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中国视网膜静脉阻塞临床诊疗路径专家共识

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视网膜静脉阻塞(RVO)是眼科临床常见疾病。近年来,抗血管内皮生长因子(VEGF)药物及眼内糖皮质激素缓释剂等药物的出现,使RVO患者的治疗效果与预后取得了显著提升。尽管如此,在我国不同地区和各级医院中,RVO的诊断与治疗策略大多基于各自的经验累积,且眼科医生对RVO早期干预的认识及其相关知识的普及程度仍有较大提升空间,亟需一套规范化的临床诊疗路径。为此,中华医学会眼科学分会眼底病学组联合中国医师协会眼科医师分会眼底病专业委员会,经过系统深入的文献调研和最新的临床研究成果分析,并结合我国当前的社会经济发展实情,共同起草了《中国视网膜静脉阻塞临床诊疗路径专家共识》草案。经核心专家组多次审议修订后,最终完成了该共识的定稿。此共识按照RVO的定义与分型、病因和发病机制、初诊病情评估、诊疗路径共识以及复诊病情评估和随诊管理等方面进行了详细阐述,旨在为眼科专科医师和眼科全科医师提供易于理解并掌握的实用指导。本共识严格遵循循证医学的基本原则,充分考虑了我国国情与现有的诊断治疗条件,对RVO的临床诊疗实践提出了具有普遍指导意义的原则性建议,旨在满足大部分患者的诊治需求。临床医生在运用本共识指导实践时,应当兼顾患者的具体病情特点,结合可供选择的治疗手段、患者的经济状况等多种因素,实施个体化综合治疗方案,从而满足广大RVO患者多元化的诊疗需求。
Expert consensus on clinical diagnosis and treatment path of retinal vein occlusion in China
Retinal vein occlusion(RVO)is a common clinical disease in ophthalmology.In recent years,with the emergence of drugs such as anti-vascular endothelial growth factor drugs and sustained release of intraocular glucocorticoids,the therapeutic effect and prognosis of RVO patients have been significantly improved.Nevertheless,in different regions and hospitals at all levels in China,the diagnosis and treatment strategies for RVO are mostly based on their own accumulated experience,and there is still room for improvement in the awareness of ophthalmologists on early intervention of RVO and the popularity of related knowledge,and a set of standardized clinical diagnosis and treatment paths is urgently needed.To this end,Fundus Diseases Group in Ophthalmology Branch of Chinese Medical Association,Professional Committee of Fundus Diseases in Ophthalmology Branch of Chinese Medical Doctor Association through systematic and in-depth literature research and analysis of the latest clinical research results,and combined with the current social and economic development of China,jointly drafted the draft of Expert consensus on clinical diagnosis and treatment path of retinal vein occlusion in China.After several reviews and revisions by the core expert group,the consensus was finalized.This consensus is elaborated in terms of the definition and classification of RVO,etiology and pathogenesis,initial diagnosis and treatment path consensus,and follow-up diagnosis and treatment assessment and follow-up management,aiming to provide easy to understand and grasp practical guidance for ophthalmic specialists and general ophthalmology practitioners.This consensus strictly follows the basic principles of evidence-based medicine,fully considers China's national conditions and existing diagnosis and treatment conditions,and puts forward principled recommendations with general guiding significance for the clinical diagnosis and treatment practice of RVO,aiming to meet the diagnosis and treatment needs of most patients.When applying this consensus to guide practice,clinicians should take into account the specific disease characteristics of patients,combined with various factors such as available treatment means and patients'economic status,and implement individualized comprehensive treatment plans,so as to meet the diversified diagnosis and treatment needs of the majority of RVO patients.

Retinal vein occlusionDiagnosis and treatment pathExpert consensus

中华医学会眼科学分会眼底病学组、中国医师协会眼科医师分会眼底病专业委员会、赵明威、黎晓新、许迅

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北京大学人民医院眼科北京眼科疾病与视光研究所视网膜与脉络膜疾病诊断与治疗北京市重点实验室北京大学医学部视光学院,北京100044

厦门大学附属厦门眼科中心,厦门361003

北京大学人民医院眼科,北京100044

上海交通大学医学院附属第一人民医院眼科国家眼部疾病临床医学研究中心,上海200080

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视网膜静脉阻塞 诊疗路径 专家共识

2024

中华眼底病杂志
中华医学会

中华眼底病杂志

CSTPCD北大核心
影响因子:0.928
ISSN:1005-1015
年,卷(期):2024.40(3)
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