Macular hole Delphi consensus statement (MHOST)

Filippo Confalonieri; Hanna Haave; Susanne Binder; Agnieszka Monika Bober; Ragnheidur Bragadottir; Thomas Bærland; Rowan Faber; Vegard Forsaa; Julio J. Gonzalez-Lopez; Andrea Govetto; Marta Haugstad; Domagoj Ivastinovic; Neža Čokl Jenko; Simona Delia Nicoară; Kuldar Kaljurand; Igor Kozak; Anders Kvanta; Lyubomyr Lytvynchuk; Zofia Anna Nawrocka; Sanja Petrovic Pajic; Mojca Globočnik Petrovič; Liga Radecka; Matus Rehak; Mario R. Romano; Andrii Ruban; Martynas Speckauskas; Ingar Stene-Johansen; Zbynek Stranak; Angela Thaler; Anna Sophie Aagaard Thein; Ioannis Theocharis; Zoran Tomic; Xiaohe Yan; Muhamet Zekolli; Burim Zhuri; Ljubo Znaor; Beata Eva Petrovski; Miriam Kolko; Xhevat Lumi; Goran Petrovski

doi:10.1111/aos.15682

Macular hole Delphi consensus statement (MHOST)

Filippo Confalonieri, Hanna Haave, Susanne Binder, Agnieszka Monika Bober, Ragnheidur Bragadottir, Thomas Bærland, Rowan Faber, Vegard Forsaa, Julio J. Gonzalez-Lopez, Andrea Govetto, Marta Haugstad, Domagoj Ivastinovic, Neža Čokl Jenko, Simona Delia Nicoară, Kuldar Kaljurand, Igor Kozak, Anders Kvanta, Lyubomyr Lytvynchuk, Zofia Anna Nawrocka, Sanja Petrovic PajicMojca Globočnik Petrovič, Liga Radecka, Matus Rehak, Mario R. Romano, Andrii Ruban, Martynas Speckauskas, Ingar Stene-Johansen, Zbynek Stranak, Angela Thaler, Anna Sophie Aagaard Thein, Ioannis Theocharis, Zoran Tomic, Xiaohe Yan, Muhamet Zekolli, Burim Zhuri, Ljubo Znaor, Beata Eva Petrovski, Miriam Kolko, Xhevat Lumi, Goran Petrovski^*

^*Corresponding author for this work

Research output: Contribution to journal › Journal article › Research › peer-review

3 Citations (Scopus)

Abstract

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.

Original language	English
Journal	Acta Ophthalmologica
Volume	101
Issue number	7
Pages (from-to)	815-825
ISSN	1755-375X
DOIs	https://doi.org/10.1111/aos.15682
Publication status	Published - 2023

Keywords

DELPHI consensus statement
Full thickness macular hole (FTMH)
Lamellar Macular Hole (LMH)
surgical decision-making
surgical management

Access to Document

10.1111/aos.15682

Cite this

Confalonieri, F., Haave, H., Binder, S., Bober, AM., Bragadottir, R., Bærland, T., Faber, R., Forsaa, V., Gonzalez-Lopez, J. J., Govetto, A., Haugstad, M., Ivastinovic, D., Jenko, N. Č., Nicoară, S. D., Kaljurand, K., Kozak, I., Kvanta, A., Lytvynchuk, L., Nawrocka, Z. A., ... Petrovski, G. (2023). Macular hole Delphi consensus statement (MHOST). Acta Ophthalmologica, 101(7), 815-825. https://doi.org/10.1111/aos.15682

Confalonieri, F, Haave, H, Binder, S, Bober, AM, Bragadottir, R, Bærland, T, Faber, R, Forsaa, V, Gonzalez-Lopez, JJ, Govetto, A, Haugstad, M, Ivastinovic, D, Jenko, NČ, Nicoară, SD, Kaljurand, K, Kozak, I, Kvanta, A, Lytvynchuk, L, Nawrocka, ZA, Pajic, SP, Petrovič, MG, Radecka, L, Rehak, M, Romano, MR, Ruban, A, Speckauskas, M, Stene-Johansen, I, Stranak, Z, Thaler, A, Thein, ASA, Theocharis, I, Tomic, Z, Yan, X, Zekolli, M, Zhuri, B, Znaor, L, Petrovski, BE, Kolko, M, Lumi, X & Petrovski, G 2023, 'Macular hole Delphi consensus statement (MHOST)', Acta Ophthalmologica, vol. 101, no. 7, pp. 815-825. https://doi.org/10.1111/aos.15682

@article{ad533ee45e9b4773842fb6a3cd66a5d9,

title = "Macular hole Delphi consensus statement (MHOST)",

abstract = "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.",

keywords = "DELPHI consensus statement, Full thickness macular hole (FTMH), Lamellar Macular Hole (LMH), surgical decision-making, surgical management",

author = "Filippo Confalonieri and Hanna Haave and Susanne Binder and Agnieszka Monika Bober and Ragnheidur Bragadottir and Thomas B{\ae}rland and Rowan Faber and Vegard Forsaa and Gonzalez-Lopez, {Julio J.} and Andrea Govetto and Marta Haugstad and Domagoj Ivastinovic and Jenko, {Ne{\v z}a {\v C}okl} and Nicoar{\u a}, {Simona Delia} and Kuldar Kaljurand and Igor Kozak and Anders Kvanta and Lyubomyr Lytvynchuk and Nawrocka, {Zofia Anna} and Pajic, {Sanja Petrovic} and Petrovi{\v c}, {Mojca Globo{\v c}nik} and Liga Radecka and Matus Rehak and Romano, {Mario R.} and Andrii Ruban and Martynas Speckauskas and Ingar Stene-Johansen and Zbynek Stranak and Angela Thaler and Thein, {Anna Sophie Aagaard} and Ioannis Theocharis and Zoran Tomic and Xiaohe Yan and Muhamet Zekolli and Burim Zhuri and Ljubo Znaor and Petrovski, {Beata Eva} and Miriam Kolko and Xhevat Lumi and Goran Petrovski",

note = "Publisher Copyright: {\textcopyright} 2023 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.",

year = "2023",

doi = "10.1111/aos.15682",

language = "English",

volume = "101",

pages = "815--825",

journal = "Acta Ophthalmologica",

issn = "1755-375X",

publisher = "Wiley-Blackwell",

number = "7",

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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

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

SN - 1755-375X

VL - 101

SP - 815

EP - 825

JO - Acta Ophthalmologica

JF - Acta Ophthalmologica

IS - 7

ER -