[关键词]
[摘要]
本专家共识旨在深入探讨玻璃体视网膜手术前视功能和影像学检查的规范操作流程。玻璃体视网膜手术术前检查能有效帮助医生明确手术适应证、评估患者病情,为设计手术方案和判断预后提供有力支持。为了制定本专家共识,在国家眼部疾病临床医学研究中心孙晓东等权威专家帮助下,中国医药教育协会眼科影像与智能医疗分会、国际智能医学会眼科专委会和国际转化医学会眼科学专委会组织专家组结合近年国际和国内在玻璃体视网膜手术领域的最新研究和发展,对术前影像和视功能的检查方法进行了全面的研究和评估,专家们经过多轮探讨和参考最新的临床资料,形成了这份专家共识,旨在为规范玻璃体视网膜手术术前检查提供支持,以实现提高医疗质量、优化资源利用、提供决策支持和保障患者权益的目标。本专家共识主要介绍玻璃体视网膜手术的术前检查,包括超广角眼底成像术、荧光素血管造影、吲哚菁绿血管造影、眼科B型超声检查、超声生物显微镜、光学相干断层扫描、光学相干断层扫描血管造影、眼眶计算机断层扫描、眼眶核磁共振成像,以及眼科电生理检查如视网膜电图、视觉诱发电位、视野等眼科检查的工作原理、检查方法以及有关注意事项。
[Key word]
[Abstract]
This consensus document aims to define a standardized protocol for visual function and imaging examinations preceding vitreoretinal surgery. Preoperative examination can significantly aid physicians in defining surgical indications, evaluating patients' conditions, and providing substantial support for designing surgical plans and predicting prognoses. Compiled by a collaborative expert group representing the Ophthalmic Imaging and Intelligent Medicine Branch of the Chinese Medicine Education Association, in tandem with the Ophthalmology Committee of International Association of Translational Medicine, this consensus integrates recent advancements and research in vitreoretinal surgery from both global and domestic contexts. Following numerous rounds of deliberations and the integration of the latest clinical data, these consensuses have been formulated with the objective of offering support in standardizing preoperative examinations for vitreoretinal surgery, with the broader aim of enhancing medical quality, optimizing resource usage, providing decision-making support, and ensuring the protection of patient rights. This document predominantly encompasses an in-depth review of preoperative examinations for vitreoretinal procedures, which includes, but is not limited to, principles, methodologies, and related precautions of ultra-wide-angle fundus imaging, fluorescein angiography, indocyanine green angiography, ophthalmic B-ultrasound examinations, ultrasound biomicroscopy, optical coherence tomography, optical coherence tomography angiography, orbital CT scan, orbital MRI, ophthalmic electrophysiology tests such as electroretinogram and visually evoked potentials and visual field.
[中图分类号]
[基金项目]
国家自然科学基金(No.82160195,82460203); 江西省双千计划科技创新高端领军人才项目(No.jxsq2023201036); 江西省重大(重点)研发专项计划(No.20223BBH80014); 浙江省自然科学基金(No.LY21H120002)