2015 RCO临床指南：视网膜静脉阻塞

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1、ClinicalGuidelinesRetinalVeinOcclusion(RVO)GuidelinesJuly2015guide.medlive.cnContentsSectionpageSummary4RVOGuidelinesExpertWorkingPartyMembers4DeclarationsofInterest4Consultationprocess5SearchStrategy5ReviewDate:September20175Preface5EVIDENCE5RECOMMENDATIONS6Section1:Terminologya

2、ndDiseaseDefinition6Retinalveinocclusion(RVO)6Centralretinalveinocclusion(CRVO)6Branchretinalveinocclusion(BRVO)6Hemi-retinalveinocclusion(HRVO)6MacularOedema(MO):6Retinalischaemiaandirisandretinalneovascularisation:7Ischaemicversusnon-ischaemicRVO:7Section2:NaturalHistoryofRetin

3、alVeinOcclusions7CentralRetinalVeinOcclusion7BranchRetinalVeinOcclusion8Bilateralinvolvement8Section3:EpidemiologyofRetinalVeinOcclusion8Section4:AetiologyandriskfactorsofRetinalVeinOcclusions9Associationswithretinalveinocclusions9Section5:TherelationofRVOtosystematicveinocclusio

4、nsandtheroleoftestingforvenousocclusionsriskfactors11Section6:Cardiovascularmorbidityandmortality12IsRVOapredictorforthefuturedevelopmentofstroke?12IsRVOassociatedwithincreasedmortality?12Section7:Distinctclinicalentitiesofretinalveinocclusion13Hemisphereveinocclusion13RVOinyoung

5、erpatients(lessthan50yearsofage)13Section8:Medicalinvestigationsinretinalveinocclusions13Summaryofrecommendedmedicalinvestigationsintheeyeclinic:13Section9:OphthalmologicalmanagementofCRVO14Macularoedema14Anti-VEGFTherapies15Translationofcurrentclinicaltrialsonanti-VEGFtherapyinC

6、RVOintoclinicalpractice18Ischaemiccentralretinalveinocclusion22Managementofischaemiccentralretinalveinocclusionandanteriorsegmentneovascularisation22Managementofposteriorsegmentneovascularisation22Pan-retinalPhotocoagulationTechnique22Managementofestablishedneovascularglaucoma22R

7、ecommendationsforFurtherFollow-up23Experimentaltreatments23Section10:OphthalmologicalmanagementofBRVO232015/SCI/3522guide.medlive.cnTreatmentofmacularoedema24Table1:Visualoutcomesofmacularoedemaduetobranchretinalveinocclusioninrandomisedclinicaltrials.27Translationofclinicaltrial

8、sinBRVOintoclinicalpractice:27Treatmento