ABSTRACT
Intravitreal drug administration is a procedure that has become widespread in modern ophthalmology. However, there is no global consensus on certain aspects of this manipulation, and practitioners feel the need for guidelines. In the Russian Federation, until now, such a document was not available. The expert council on diseases of the retina and optic nerve of All-Russian public organization «Association of Ophthalmologists¼, with participation of invited specialists, has studied and analyzed the existing foreign guidelines for performing intravitreal injections, as well as the regulatory framework in Russia. As a result, this Protocol was developed and approved for use in the healthcare system of the Russian Federation. The document regulates the requirements for specialists and organizations, the conditions for performing the procedure and the necessary material resources and presents an algorithm for performing intravitreal drug administration, a patient examination check-list for various conditions of the procedure, as well as parameters for evaluating and monitoring the quality of the procedure.
Subject(s)
Ophthalmologists , Optic Nerve Diseases , Pharmaceutical Preparations , Consensus , Humans , Retina , RussiaSubject(s)
Choroid/pathology , Pigment Epithelium of Eye/pathology , Retina/pathology , Retinal Diseases/diagnosis , Retinal Vein/pathology , Aged , Atrophy , Diagnosis, Differential , Electroretinography , Fluorescein Angiography , Fundus Oculi , Humans , Male , Microscopy, Acoustic , Retina/physiopathology , Retinal Diseases/physiopathology , Tomography, Optical Coherence , Visual Field Tests , Visual FieldsABSTRACT
This study compared the sensitivity and specificity of various methods for diagnosing diabetic macular edema. It included patients with types 1 and 2 diabetes mellitus and healthy volunteers. In addition to standard ophthalmological examination, the authors performed computed perimetry with subthreshold and threshold brightness, Amsler's test, optical coherent tomography, retinal confocal tomography, and fluorescence angiography. The highest informative value was obtained when optical coherent tomography was used in combination with fluorescence angiography.