视网膜血管炎的诊断和管理实践调查:国际葡萄膜炎研究小组(IUSG)视网膜血管炎研究(修订)-报告5。

IF 2.6 4区 医学 Q2 OPHTHALMOLOGY
Renee Liu, Carlos Cifuentes-González, Sapna Gangaputra, Ikhwanuliman Putera, William Rojas-Carabali, Rina La Distia Nora, Alejandra de-la-Torre, Vishali Gupta, James T Rosenbaum, Rupesh Agrawal
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引用次数: 0

摘要

目的:视网膜血管炎(RV)是一种复杂的视网膜血管炎症性疾病,在诊断、分类和治疗方面存在差异。尽管努力使定义标准化,但在临床特征、系统关联和治疗方法方面仍然存在差异。本研究旨在评估葡萄膜炎专家的临床实践,以确定需要达成共识的领域。方法:对国际葡萄膜炎研究组(IUSG)成员进行横断面、半结构化调查。符合条件的参与者是接受过正规眼炎培训的葡萄膜炎专家。调查包括120个问题,涉及诊断、影像学、系统关联和管理策略。通过REDCap匿名收集反馈(2024年1月至8月)。结果:55名专家参与,主要来自欧洲、亚洲和北美。大多数人认为他们的RV知识“足够”或“熟练”。虽然85.5%的人同意视网膜血管异常伴眼内炎症的定义,但在诊断和管理实践中仍存在差异。诊断测试优先考虑传染性和全身性原因。常用的有宽视场成像和荧光素血管造影。甲氨蝶呤、霉酚酸酯和阿达木单抗是首选治疗方法。治疗成功主要取决于血管渗漏和黄斑水肿的改善。监测做法和转诊模式各不相同。结论:RV的诊断和管理存在很大的差异,需要制定标准化的临床指南。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Survey of Diagnostic and Management Practices in Retinal Vasculitis: International Uveitis Study Group (IUSG) Retinal Vasculitis Study (ReViSe)-Report 5.

Purpose: Retinal vasculitis (RV) is a complex inflammatory disorder of retinal blood vessels with variability in diagnosis, classification, and management. Despite efforts to standardize definitions, discrepancies persist regarding clinical features, systemic associations, and treatment approaches. This study aimed to assess clinical practices among uveitis specialists to identify areas requiring consensus.

Methods: A cross-sectional, semi-structured survey was conducted among members of the International Uveitis Study Group (IUSG). Eligible participants were uveitis specialists with formal training in ocular inflammation. The survey included 120 questions on diagnosis, imaging, systemic associations, and management strategies. Responses were collected anonymously via REDCap (January to August 2024).

Results: Fifty-five specialists participated, mainly from Europe, Asia, and North America. Most rated their RV knowledge as "adequate" or "proficient." While 85.5% agreed on a definition involving retinal vascular abnormalities with intraocular inflammation, variability persisted in diagnostic and management practices. Diagnostic testing prioritized infectious and systemic causes. Wide-field imaging and fluorescein angiography were commonly used. Methotrexate, mycophenolate, and adalimumab were preferred treatments. Treatment success was primarily defined by improvements in vascular leakage and macular edema. Monitoring practices and referral patterns varied.

Conclusion: Substantial variability exists in RV diagnosis and management, highlighting the need for standardized clinical guidelines.

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来源期刊
CiteScore
6.20
自引率
15.20%
发文量
285
审稿时长
6-12 weeks
期刊介绍: Ocular Immunology & Inflammation ranks 18 out of 59 in the Ophthalmology Category.Ocular Immunology and Inflammation is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and vision scientists. Published bimonthly, the journal provides an international medium for basic and clinical research reports on the ocular inflammatory response and its control by the immune system. The journal publishes original research papers, case reports, reviews, letters to the editor, meeting abstracts, and invited editorials.
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