《盘沿玻璃膜疣研究联合会使用光学相干断层扫描诊断盘沿玻璃膜疣的建议》。

The Optic Disc Drusen Studies Consortium Recommendations for Diagnosis of Optic Disc Drusen Using Optical Coherence Tomography.

机构信息

Department of Ophthalmology (LM, MW, SH), Rigshospitalet, University of Copenhagen, Denmark; Department of Ophthalmology (LB, AF), Western University, London, Ontario, Canada; Departments of Clinical Neurosciences and Surgery (FC), University of Calgary, Calgary, Canada; John A. Moran Eye Centre (KD, BK, JW), University of Utah, Salt Lake City, Utah; Department of Clinical Neurological Sciences (AF), Western University, London, Ontario, Canada; Save Sight Institute (CF), University of Sydney, New South Wales, Australia; Sydney Eye Hospital (ML), Sydney, New South Wales, Australia; Department of Neurology (AP, SW), Moorfields Eye Hospital, London, United Kingdom; Neuro-ophthalmology Expertise Centre (AP, SW), VUmc, Amsterdam, the Netherlands; and Department of Ophthalmology (PS), State University of New York at Stony Brook, Stony Brook, New York.

出版信息

J Neuroophthalmol. 2018 Sep;38(3):299-307. doi: 10.1097/WNO.0000000000000585.

DOI:10.1097/WNO.0000000000000585

PMID:29095768

Abstract

BACKGROUND

Making an accurate diagnosis of optic disc drusen (ODD) is important as part of the work-up for possible life-threatening optic disc edema. It also is important to follow the slowly progressive visual field defects many patients with ODD experience. The introduction of enhanced depth imaging optical coherence tomography (EDI-OCT) has improved the visualization of more deeply buried ODD. There is, however, no consensus regarding the diagnosis of ODD using OCT. The purpose of this study was to develop a consensus recommendation for diagnosing ODD using OCT.

METHODS

The members of the Optic Disc Drusen Studies (ODDS) Consortium are either fellowship trained neuro-ophthalmologists with an interest in ODD, or researchers with an interest in ODD. Four standardization steps were performed by the consortium members with a focus on both image acquisition and diagnosis of ODD.

RESULTS

Based on prior knowledge and experiences from the standardization steps, the ODDS Consortium reached a consensus regarding OCT acquisition and diagnosis of ODD. The recommendations from the ODDS Consortium include scanning protocol, data selection, data analysis, and nomenclature.

CONCLUSIONS

The ODDS Consortium recommendations are important in the process of establishing a reliable and consistent diagnosis of ODD using OCT for both clinicians and researchers.

摘要

背景

准确诊断视盘玻璃膜疣（ODD）很重要，因为这是可能危及生命的视盘水肿检查的一部分。对于许多 ODD 患者经历的缓慢进展的视野缺损，也需要进行随访。增强深度成像光学相干断层扫描（EDI-OCT）的引入改善了更深处埋藏的 ODD 的可视化。然而，目前尚没有使用 OCT 诊断 ODD 的共识。本研究旨在制定使用 OCT 诊断 ODD 的共识建议。