基于专家共识和现有证据的角膜膨隆患者使用透气性隐形眼镜的临床管理指南。
Clinical guidelines for the management of keratoconus patients with gas permeable contact lenses based on expert consensus and available evidence.
机构信息
School of Optometry, Department of Physic TAO, University of Valladolid, Valladolid.
Instituto Universitario de Oftalmobiología Aplicada (IOBA Eye Institute), University of Valladolid, Valladolid.
出版信息
Curr Opin Ophthalmol. 2021 Jan 1;32(Suppl 2):S1-S11. doi: 10.1097/ICU.0000000000000728.
PURPOSE OF REVIEW
Fitting rigid gas permeable contact lenses (RGP CLs) in keratoconic patients is the most common visual rehabilitation option to improve patients' quality of life, but require long patient and practitioner chair time. The purpose of this review is to provide evidence-based clinical practice guidelines (CPG) in the management of patients with keratoconus with RGP CLs.
RECENT FINDINGS
An extensive literature review from 1990 to 2017 identified 354 potentially relevant publications. Fifty-two articles were reviewed and included in the CPG. An international expert panel of eight contact lens practitioners, with vast experience in keratoconus management reviewed and appraised the CPG following the Appraisal of Guidelines for Research and Evaluation II consortium requirements. The developed CPG clearly outlines a strategy for the successful fitting of RGP CLs in patients with keratoconus. This includes how to calculate parameters of the first diagnostic lens, criteria for assessing good fit and a standardized schedule of wear time and follow-up appointments.
SUMMARY
The current evidence and consensus-based CPG helps guide clinicians in a successful strategy for fitting RGP CLs in patients with keratoconus.
目的：为圆锥角膜患者验配硬性透气性角膜接触镜（RGP CL）是改善患者生活质量最常见的视觉康复选择，但需要患者和医生花费大量时间。本综述的目的是为圆锥角膜患者 RGP CL 管理提供基于证据的临床实践指南（CPG）。
发现：从 1990 年到 2017 年，进行了广泛的文献回顾，共确定了 354 篇潜在相关文献。回顾了 52 篇文章，并将其纳入 CPG。一个由 8 名接触镜从业者组成的国际专家小组，在圆锥角膜管理方面拥有丰富的经验，按照 Appraisal of Guidelines for Research and Evaluation II 联盟的要求，对 CPG 进行了审查和评估。制定的 CPG 明确概述了为圆锥角膜患者成功验配 RGP CL 的策略。这包括如何计算第一个诊断镜片的参数、评估良好适配的标准以及佩戴时间和随访预约的标准化时间表。
总结：目前的循证和基于共识的 CPG 有助于指导临床医生为圆锥角膜患者成功验配 RGP CL。
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