Núñez Maria X, Henriquez Maria A, Escaf Luis J, Ventura Bruna V, Srur Miguel, Newball Lyle, Espaillat Arnaldo, Centurion Virgilio A
Unit of Cornea, Cataract and Refractive Surgery, Grupo de Investigacion Vision Sana, Clinica de Oftalmología de Cali, Universidad Javeriana, Cali, Colombia,
Department of Cataract, Department of Research, Oftalmosalud Instituto de Ojos, Lima, Peru.
Clin Ophthalmol. 2019 Feb 11;13:311-324. doi: 10.2147/OPTH.S178277. eCollection 2019.
This project was aimed at achieving consensus on the management of astigmatism during cataract surgery by ophthalmologists from Latin America using modified Delphi technique. Relevant peer-reviewed literature was identified, and 21 clinical research questions associated with the definition, classification, measurement, and treatment of astigmatism during cataract surgery were formulated. Twenty participants were divided into seven groups, and each group was assigned three questions to which they had to respond in written form, after thoroughly reviewing the literature. The assigned questions with corresponding responses by each group were discussed with other participants in round 4 - presentation of findings. The consensus was achieved if approval was obtained from at least 80% of participants. The present paper provides several agreements and recommendations for management of astigmatism during cataract surgery, which could potentially minimize the variability in practice patterns and help ophthalmologists adopt optimal practices for cataract patients with astigmatism and improve patient satisfaction.
本项目旨在通过改良德尔菲技术，使来自拉丁美洲的眼科医生就白内障手术中散光的管理达成共识。检索了相关的同行评审文献，并提出了21个与白内障手术中散光的定义、分类、测量和治疗相关的临床研究问题。20名参与者被分成7组，每组被分配3个问题，在彻底查阅文献后，他们必须以书面形式做出回答。在第4轮——研究结果展示中，每组分配的问题及相应回答与其他参与者进行了讨论。如果至少80%的参与者批准，则达成共识。本文提供了白内障手术中散光管理的若干共识和建议，这可能会最大限度地减少实践模式的差异，并帮助眼科医生为有散光的白内障患者采用最佳治疗方法，提高患者满意度。
