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玻璃体视网膜手术术前视觉功能及影像学检查标准指南(2025年)

Guidelines for preoperative visual function and imaging examination standards in vitreoretinal surgery (2025).

作者信息

Shao Yi, Ma Jian, Wang Zhao-Yang

机构信息

Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, National Clinical Research Center for Eye Diseases, Shanghai 200080, China.

Eye Center of Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China.

出版信息

Int J Ophthalmol. 2025 May 18;18(5):813-831. doi: 10.18240/ijo.2025.05.06. eCollection 2025.

Abstract

This guideline seeks to thoroughly investigate the standardized operational procedures for visual function and imaging examinations prior to vitreoretinal surgery. Preoperative assessments can greatly assist clinicians in determining surgical indications, assessing patient conditions, and offering valuable assistance in formulating surgical strategies and predicting outcomes. Developed by a collaborative team of experts from the Ophthalmic Imaging and Intelligent Medicine Branch of the Chinese Medical Education Association, in conjunction with the Ophthalmic Imaging and Intelligent Medicine Branch of the Chinese Medical Education Association, these guidelines have been formulated through extensive research and evaluation, incorporating the latest technological advancements and studies on a global and domestic scale in vitreoretinal surgery. After extensive deliberations and incorporation of up-to-date clinical data, these guidelines have been developed to assist in standardizing preoperative examinations for vitreoretinal surgery. The overarching goals include improving medical quality, maximizing resource allocation, offering decision-making assistance, and safeguarding patient rights. This document provides a comprehensive analysis of preoperative assessments for vitreoretinal procedures, covering principles, methodologies, and precautions related to a range of diagnostic techniques including ultra-wide-angle fundus imaging, fluorescein angiography, indocyanine green angiography, ophthalmic B-ultrasound examinations, ultrasound biomicroscopy, optical coherence tomography, optical coherence tomography angiography, orbital CT scan, orbital MRI, and ophthalmic electrophysiology tests such as electroretinograms, visually evoked potentials, and visual field testing.

摘要

本指南旨在全面研究玻璃体视网膜手术前视觉功能和影像学检查的标准化操作程序。术前评估可极大地帮助临床医生确定手术指征、评估患者状况,并在制定手术策略和预测手术结果方面提供宝贵帮助。这些指南由中国医学教育协会眼科影像与智能医学分会的专家合作团队制定,结合了中国医学教育协会眼科影像与智能医学分会的意见,通过广泛的研究和评估制定而成,纳入了全球和国内玻璃体视网膜手术的最新技术进展和研究成果。经过广泛审议并纳入最新临床数据后,制定了这些指南以协助规范玻璃体视网膜手术的术前检查。总体目标包括提高医疗质量、优化资源配置、提供决策辅助以及保障患者权益。本文档全面分析了玻璃体视网膜手术的术前评估,涵盖了与一系列诊断技术相关的原则、方法和注意事项,这些技术包括超广角眼底成像、荧光素血管造影、吲哚菁绿血管造影、眼科B超检查、超声生物显微镜检查、光学相干断层扫描、光学相干断层扫描血管造影、眼眶CT扫描、眼眶MRI以及眼科电生理检查,如视网膜电图、视觉诱发电位和视野测试。

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