早产儿视网膜病变的系统性解决方案。
Systemic Solutions in Retinopathy of Prematurity.
机构信息
Byers Eye Institute, Horngren Family Vitreoretinal Center, Department of Ophthalmology, Stanford University School of Medicine, Palo Alto, California, USA.
出版信息
Am J Ophthalmol. 2018 Sep;193:xiv-xviii. doi: 10.1016/j.ajo.2018.05.013. Epub 2018 May 22.
PURPOSE
To describe a framework for screening and treatment of retinopathy of prematurity (ROP) using telemedicine screening with laser and/or vascular endothelial growth factor inhibitor treatment strategies.
DESIGN
Literature review and perspective.
METHODS
Review of the literature and the author's experience.
RESULTS
Undetermined.
CONCLUSIONS
Telemedicine can be deployed on a national basis to provide quaternary-level screening for ROP. At-risk patients for treatment could then be directed to receive either laser photocoagulation or vascular endothelial growth factor inhibitor intravitreal injections followed at a later time by examination under anesthesia, fluorescein angiography, and diode laser photocoagulation as indicated.
目的
描述一种使用远程医疗筛查以及激光和/或血管内皮生长因子抑制剂治疗策略对早产儿视网膜病变（ROP）进行筛查和治疗的框架。
设计
文献回顾和观点。
方法
文献回顾和作者的经验。
结果
未确定。
结论
远程医疗可以在全国范围内部署，为 ROP 提供四级筛查。然后，可以将有治疗风险的患者引导至接受激光光凝或血管内皮生长因子抑制剂眼内注射治疗，之后根据需要在以后的时间进行全身麻醉下检查、荧光素血管造影和二极管激光光凝。
Zotero 插件