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玻璃体切割手术治疗2型糖尿病视网膜病变专家共识

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增生型糖尿病视网膜病变(PDR)是糖尿病视网膜病变(DR)的晚期表现,常伴有玻璃体积血和视网膜脱离,严重影响患者的视力,甚至导致严重视力损伤。虽然玻璃体切割手术是治疗PDR的有效方法,但手术操作具有一定的难度,不当处理可能会对患者手术后的视力恢复产生不利影响或引起并发症。因此,明确PDR的手术适应证和规范操作流程至关重要。为此,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委会以及《玻璃体切割手术治疗2型糖尿病视网膜病变专家共识》专家组,针对9个关键临床问题,基于最新的循证医学证据,并结合国际指南和我国的社会经济发展现状,就DR手术时机的选择、围手术期血糖管理、手术方式的选择、手术操作方案的制定、药物联合或激光治疗等方面提出了推荐意见,形成了我国《玻璃体切割手术治疗2型糖尿病视网膜病变专家共识》。本共识适用于中国眼底病专科医师和从事眼底病专业的医师,旨在为PDR患者的玻璃体手术治疗提供科学指导,辅助临床决策制定,进一步提高我国DR的手术治疗水平。
Expert consensus for pars plana vitrectomy treatment of type 2 diabetic retinopathy
Proliferative diabetic retinopathy(PDR)is more advanced stage in diabetic retinopathy(DR),often with vitreous hemorrhages and traction retinal detachment which seriously affects patients'vision and even leads to severe visual impairment.Pars plana vitrectomy is an effective treatment for PDR.However,the operation procedure is quite complexed.Inadequate management can negatively impact postoperative vision or even lead to complications.Therefore,it is very important to clarify the surgical indications and standardize the operating procedures of PDR.To this end,Fundus Disease Group of Ophthalmological Society of Chinese Medical Association,Fundus Disease Group of Ophthalmologist Branch of Chinese Medical Doctor Association,Expert Group of Expert consensus for pars plana vitrectomy treatment of type 2 diabetic retinopathy focus on 9 key clinical issues,based on the latest evidence-based medical evidence,combined with international guidelines and China's social and economic development.Recommendations were made on the selection of DR Surgery timing,perioperative blood glucose management,surgical mode selection,formulation of surgical operation plan,drug combination or laser therapy,etc.,which formed China's expert consensus on pars plana vitrectomy in the treatment of type 2 DR.This consensus is applicable to Chinese doctors specializing in fundus diseases and doctors engaged in fundus diseases,aiming to provide scientific guidance for vitreous surgery treatment of PDR patients,assist clinical decision-making,and further improve the level of surgical treatment of DR in China.

Proliferative diabetic retinopathyPars plana vitrectomyEvidence-based medicineCriterionExpert 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委会、《玻璃体切割手术治疗2型糖尿病视网膜病变专家共识》专家组、黎晓新、许迅

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北京大学人民医院眼科中心,北京100044

厦门大学附属厦门眼科中心,厦门361003

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

增生型糖尿病视网膜病变 玻璃体切除术 循证医学 规范 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(9)