eye diseases

眼部疾病
  • 文章类型: Journal Article
    中华医学会儿科学分会新生儿学组和中华儿科杂志编辑委员会组织多学科专家,依据我国高危新生儿眼病筛查管理现状与存在问题,共同制订“高危新生儿眼病筛查分类分级管理专家共识(2024)”,总结高危新生儿眼病筛查规范管理5个共性问题以及11条专家推荐建议,强调对高危新生儿眼病的高危因素分类识别和眼病筛查管理服务的分级标准化建设,明确高危新生儿眼病筛查的管理方向。.
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  • 文章类型: English Abstract
    Amniotic membrane (AM) can promote epithelialization, inhibit inflammation and be antimicrobial. It has been widely used in the clinical treatment of corneal epithelial and stromal defects. However, the misuse and abuse of AM might aggravate the primary disease and even lead to the loss of the best timing for other surgical interventions. Based on domestic and foreign clinical practice guidelines and medical evidence, the Cornea Group of Ophthalmology Branch of Chinese Medical Association has formed consensus opinions about the indications, surgical techniques and perioperative management of AM transplantation, so as to standardize the application of AM in the treatment of corneal and ocular surface diseases.
    羊膜具有促进上皮愈合、抑制炎性反应、抗微生物等特性,在眼科临床广泛应用于角膜上皮和基质缺损的修复治疗。目前临床羊膜手术存在羊膜误用和滥用、手术方式和适应证选择错误等问题,可能导致原发病加重,使患者失去其他治疗最佳时机。为了规范羊膜手术在角膜和眼表疾病治疗中的应用,中华医学会眼科学分会角膜病学组汇集该领域相关专家,参考国内外临床实践规范,结合循证医学证据,对羊膜手术的适应证、方式和技术以及围手术期用药管理等进行充分讨论,形成共识性意见,以期为临床工作提供参考和指导。.
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  • 文章类型: Journal Article
    暂无摘要。
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  • 文章类型: English Abstract
    Visual electrophysiology is an objective examination method for assessing visual function. As one of the important ophthalmic clinical examinations, it is widely used in the diagnosis, differential diagnosis, follow-up and visual function identification of diseases. Based on a number of standards and guidelines published by the International Society of Clinical Visual Electrophysiology in recent years, in combination with the recent clinical practice and research progress in China, the experts in the Visual Physiology Group of Ophthalmology Branch of Chinese Medical Association and Visual Physiology Group of Chinese Ophthalmologist Association have formed consensus opinions to help Chinese ophthalmologists standardize the use of clinical visual electrophysiologic terminology and to promote the further standardization of clinical visual electrophysiologic examination in China.
    视觉电生理检查是评估视功能的客观方法,是眼科临床检查的重要内容之一,广泛用于疾病的诊断、鉴别诊断、随访和视功能鉴定。中华医学会眼科分会视觉生理学组和中国医师协会眼科医师分会视觉生理学组基于国际临床视觉电生理学会近年发布的多个标准和指南,结合我国临床实践和近年研究进展,针对中国临床视觉电生理学检查术语达成共识性意见,以期帮助广大眼科工作者规范使用临床视觉电生理学术语,进一步推进我国眼科临床视觉电生理学检查工作规范化。.
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  • 文章类型: Journal Article
    这项对学术医学中心系统性红斑狼疮(SLE)患者队列的研究基于当前指南调查了羟氯喹剂量与狼疮耀斑风险之间的关联。
    This study of an academic medical center patient cohort with systemic lupus erythematosus (SLE) investigates the association between hydroxychloroquine dose based on current guidelines and risk of lupus flares.
