Liech and peak dialogue, "Lang Mu PPV Eyewang -Summit Forum" helps to improve the ability of ophthalmic medical services

Author:Medical newspaper Time:2022.06.23

Physician News (Rong Media Reporter Song Yan) Before the vitreous resection (PPV), the vitreous was the restricted area of ​​ophthalmology. In recent years, PPV surgery has entered the fast track of development. The "Fourteenth Five -Year Plan" National Eye Health Plan released earlier this year requires: Improving the ability and level of clinical technical skills and levels of ophthalmologists. To this end, on June 18, the "Lang Mu PPV Eye Town -Summit Forum" organized by Kanghong Pharmaceutical was held in Beijing, Wuhan, Shenzhen, and Chongqing.

The forum focuses on the current PPV -related hotspots, exchanges cutting -edge technology, and shares clinical practical experience. The forum invited Professor Yan Hua, General Hospital of Tianjin Medical University, Professor Ma Zhizhong at Peking University Third Hospital, Professor Luo Jing of Xiangya Second Hospital of Zhongnan University, Professor Ye Junjie of Beijing Union Hospital, Professor Lu Fang, Huaxi Hospital of Sichuan University, Liang Jianhong, People's Hospital of Peking University Professor and vice president of Kanghong Pharmaceutical Yin Jinqun delivered speeches and lectures. Professor Chang Qing, Professor Changqing of Eye, Ear, Nose and Throat Hospital affiliated to Fudan University, Professor Hu Yuntao of Tsinghua Changgeng Hospital, Beijing Tsinghua University, Professor Xing Yiqiao of Wuhan University People's Hospital, Professor Zhang Guoming, Shenzhen Ophthalm Hospital , Professor Yuan Rongzheng of the Second Affiliated Hospital of the Army Military Medical University, co -hosted, Professor Li Xiaorong, Tianjin Medical University Ophthalmology Hospital, Professor Lu Hai Hai of Beijing Tongren Hospital, Professor Wang Zhijun, China and Japan Friendship Hospital, Professor Sun Xufang, Tongji Hospital Affiliated to Huazhong University of Science and Technology, More than 20 experts from the University of Ophthalmology participated in the discussion. The forum conducted in -depth and detailed discussion around the surgical treatment of ophthalmology such as vitreous cutting, glory syndrome, and iris tumor, and presented an academic feast for the audience.

The forum is fully upgraded to speed up the promotion and popularization of new technology

In recent years, the demand for PPV surgery in my country has increased year by year. Taking diabetic retinopathy as an example, developing to the middle and late stages, generally needed PPV surgery for treatment. With the improvement of living standards and the aging of the population, diabetic patients have increased year by year, and the prevalence and blindness rate of diabetes retinopathy have also increased year by year. It is currently the first person to cause blind diseases for working age. For diabetic retinopathy, the most important clinical treatment methods include the bottom of the eyes, anti -VEGF therapy and surgical therapy. Different patients need to choose a reasonable treatment plan according to different progress stages of the disease.

"Ophthalmologists shoulders the heavy responsibility of early intervention and comprehensive management of diabetic retinopathy." Professor Yan Hua, co -chairman of the conference, pointed out in the speech of the conference that there are many internal medicines that can be applied in the treatment of the bottom of the eye, but for difficulty complicated cases of difficult problems, , R & D and progress of the treatment equipment, and the update of surgical treatment, so that patients with bottom disease disease have more choices.

With the improvement of my country's overall ophthalmology diagnosis and treatment, more and more hospitals can carry out PPV. PPV is one of the main surgical formulas of the fundus disease. It has a long operation time and the difficulty of the actual operation is large. As an important forum that leads the development of PPV and diabetic retinopathy, the "Langmu PPV Spells Forum" has attracted the attention and recognition of the majority of the bottom of the eye surgeon since its establishment, and has played an important role in the popularization of new concepts and new technologies in PPV.

