI consensus statement; Full thickness macular hole (FTMH); Lamellar Macular Hole (LMH); surgical decision-making; surgical management; MANAGEMENT; EPIDEMIOLOGY;

D O I：

10.1111/aos.15682

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

Purpose: To derive a Delphi method-based consensus for the surgical management of Full Thickness Macular Hole (FTMH) and Lamellar Macular Hole (LMH). Methods: 37 expert VR surgeons from 21 mainly European countries participated in Delphi method-based questionnaire for diagnosis and treatment of FTMHs and LMHs. Results: A total of 36 items were rated in round 1 by 37 participants, of which 10 items achieved consensus: intraoperative verification of PVD; clinical superiority of OCT-based FTMH classification; practical ineffectiveness of ocriplasmin; circular 360 degrees ILM peeling for small macular holes; use of regular surgical technique for the size of the hole in concomitant retinal detachment; performing complete vitrectomy; SF6 gas as preferred tamponade; cataract surgery if crystalline lens is mildly/moderately opaque; removal of both ILM and LHEP in LMH surgery. In round 2, 18 items with moderate consensus (45-70% agreement) in round 1 were rated by 35 participants. Final consensus was reached in 35% of questions related to both diagnosis and surgical procedures. Conclusions: This Delphi study provides valuable information about the consensus/disagreement on different scenarios encountered during FTMH and LMH management as a guide tosurgical decision-making. High rate of disagreement and/or variable approaches still exist for treating such relatively common conditions.

引用

页码：815 / 825

页数：11

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