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  • 文章类型: Journal Article
    在亚洲人中,息肉状脉络膜血管病变(PCV)被越来越广泛地认为是渗出性黄斑病变的重要原因。印度关于PCV管理的前一套指南于2018年发布,文献检索更新至2015年11月。随着PCV治疗的发展,视网膜医生必须不断修改他们目前的做法。当前指南基于PCV的最新信息,是对以前一组指南的更新。这些指南是由印度视网膜视网膜协会(VRSI)主持下的印度视网膜专家小组制定的,基于截至2021年9月的全面文献搜索和评估。Thefinalguidelinesi)providetheupdatednomenclatureinPCV;ii)discussthenewsdiagnosticimagingfeaturesofPCV,特别是在没有吲哚菁绿血管造影术(ICGA)的情况下;iii)建议在PCV的管理中采用最佳的治疗方法,包括抗血管内皮生长因子(抗VEGF)药物的选择,治疗方案,以及在抗VEGF药物之间转换的作用。面对印度无法使用光动力疗法(PDT),我们构建了PCV中抗VEGF单药治疗的实用建议.当前更新的建议将为治疗视网膜医师提供更广泛的框架,以诊断和管理PCV以获得最佳治疗结果。
    In Asians, polypoidal choroidal vasculopathy (PCV) is becoming more widely recognized as a significant cause of exudative maculopathy. The previous set of Indian guidelines on the management of PCV were published in 2018, with a literature search updated up to November 2015. As the treatment of PCV evolves, retinal physicians must constantly modify their current practice. The current guidelines are based on the most up-to-date information on PCV and are an update to the previous set of guidelines. These guidelines were developed by a panel of Indian retinal experts under the aegis of the Vitreoretinal Society of India (VRSI), based on a comprehensive search and assessment of literature up to September 2021. The final guidelines i) provide the updated nomenclature in PCV; ii) discusses the newer diagnostic imaging features of PCV, especially in the absence of indocyanine green angiography (ICGA); and iii) recommends the best possible therapeutic approach in the management of PCV, including the choice of anti-vascular endothelial growth factor (anti-VEGF) agents, treatment regimen, and the role of switching between the anti-VEGF agents. In the face of non-availability of photodynamic therapy (PDT) in India, we constructed practical recommendations on anti-VEGF monotherapy in PCV. The current updated recommendations would provide a broader framework to the treating retinal physician for the diagnosis and management of PCV for optimal therapeutic outcomes.
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  • 文章类型: Journal Article
    Accumulated evidence has shown that novel coronavirus disease 2019 (COVID-19) could contribute to eye disease during its pandemic, which is called COVID-19 eye disease. Currently, there is a lack of uniform and standardized guidelines for the protection of medical staff in the diagnosis and treatment process. Most ophthalmologists treat this disease according to their clinical experience. Therefore, the experts of the Public Health Ophthalmology Branch of Chinese Preventive Medicine Association have developed this consensus statement after thorough discussions, hoping to provide guiding opinions on the further prevention and control of COVID-19 eye disease in China.
    越来越多的研究结果显示,新型冠状病毒可引起眼部疾病。目前临床对于新型冠状病毒眼病缺乏统一认识,多数眼科医师仅凭个人经验进行诊疗,在诊疗过程中医务人员的防护也缺乏统一标准。为此,中华预防医学会公共卫生眼科学分会组织我国眼病及公共卫生流行病学专家,在参考相关文献和总结临床实践经验的基础上,经过反复讨论和修改,达成共识性意见,旨在进一步提高我国新型冠状病毒眼病的规范化防控。.
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  • 文章类型: Consensus Development Conference
    肠外表现经常发生在炎症性肠病(IBD)患者中,并且仍然是诊断和治疗的挑战。炎症性肠病试验中肠外表现终点(EXTRA)计划的目的是就如何评估IBD试验中的这些表现达成国际专家共识。进行了系统的文献综述,以确定诊断IBD患者肠外表现和评估治疗结果的方法。由41名与会者组成的协商一致会议,包括胃肠病学家和转诊专家,作为国际炎症性肠病研究组织倡议的一部分,于2021年3月31日举行。小组同意,在将患者纳入IBD试验之前,需要专家的专业知识来确认肠外表现的诊断,除了轴性脊柱关节炎,对于典型的症状和MRI可以是足够的。确定了易于测量的终点,以评估肠外表现对治疗的反应,而无需专家参与。对于葡萄膜炎,周围型脊柱关节炎,关节痛,端点测量需要专业知识。对于个别肠外表现,讨论了终点测量的时机。EXTRA共识提出了关于如何彻底评估IBD试验中的肠外表现的指南。并建议在未来的试验中实施这些指南,以便对这些表现进行前瞻性评估,并在研究之间进行比较.