It is understood that the "Lang Mu PPV Spells Forum" is an online eye underground surgery academic exchange platform for Kanghong Pharmaceutical's planning. It has been successfully held for three seasons since 2020 to provide communication platforms for nationwide ophthalmologists and accelerate new technologies of ophthalmic diagnosis and treatment. develop. The "Fourteenth Five -Year Plan" National Eye Health Plan requires enhancement of ophthalmological medical service capabilities and the clinical technical ability and level of ophthalmologists. To this end, the third quarter forum was fully upgraded to "Langmu PPV Eyewang", including the eyes of the Eye Wusang Summit Forum, the Eyewutang Cloud Division, and the salon area of ​​the eyes of the eyes.

Academic gathering

4 "anti -tuning string" of the vitreous retina

Anti -tuning is a famous Beijing dish. Professor Ma Zhizhong, co -chairman of the conference, also brought 4 "skewers" of vitreous retinopathy.

"The first series" is to observe that the vitreous body has nothing to do with proliferation, and proliferation is caused by other reasons. Boliflower silicone oil is removed from the eye recurrence mesh, and the recurrence network is not related to the participation of the vitreous body. In a case of an open eyeball injury, severe proliferation has occurred in the previous section, but there is no proliferative vitrus retinopathy (PVR).

The "second series" is the base of the base without roots on the retina and the colorless skin of the retinal and ciliary bodies. It can be found by the electron microscope that the vitreous is anchored on the fiber bundle. There is no collagen fiber in the retina itself, and the dense vitreous body cannot be fixed. Closing the funnel mesh reminder: The most solid part of the surrounding retinal attachment is the sawtoothing edge. It depends on the "binding" of the dense vitreous fiber through its own dense vitreous fiber on the collagen beam.

"The third series" is that the net is not repeated, then PVR is more than. Studies have shown that proliferation is closely related to the disconnection and reset of the retina. Related cases show that even if there is no vitreous body on the surface of the retina, proliferation traction still occurs. Long -term silicon oil filling the eye to meet all PVR conditions, but no PVR does not occur without the network. Once the retina is separated, the PVR will endless.

Forum Beijing venue

"Fourth Strings" are senile macular lesions (AMDs) are not vessel vascular diseases, but also base membrane (BM) disease. Professor Ma Zhizhong pointed out that PCV is the continuation and development of wet AMD lesions. When tissue pathology is determined, the root causes can be found to clear the cause. The expression of Aβ protein related to Alzheimer's disease from PCV pathological specimens, so PCV is a matrix disease, a glucose disease, and the lesions are positioned in BM. Gravity Revision Recommended Anti -VEGF Treatment

In 2020, Chinese diabetic epidemiology research showed that about 17 million diabetic patients in China merged diabetic retinopathy, of which 13.13%of diabetic retinopathy (VTDR) threatened vision.

Professor Luo Jing introduced that proliferative diabetic retinopathy (PDR) is an important cause of vision damage to patients. It should be actively treated. Boliflower surgery has matured, fast, and safe as cataract surgery. However, PPV surgery still faces some dilemma, such as the difficulty of increasing the surgery of fragile new blood vessels, and complications such as vitreous bleeding (VH), neonatal vascular glaucoma (NVG) after surgery will affect patient prognosis.

Basic studies have proved that the VEGF family factor is significantly related to the development of diabetic retinopathy and its complications. In 2019, the Guide to diabetic retinopathy released by AAO is strongly recommended by PPV surgery combined with VEGF treatment. The evidence level is I+level. Clinical studies also show that the application of Langmu can significantly reduce the concentration of VEGF-A and Pigf in the patient's residential water. Evidence -based evidence shows that whether it is PPV before, during or before surgery, Lang Mu can bring benefits to patients and good safety.

Forum Wuhan venue

Martial arts conference

Dynamic lymphoma

Eye lymphoma is a veritable camouflage syndrome. Its clinical manifestations, complex and changing condition, lack of typical and specificity, high clinical misdiagnosis rate, more common treatment for delay treatment, and improving the level of diagnosis and treatment.

