Macular hole Delphi consensus statement (MHOST)
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Macular hole Delphi consensus statement (MHOST). / Confalonieri, Filippo; Haave, Hanna; Binder, Susanne; Bober, Agnieszka Monika; Bragadottir, Ragnheidur; Bærland, Thomas; Faber, Rowan; Forsaa, Vegard; Gonzalez-Lopez, Julio J.; Govetto, Andrea; Haugstad, Marta; Ivastinovic, Domagoj; Jenko, Neža Čokl; Nicoară, Simona Delia; Kaljurand, Kuldar; Kozak, Igor; Kvanta, Anders; Lytvynchuk, Lyubomyr; Nawrocka, Zofia Anna; Pajic, Sanja Petrovic; Petrovič, Mojca Globočnik; Radecka, Liga; Rehak, Matus; Romano, Mario R.; Ruban, Andrii; Speckauskas, Martynas; Stene-Johansen, Ingar; Stranak, Zbynek; Thaler, Angela; Thein, Anna Sophie Aagaard; Theocharis, Ioannis; Tomic, Zoran; Yan, Xiaohe; Zekolli, Muhamet; Zhuri, Burim; Znaor, Ljubo; Petrovski, Beata Eva; Kolko, Miriam; Lumi, Xhevat; Petrovski, Goran.
In: Acta Ophthalmologica, Vol. 101, No. 7, 2023, p. 815-825.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Macular hole Delphi consensus statement (MHOST)
AU - Confalonieri, Filippo
AU - Haave, Hanna
AU - Binder, Susanne
AU - Bober, Agnieszka Monika
AU - Bragadottir, Ragnheidur
AU - Bærland, Thomas
AU - Faber, Rowan
AU - Forsaa, Vegard
AU - Gonzalez-Lopez, Julio J.
AU - Govetto, Andrea
AU - Haugstad, Marta
AU - Ivastinovic, Domagoj
AU - Jenko, Neža Čokl
AU - Nicoară, Simona Delia
AU - Kaljurand, Kuldar
AU - Kozak, Igor
AU - Kvanta, Anders
AU - Lytvynchuk, Lyubomyr
AU - Nawrocka, Zofia Anna
AU - Pajic, Sanja Petrovic
AU - Petrovič, Mojca Globočnik
AU - Radecka, Liga
AU - Rehak, Matus
AU - Romano, Mario R.
AU - Ruban, Andrii
AU - Speckauskas, Martynas
AU - Stene-Johansen, Ingar
AU - Stranak, Zbynek
AU - Thaler, Angela
AU - Thein, Anna Sophie Aagaard
AU - Theocharis, Ioannis
AU - Tomic, Zoran
AU - Yan, Xiaohe
AU - Zekolli, Muhamet
AU - Zhuri, Burim
AU - Znaor, Ljubo
AU - Petrovski, Beata Eva
AU - Kolko, Miriam
AU - Lumi, Xhevat
AU - Petrovski, Goran
N1 - Publisher Copyright: © 2023 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.
PY - 2023
Y1 - 2023
N2 - Purpose: To derive a Delphi method-based consensus for the surgical management of Full Thickness Macular Hole (FTMH) and Lamellar Macular Hole (LMH). Methods: 37 expert VR surgeons from 21 mainly European countries participated in Delphi method-based questionnaire for diagnosis and treatment of FTMHs and LMHs. Results: A total of 36 items were rated in round 1 by 37 participants, of which 10 items achieved consensus: intraoperative verification of PVD; clinical superiority of OCT-based FTMH classification; practical ineffectiveness of ocriplasmin; circular 360° ILM peeling for small macular holes; use of regular surgical technique for the size of the hole in concomitant retinal detachment; performing complete vitrectomy; SF6 gas as preferred tamponade; cataract surgery if crystalline lens is mildly/moderately opaque; removal of both ILM and LHEP in LMH surgery. In round 2, 18 items with moderate consensus (45-70% agreement) in round 1 were rated by 35 participants. Final consensus was reached in 35% of questions related to both diagnosis and surgical procedures. Conclusions: This Delphi study provides valuable information about the consensus/disagreement on different scenarios encountered during FTMH and LMH management as a guide tosurgical decision-making. High rate of disagreement and/or variable approaches still exist for treating such relatively common conditions.
AB - Purpose: To derive a Delphi method-based consensus for the surgical management of Full Thickness Macular Hole (FTMH) and Lamellar Macular Hole (LMH). Methods: 37 expert VR surgeons from 21 mainly European countries participated in Delphi method-based questionnaire for diagnosis and treatment of FTMHs and LMHs. Results: A total of 36 items were rated in round 1 by 37 participants, of which 10 items achieved consensus: intraoperative verification of PVD; clinical superiority of OCT-based FTMH classification; practical ineffectiveness of ocriplasmin; circular 360° ILM peeling for small macular holes; use of regular surgical technique for the size of the hole in concomitant retinal detachment; performing complete vitrectomy; SF6 gas as preferred tamponade; cataract surgery if crystalline lens is mildly/moderately opaque; removal of both ILM and LHEP in LMH surgery. In round 2, 18 items with moderate consensus (45-70% agreement) in round 1 were rated by 35 participants. Final consensus was reached in 35% of questions related to both diagnosis and surgical procedures. Conclusions: This Delphi study provides valuable information about the consensus/disagreement on different scenarios encountered during FTMH and LMH management as a guide tosurgical decision-making. High rate of disagreement and/or variable approaches still exist for treating such relatively common conditions.
KW - DELPHI consensus statement
KW - Full thickness macular hole (FTMH)
KW - Lamellar Macular Hole (LMH)
KW - surgical decision-making
KW - surgical management
U2 - 10.1111/aos.15682
DO - 10.1111/aos.15682
M3 - Journal article
C2 - 37493073
AN - SCOPUS:85159106744
VL - 101
SP - 815
EP - 825
JO - Acta Ophthalmologica
JF - Acta Ophthalmologica
SN - 1755-375X
IS - 7
ER -
ID: 357512254