PDF(Sci-hub)
Abstract：
To generate a practical and clinically useful consensus definition of \'stable glaucoma\' to aid provision of glaucoma services in the UK and to provide guidance for the criteria that should be used for monitoring of glaucoma patients in primary care services.
A Delphi exercise was undertaken to derive consensus through an online questionnaire. Participants were asked to score their strength of agreement for a series of clinical parameters. Results and comments from each round were used to inform subsequent rounds. A total of 3 rounds were undertaken.
Thirty-two glaucoma experts participated in the study with over 90% completion rate achieved over three rounds. The consensus was reached for the following parameters: IOP levels to be used for defining stability, visual field-testing techniques to define stability, the number of medication changes acceptable to define stability and the number of treatment medications allowed to define stability. No consensus was reached on the period of time over which stability was defined, however, there was considerable agreement that longer durations of follow up (36-48 months) were required. A combination of optic disc photos and ocular coherence topography (OCT) retinal nerve fibre layer (RNFL) assessment/ OCT disc structural evaluation are the preferred imaging methods for the assessment of structural stability. Oversight by a glaucoma consultant was considered important for glaucoma monitoring schemes.
The consensus definition of glaucoma stability generated through this Delphi exercise provides guidance for allocation of patients suitable for monitoring in primary care glaucoma monitoring schemes.
A Delphi exercise was undertaken to derive consensus through an online questionnaire. Participants were asked to score their strength of agreement for a series of clinical parameters. Results and comments from each round were used to inform subsequent rounds. A total of 3 rounds were undertaken.
Thirty-two glaucoma experts participated in the study with over 90% completion rate achieved over three rounds. The consensus was reached for the following parameters: IOP levels to be used for defining stability, visual field-testing techniques to define stability, the number of medication changes acceptable to define stability and the number of treatment medications allowed to define stability. No consensus was reached on the period of time over which stability was defined, however, there was considerable agreement that longer durations of follow up (36-48 months) were required. A combination of optic disc photos and ocular coherence topography (OCT) retinal nerve fibre layer (RNFL) assessment/ OCT disc structural evaluation are the preferred imaging methods for the assessment of structural stability. Oversight by a glaucoma consultant was considered important for glaucoma monitoring schemes.
The consensus definition of glaucoma stability generated through this Delphi exercise provides guidance for allocation of patients suitable for monitoring in primary care glaucoma monitoring schemes.
摘要：
为“稳定型青光眼”提供实用且临床上有用的共识定义，以帮助在英国提供青光眼服务，并为在初级保健服务中应用于监测青光眼患者的标准提供指导。
进行了Delphi练习，通过在线问卷获得共识。要求参与者对一系列临床参数的一致性强度进行评分。每轮的结果和评论用于通知后续轮。总共进行了3轮。
32位青光眼专家参与了这项研究，在三轮研究中完成率超过90%。对以下参数达成共识：用于定义稳定性的IOP水平，定义稳定性的视野测试技术，定义稳定性可接受的药物变化数量和定义稳定性允许的治疗药物数量。在定义稳定性的时间段上没有达成共识，然而,与会者一致认为需要更长的随访时间(36-48个月).视盘照片和眼相干地形图（OCT）视网膜神经纤维层（RNFL）评估/OCT椎间盘结构评估的组合是评估结构稳定性的首选成像方法。青光眼顾问的监督被认为对青光眼监测计划很重要。
通过本Delphi练习得出的青光眼稳定性的共识定义为在初级护理青光眼监测方案中分配适合监测的患者提供了指导。
进行了Delphi练习，通过在线问卷获得共识。要求参与者对一系列临床参数的一致性强度进行评分。每轮的结果和评论用于通知后续轮。总共进行了3轮。
32位青光眼专家参与了这项研究，在三轮研究中完成率超过90%。对以下参数达成共识：用于定义稳定性的IOP水平，定义稳定性的视野测试技术，定义稳定性可接受的药物变化数量和定义稳定性允许的治疗药物数量。在定义稳定性的时间段上没有达成共识，然而,与会者一致认为需要更长的随访时间(36-48个月).视盘照片和眼相干地形图（OCT）视网膜神经纤维层（RNFL）评估/OCT椎间盘结构评估的组合是评估结构稳定性的首选成像方法。青光眼顾问的监督被认为对青光眼监测计划很重要。
通过本Delphi练习得出的青光眼稳定性的共识定义为在初级护理青光眼监测方案中分配适合监测的患者提供了指导。