    Extraintestinal manifestations occur frequently in patients with inflammatory bowel disease (IBD) and remain a diagnostic and therapeutic challenge. The aim of the Endpoints for Extraintestinal Manifestations in Inflammatory Bowel Disease Trials (EXTRA) initiative was to achieve international expert consensus on how to assess these manifestations in IBD trials. A systematic literature review was done to identify methods to diagnose extraintestinal manifestations in patients with IBD and measure treatment outcomes. A consensus meeting involving a panel of 41 attendees, including gastroenterologists and referral specialists, was held on March 31, 2021, as part of an International Organization for the Study of Inflammatory Bowel Diseases initiative. The panel agreed that a specialist\'s expertise is needed to confirm the diagnosis of extraintestinal manifestations before the inclusion of a patient in IBD trials, except for axial spondyloarthritis, for which typical symptoms and MRI can be sufficient. Easy-to-measure endpoints were identified to assess the response of extraintestinal manifestations to treatment without needing specialist involvement. For uveitis, peripheral spondyloarthritis, and arthralgia, endpoint measurements need specialist expertise. The timing of endpoint measurements was discussed for individual extraintestinal manifestations. The EXTRA consensus proposes guidelines on how to thoroughly evaluate extraintestinal manifestations within IBD trials, and recommends that these guidelines are implemented in future trials to enable prospective assessment of these manifestations and comparison between studies.
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  • 文章类型: Journal Article
    Optometry Australia\'s infection control guidelines 2020 deliver a revision of the paper: Infection control guidelines for optometrists 2016. A review of recent literature was undertaken, with information collected from peer-reviewed journal articles, guidelines from professional societies, government health departments and instructions from equipment manufacturers. This information was used to provide an update on current infection control best practice. The guidelines are presented in two sections: standard precautions and transmission-based precautions. The standard (routine) precautions section covers: hand hygiene; personal protective equipment; safe handling and disposal of sharps; routine environmental cleaning; reprocessing of reusable equipment, instruments and contact lenses; respiratory hygiene and cough etiquette; aseptic and clean technique; and waste management. The transmission-based precautions section covers considerations for optometry staff and/or patients when standard precautions alone may not be sufficient to prevent the spread of an infectious agent; particularly relevant during the COVID-19 pandemic. Finally, a comprehensive list of disinfection or sterilisation techniques to use on reusable devices, instruments or equipment in optometric practice is provided in an Appendix.
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  • 文章类型: Journal Article
    Stevens-Johnson Syndrome (SJS) and toxic epidermal necrolysis (TEN) can lead to severe ophthalmologic sequelae. The main risk factor is the severity of the initial ocular involvement. There are no recommendations for ocular management during acute phase.We conducted a national audit of current practice in the 11 sites of the French reference center for toxic bullous dermatoses and a review of the literature to establish therapeutic consensus guidelines. We sent a questionnaire on ocular management practices in SJS/ TEN during acute phase to ophthalmologists and dermatologists. The survey focused on ophthalmologist opinion, pseudomembrane removal, topical ocular treatment (i.e. corticosteroids, antibiotics, antiseptics, artificial tear eye drops, vitamin A ointment application), amniotic membrane transplantation, symblepharon ring use, and systemic corticosteroid therapy for ophthalmologic indication. Nine of 11 centers responded. All requested prompt ophthalmologist consultation. The majority performed pseudomembrane removal, used artificial tears, and vitamin A ointment (8/9, 90%). Combined antibiotic-corticosteroid or corticosteroid eye drops were used in 6 centers (67%), antibiotics alone and antiseptics in 3 centers (33%). Symblepharon ring was used in 5 centers (55%) if necessary. Amniotic membrane transplantation was never performed systematically and only according to the clinical course. Systemic corticosteroid therapy was occasionally used (3/9, 33%) and discussed on a case-by-case basis.The literature about ocular management practice in SJS/ TEN during acute phase is relatively poor. The role of specific treatments such as local or systemic corticosteroid therapy is not consensual. The use of preservatives, often present in eye drops and deleterious to the ocular surface, is to be restricted. Early amniotic membrane transplantation seems to be promising.
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