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Macular hole Delphi consensus statement (MHOST).
Confalonieri, Filippo; Haave, Hanna; Binder, Susanne; Bober, Agnieszka Monika; Bragadottir, Ragnheidur; Baerland, Thomas; Faber, Rowan; Forsaa, Vegard; Gonzalez-Lopez, Julio J; Govetto, Andrea; Haugstad, Marta; Ivastinovic, Domagoj; Jenko, Neza Cokl; Nicoara, Simona Delia; Kaljurand, Kuldar; Kozak, Igor; Kvanta, Anders; Lytvynchuk, Lyubomyr; Nawrocka, Zofia Anna; Pajic, Sanja Petrovic; Petrovic, Mojca Globocnik; Radecka, Liga; Rehak, Matus; Romano, Mario R; Ruban, Andrii; Speckauskas, Martynas; Stene-Johansen, Ingar; Stranak, Zbynek; Thaler, Angela; Thein, Anna Sophie Aagaard; Theocharis, Ioannis; Tomic, Zoran; Yan, Xiaohe; Zekolli, Muhamet; Zhuri, Burim; Znaor, Ljubo; Petrovski, Beata Eva; Kolko, Miriam; Lumi, Xhevat; Petrovski, Goran.
Afiliación
  • Confalonieri F; Center for Eye Research and Innovative Diagnostics, Department of Ophthalmology, Oslo University Hospital and University of Oslo, Oslo, Norway.
  • Haave H; Department of Biomedical Science, Humanitas University, Milan, Italy.
  • Binder S; Center for Eye Research and Innovative Diagnostics, Department of Ophthalmology, Oslo University Hospital and University of Oslo, Oslo, Norway.
  • Bober AM; Department of Ophthalmology, Sigmund Freud University, Vienna, Austria.
  • Bragadottir R; Department of Ophthalmology, Weill Cornell Medicine, New York, New York, USA.
  • Baerland T; Department of Ophthalmology, Oslo University Hospital, Oslo, Norway.
  • Faber R; Department of Ophthalmology, Oslo University Hospital, Oslo, Norway.
  • Forsaa V; Faculty of Medicine, University of Oslo, Oslo, Norway.
  • Gonzalez-Lopez JJ; Department of Ophthalmology, Oslo University Hospital, Oslo, Norway.
  • Govetto A; Department of Ophthalmology, Oslo University Hospital, Oslo, Norway.
  • Haugstad M; Department of Ophthalmology, Stavanger University Hospital, Stavanger, Norway.
  • Ivastinovic D; Department of Quality and Health Technology, University of Stavanger, Stavanger, Norway.
  • Jenko NC; Surgery Department, Universidad de Alcalá School of Medicine, Madrid, Spain.
  • Nicoara SD; Ophthalmology Department, Hospital Universitario Ramón Y Cajal, IRYCIS, Madrid, Spain.
  • Kaljurand K; Ophthalmology Department, Fatebenefratelli and Ophthalmic Hospital, ASSt-Fatebenefratelli-Sacco, Milan, Italy.
  • Kozak I; Department of Ophthalmology, Oslo University Hospital, Oslo, Norway.
  • Kvanta A; Department of Ophthalmology, Medical University Graz, Graz, Austria.
  • Lytvynchuk L; Eye Hospital, University Medical Centre Ljubljana, Ljubljana, Slovenia.
  • Nawrocka ZA; Department of Ophthalmology, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
  • Pajic SP; Department of Ophthalmology, Emergency County Hospital, Cluj-Napoca, Romania.
  • Petrovic MG; Eye Clinic of Tartu University Clinics, Tartu, Estonia.
  • Radecka L; Moorfields Eye Hospital, Abu Dhabi, United Arab Emirates.
  • Rehak M; Department of Clinical Neuroscience, Division of Eye and Vision, St. Erik Eye Hospital, Karolinska Institutet, Stockholm, Sweden.
  • Romano MR; Department of Ophthalmology, Justus Liebig University, University Hospital Giessen and Marburg GmbH, Giessen, Germany.
  • Ruban A; Karl Landsteiner Institute for Retinal Research and Imaging, Vienna, Austria.
  • Speckauskas M; Ophthalmic Clinic "Jasne Blonia", Lodz, Poland.
  • Stene-Johansen I; Eye Hospital, Clinical Center of Serbia, Belgrade, Serbia.
  • Stranak Z; Eye Hospital University Medical Centre, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
  • Thaler A; Riga East University Hospital, Riga, Latvia.
  • Thein ASA; Department of Ophthalmology, University of Leipzig, Leipzig, Germany.
  • Theocharis I; Department of Ophthalmology, Justus-Liebig University Giessen, Giessen, Germany.
  • Tomic Z; Department of Biomedical Science, Humanitas University, Milan, Italy.
  • Yan X; Center of Clinical Ophthalmology, Kyiv, Ukraine.
  • Zekolli M; Department of Ophthalmology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
  • Zhuri B; Faculty of Medicine, University of Oslo, Oslo, Norway.
  • Znaor L; Department of Ophthalmology for Children and Adults, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic.
  • Petrovski BE; Department of Ophthalmology, Third Faculty of Medicine, Charles University and University Hospital Královské Vinohrady, Prague, Czech Republic.
  • Kolko M; Eye Hospital, University Medical Centre Ljubljana, Ljubljana, Slovenia.
  • Lumi X; Department of Drug Design and Pharmacology, University of Copenhagen, Copenhagen, Denmark.
  • Petrovski G; Department of Ophthalmology, University Hospital, Uppsala, Sweden.
Acta Ophthalmol ; 101(7): 815-825, 2023 Nov.
Article en En | MEDLINE | ID: mdl-37493073
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° 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies / Qualitative_research Idioma: En Revista: Acta Ophthalmol Asunto de la revista: OFTALMOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Noruega Pais de publicación: Reino Unido
Texto completo
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Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies / Qualitative_research Idioma: En Revista: Acta Ophthalmol Asunto de la revista: OFTALMOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Noruega Pais de publicación: Reino Unido