ICON-PM: International consensus on nomenclature for adult pathologic myopia.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
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Spaide Richard F, Agarwal Anita, Chen Shih-Jen, Lai Chi Chun, Cohen Salomon Y, Couturier Aude, Eter Nicole, Freund K Bailey, Ikuno Yasushi, Jonas Jost B, Kodjikian Laurent, Lai Timothy Y Y, Moussa Magdy, Munk Marion, Ogura Yuichiro, Priglinger Siegfried, Querques Giuseppe, Rizzo Stanislao, Rossi Tommaso, Ruamviboonsuk Paisan, Ruiz-Moreno Jose M, Sacconi Riccardo, Sadda Srinivas, Sarraf David, Souied Eric, Terasaki Hiroko, Ting Daniel, Yannuzzi Lawrence, Holz Frank G, Keane Pearse A, Liebmann Jeffrey M, Ohno-Matsui Kyoko, Sebag Jerry, Lam Dennis
Аннотация
METHODS: An international panel of 32 experts in myopia and retinal disease from 13 countries was assembled. The writing group reviewed existing classification systems and the published literature and developed candidate statements organized into six domains: atrophic, mechanical expansion, tractional, neovascular, optic nerve, and retinal detachment. A Delphi process with anonymous voting was used. Consensus was defined a priori as ≥75% agreement (Agree or Strongly Agree). Statements not reaching consensus were revised based on structured feedback and re-voted.
RESULTS: Forty-four consensus statements were developed that met the predefined threshold for agreement after iterative revision. The mean agreement was 90.6% (median 92.5%). The framework emphasizes structural definitions derived from OCT and multimodal imaging rather than fundus appearance. The nomenclature system organizes manifestations of pathologic myopia into six domains reflecting distinct but often overlapping anatomical and biomechanical processes. Key elements include the central role of choroidal thinning in visual function, recognition of focal chorioretinal loss as a structural endpoint across multiple pathways, and integration of mechanical, tractional, and vascular mechanisms in disease expression.
CONCLUSIONS: This consensus establishes a unified, imaging-based lexicon for adult pathologic myopia grounded in structural anatomy and contemporary imaging. By organizing disease features into six domains and defining entities using OCT, the framework reduces ambiguity, improves reproducibility, and provides a foundation for future classification systems, clinical studies, and therapeutic trials.