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Consensus and guidelines on diagnosis and management of polypoidal choroidal vasculopathy (PCV) from the Asia-Pacific Vitreo-retina Society (APVRS)

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机构: [1]Deparment of Ophthalmology, College of Medicine, Rangsit Univrsity, Rqjavithi Hospital, Bangkok, Thailand . [2]The C-MER Dernis Lam & Partners Eye Center, C-MER Interational Eye Care Group, Hong Kong [3]Deparoment of Ophthalmology, Retna Division, Faculy of Medicine, Chiang Mal University, Chiarg Mai, Thalland . [4]Sydney Retina Clinic, Sydney Eye Hospital, University of Sydney, Sydney, NSW, Australia [5]Deparment of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan [6]Deparment of Ophthalmology, Peking Union Medical Collee Hospital, Peking Union Medical College and Chinese Acadery of Medical Sciences, Beijing, China [7]Singopore National Eye Centre, Singapore, Singqpore [8]Duke-NUS Medical Schoo, National University of Singapore, Singapore [9]Department of Ophthalmology, Hyogo Medical University, Hyogo, Japan [10]Centre for Eye Research Australia, University of Melbourne, The Royal Victorian Eye and Ear Hospittal, Melbourne, Australa [11]Department of Ophthalmology, University of Texas Southwestermn Medical Center, Dallas, TX, USA [12]Eye & Retina Surgeons, Camden Medical Centre, Singapore, Singapore [13]Dirision of Ophthalmology, Department of Surgery, University of Hawail School of Medicine, Honolul, HI, USA [14]Departnent of Ophthalmology, Chang Gung Mermorial Hospital, Keelung Taiwan [15]College of Medicine, Chang Gung University, Taoyuan, Taiwan [16]Deparoment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong [17]Nune Eye Hospital, Seoul, Republic of Korea [18]Department of Ophthalmology and Visual Science, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan [19]Dohery Eye Institute David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA [20]Singapore Eye Research Institute, Singapore, Singapore [21]Beijing Visual Science and Translational Eye Research Institute, School of Clinical Medicine, Beijig Tsinghua Changgung Hospital, Tsinghua University, Beijing, China [22]Department of Ophthalmology and Microtechnology, Yokohama City Universiy, Yokohama, Japan [23]The Primnasia International Eye Research Instiute of The Chinese University of Hong Kong (Shenzhen), Shenzhen, China
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关键词: Polypoidal choroidal vasculopathy (PCV) Dignosis and management Aala-Paclifie Vitreo-retlna Soclety (APVRS) Consensus and guidelines Consensus score

摘要:
A panel of 21 international experts are formed by the Asia-Pacific Vitreo-retina Society to work out the consensus and guidelines on polypoidal choroidal vasculopathy (PCV). PCV is a common subtype of neovascular age-related macular degeneration and is more prevalent in Asian populations. Recent advancement in imaging technology allows greater understanding of the disease process of PCV. Furthermore, non-indocyanine green angiography features in optical coherence tomography angiography have been validated for PCV diagnosis and treatment response monitoring. Clinical trials provide new data on the safety and efficacy of various anti-vascular endothelial growth factor (anti-VEGF) agents as well as protocols that aim to improve the sustainability of treatments. In view of the myriads of emerging information, the panel gathered, reviewed, discussed, formulated and voted on the consensus and guidelines of PCV on four areas: 1) disease entity, 2) investigation and diagnosis, 3) treatment options, and 4) management protocol and future development in a five-point Likert scale (strongly agree, agree, neutral, disagree and strongly disagree). We proposed using a consensus score in which the maximum was 100. The summation of the respective "percentages" of experts voting for "agree" or "strongly agree" would be counted as the actual score. Consensus was achieved when the actual score of 75 or more was reached, which meant at least 75 % of the experts had voted for "strongly agree" or "agree" on the consensus statement concerned.Copyright © 2025 The Authors. Published by Elsevier Inc. All rights reserved.

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大类 | 2 区 医学
小类 | 2 区 眼科学
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大类 | 2 区 医学
小类 | 2 区 眼科学
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第一作者机构: [1]Deparment of Ophthalmology, College of Medicine, Rangsit Univrsity, Rqjavithi Hospital, Bangkok, Thailand .
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