新生血管性老年性黄斑变性亚型报告的国际新命名专家共识解读  

Brief interpretation of the consensus nomenclature for reporting neovascular age-related macular degeneration data

作　　者：杨依柳 杨婷婷[2] 陆方[1] 黎晓新 Yang Yiliu;Yang Tingting;Lu Fang;Li Xiaoxin(Department of Ophthalmology,West China Hospital Sichuan University,Chengdu,610041,China;Editorial Department of Chinese Journal of Ocular Fundus Diseases,West China Hospital Sichuan University,Chengdu,610041,China;Xiamen Ophthalmic Center,Xiamen University,Xiamen 361003,China)

机构地区：[1]四川大学华西医院眼科,成都610041 [2]四川大学华西医院《中华眼底病杂志》编辑部,成都610041 [3]厦门大学附属厦门眼科中心,厦门361003

出　　处：《中华眼底病杂志》2022年第2期99-107,共9页Chinese Journal of Ocular Fundus Diseases

摘　　要：随着眼底成像技术的快速发展,在多模式影像新概念的基础上建立新生血管性老年性黄斑变性(nAMD)新命名系统对于指导临床工作具有重要意义。2020年,由视网膜专家、眼底读片专家以及眼病理学家组成的nAMD研究组经过反复讨论并达成共识,在原有荧光素眼底血管造影和病理认识的基础上,结合吲哚青绿血管造影、光相干断层扫描及光相干断层扫描血管成像等新型影像和当前的病理认识,建立了nAMD亚型和相关病变的新命名,以帮助眼底病医师对各种不同表现nAMD患者进行分组和研究。该共识提出术语“黄斑新生血管”,并将其分为1型、2型、3型;同时针对视网膜色素上皮脱离、出血、纤维化、视网膜色素上皮撕裂等黄斑新生血管相关病变进行了命名。这一新命名有助于改善不同研究之间、临床诊疗上的沟通,在读片中心和研究者之间建立标准定义和术语,将进一步推动眼底病医师对nAMD的认识和交流。With the rapid development of fundus imaging technology,it is of great significance to establish a new naming system for neovascular age-related macular degeneration(nAMD)based on the multi-mode imaging.In 2020,an international panel of retina specialists,imaging and image reading center experts,and ocular pathologists reached a consensus after repeated discussions,a new name for nAMD subtype and related lesions was established based on the previous knowledge of fundus fluorescein angiography and pathology,combining indocyanine green angiography,optical coherence tomography and optical coherence tomography angiography with current pathological knowledge,in order to help ophthalmologists to study nAMD.The consensus proposed the term"macular neovascularization"and classified it into type 1,type 2 and type 3.Many lesions related to macular neovascularization,such as pigment epithelial detachment,hemorrhage,fibrosis,rip of retinal pigment epithelium and so on,were named.The new designation will help improve clinical communication between different studies,establish standard definitions and terms between reading centers and researchers,and further promote the understanding and communication of nAMD among ophthalmologists.

关 键 词：湿性黄斑变性 新生血管化 病理性 多数赞同 解读 

分 类 号：R774.5[医药卫生—眼科]