Cataracts in adults : Pmanagement

Cataracts in adults Pmanagement

A cataract is defined as any opacity in the crystalline lens of the eye. It can affect one or both eyes. The changes to the transparency and refractive index of the lens result in various levels of visual impairment. This impairment is associated with decreased quality of life because it may restric...

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Detalles Bibliográficos
Autor principal: National Institute for Health and Care Excellence (Great Britain) (author)
Autor Corporativo: National Institute for Health and Care Excellence (Great Britain), author (author)
Formato: Libro electrónico
Idioma:Inglés
Publicado: London : National Institute for Health and Care Excellence 2017.
Colección:National clinical practice guideline, NG77 ; nr 206
Materias:
Cataract > Surgery.
Ver en Biblioteca Universitat Ramon Llull:https://discovery.url.edu/permalink/34CSUC_URL/1im36ta/alma991009816734806719
Tabla de Contenidos:
  • Summary
  • 1. Guideline committee membership and ICG technical team
  • 1.1. Guideline committee
  • 1.2. Internal Clinical Guidelines Team
  • 2. Strength of recommendation
  • Interventions that must (or must not) be used
  • Interventions that should (or should not) be used - a 'strong' recommendation
  • Interventions that could be used
  • 3. Methods
  • 3.1. Evidence synthesis and meta-analyses
  • 3.2. Evidence of effectiveness of interventions
  • 3.3. Methods for combining direct and indirect evidence (network meta-analysis) for interventions
  • 3.4. Association studies
  • 3.5. Non-comparative studies
  • 3.6. Qualitative evidence
  • 3.7. Mixed-quantitative and qualitative evidence
  • 3.8. Health economics
  • 3.9. External collaborations
  • 4. Summary of recommendations
  • 4.1. Recommendations summary
  • 4.2. Research recommendations summary
  • 5. Patient information
  • 5.1. Patient information
  • 6. Indicators for referral
  • 6.1. Indicators and thresholds for referral for cataract surgery
  • 7. Preoperative assessment and biometry
  • Risk Stratification
  • 7.1. Biometry techniques
  • 7.2. Intraocular lens formulas
  • 7.3. Intraocular lens constant optimisation
  • 7.4. Other considerations in biometry
  • 7.5. Risk stratification and risk factors for increased cataract surgical complications
  • 8. Intraocular lens selection
  • 8.1. Lens design
  • 8.2. Blue-light filtering vs ultraviolet-light filtering lenses
  • 8.3. Multifocal vs monofocal intraocular lenses
  • 8.4. Optimal strategy to address pre-existing astigmatism
  • 9. Wrong lens implant errors
  • 9.1. Wrong lens implant errors
  • 10. Surgical timing and technique
  • 10.1. Laser-assisted cataract surgery
  • 10.2. Bilateral surgery
  • 11. Anaesthesia
  • 11.1. Type and administration of anaesthesia
  • 11.2. Sedation as an adjunct to local anaesthesia
  • 11.3. Hyaluronidase as an adjunct to local anaesthesia
  • 11.4. General anaesthesia
  • 12. Preventing and managing complications
  • 12.1. Interventions to prevent retinal detachment in people with myopia
  • 12.2. Intraoperative pupil size management
  • 12.3. Interventions to reduce the impact of perioperative posterior capsule rupture
  • 12.4. Capsular tension rings
  • 12.5. Interventions to prevent endophthalmitis
  • 12.6. Interventions to prevent cystoid macular oedema
  • 12.7. Managing cystoid macular oedema
  • 12.8. Postoperative eye shields
  • 13. Postoperative assessment
  • 13.1. Complications of surgery
  • 13.2. Details of postoperative assessment
  • 14. Glossary
  • Appendix A. Committee membership list - Cataracts in adults: management Guideline Committee
  • Appendix B. Guideline scope
  • Appendix C. Review Protocols
  • Appendix D. Review search strategies
  • Appendix E. Evidence tables
  • Appendix F. Excluded studies
  • Appendix G. GRADE and CERQual Tables
  • Appendix H. Meta-analysis and Network meta-analysis Results
  • Appendix I. References
  • Appendix J. Health economics
  • Appendix K. Evidence review flow charts
  • Appendix L. Research recommendations.

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