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Macular hole Delphi consensus statement (MHOST)
- Source :
- Confalonieri , F , Haave , H , Binder , S , Bober , AM , Bragadottir , R , Bærland , T , Faber , R , Forsaa , V , Gonzalez-Lopez , J J , Govetto , A , Haugstad , M , Ivastinovic , D , Jenko , N Č , Nicoară , S D , Kaljurand , K , Kozak , I , Kvanta , A , Lytvynchuk , L , Nawrocka , Z A , Pajic , S P , Petrovič , M G , Radecka , L , Rehak , M , Romano , M R , Ruban , A , Speckauskas , M , Stene-Johansen , I , Stranak , Z , Thaler , A , Thein , A S A , Theocharis , I , Tomic , Z , Yan , X , Zekolli , M , Zhuri , B , Znaor , L , Petrovski , B E , Kolko , M , Lumi , X & Petrovski , G 2023 , ' Macular hole Delphi consensus statement (MHOST) ' , Acta Ophthalmologica , vol. 101 , no. 7 , pp. 815-825 .
- Publication Year :
- 2023
-
Abstract
- 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.
Details
- Database :
- OAIster
- Journal :
- Confalonieri , F , Haave , H , Binder , S , Bober , AM , Bragadottir , R , Bærland , T , Faber , R , Forsaa , V , Gonzalez-Lopez , J J , Govetto , A , Haugstad , M , Ivastinovic , D , Jenko , N Č , Nicoară , S D , Kaljurand , K , Kozak , I , Kvanta , A , Lytvynchuk , L , Nawrocka , Z A , Pajic , S P , Petrovič , M G , Radecka , L , Rehak , M , Romano , M R , Ruban , A , Speckauskas , M , Stene-Johansen , I , Stranak , Z , Thaler , A , Thein , A S A , Theocharis , I , Tomic , Z , Yan , X , Zekolli , M , Zhuri , B , Znaor , L , Petrovski , B E , Kolko , M , Lumi , X & Petrovski , G 2023 , ' Macular hole Delphi consensus statement (MHOST) ' , Acta Ophthalmologica , vol. 101 , no. 7 , pp. 815-825 .
- Notes :
- English
- Publication Type :
- Electronic Resource
- Accession number :
- edsoai.on1439544418
- Document Type :
- Electronic Resource