From 2004 to 2021, Professor Ye Junjie diagnosed 18 cases of lymphoma, most of which were vitreous retinoma lymphoma, and ciliary lymphoma was rare. In the pathological type, large B -cell lymphoma occupies an absolute number of advantages.

Professor Ye Junjie shared and summarized on typical cases. The lymphoma in the eye can occur at any age. Cell pathological testing is the standard of diagnosis. Local retreat of the eye can save patients' vision. Essence At the same time, it should be noted that the skull MRI is reviewed from March to June after surgery, and they should be checked by recurrence and metastasis. MDT multidisciplinary cooperation diagnosis and treatment will help extend the life expectancy of patients.

Extraordinary children's vitreous surgery

Children's eye disease surgery is more difficult. From the perspective of Professor Lu Fang, it is mainly reflected in: difficulty in checking and the information that can be obtained before surgery; the surgical space is small, and the surrounding structure cannot be easily touched. The rate is low; the purpose of the surgery not only needs to relieve the existing problems, but also not only the development space of the eyeballs; the postoperative cooperation is low, and the selection of fillings in the eye must be appropriate. Later, Professor Lu Fang shared 6 cases of surgical cases, showing new surgical ideas and methods, which caused heated discussions in various venues.

Forum Chongqing venue

Professor Lu Fang concluded that OCT during the operation can effectively make up for pre -surgery information and reasonably puncture to help solve the problem of small surgical space. When the structure is chaotic during surgery, you should pay attention to avoiding it. Children's ophthalmologists need to get rid of the routine mode of adult vitreous retinopathy and improve the success rate. At the same time, we must choose the filling in the eyes reasonably to reduce the filling of silicone oil.

Surgical resection treatment of iris position lesions

Professor Liang Jianhong brought the cases and thinking of iris tumors. He pointed out that for cystic tumors, try to retain more rear iris during the operation, protect the cornea, fully expose the tumor bed and remove it with laser to reduce recurrence. The electrocoagulation of secondary iris cyst surgery needs to be more thorough. During the melanoma tumor sketching of the iris, laser can be marked around the tumor to prevent the incompatibility after cutting tumor bleeding. If a large amount of pigment particles are observed on the surface of the iris, after glaucoma, it should be treated according to benign tumor. After the pigment is fully removed, no segmental resection is made, and the tumor is only removed as much as possible.

Forum Shenzhen venue

"Nakanta or malignant tumor, solid or cystic, located on the surface of the iris or back, all determine the surgical method." Professor Liang Jianhong said.

The light of Chinese medicine provides powerful treatment weapons for ophthalmologists

The improvement of the treatment methods of fundus disease reflects the changes of the times. The appearance of Lang Mu is undoubtedly a great gospel of patients. It is the heavy weapon of the country and the light of the Chinese medicine. Professor Yan Hua pointed out that in recent years, Kanghong Pharmaceutical has not only provided ophthalmologists with a powerful weapon for the treatment of neonatal vascular fundus disease -Lang Mu (Corbasp Eye Injection), but also set up a platform to hold a case of young doctors case competitions. , Special lectures, etc., have done a lot of work in talent training, helping young physicians grow, fully reflecting the social responsibility and national responsibility of ethnic pharmaceutical companies.

Vice President Yin Jinqun said that from a large level, the third domestic aircraft carrier's Fujian ship has been laid off in the world, and it has become the world's most leading electromagnetic ejection conventional power carrier and built for the well -being of the Chinese.From a younger level, in the micro -world of ophthalmology, Lang Mu broke foreign monopoly, allowing patients to obtain a higher cost -effective treatment plan, ending the high domestic drug price of drug prices, and born for patients with eye diseases.These large and small aspects are more and more reflected in the country.Vice President Yin Jinqun also said that for a long time, Kanghong Pharmaceutical has been bravely responsible for social responsibilities, followed the call of national policy, and promoted the development of the national eye health.In addition to Lang Mu, Kanghong Pharmaceutical is also committed to launching the next -generation innovative gene drugs based on ophthalmology. It is at the forefront of the world and represents China continues to compete with the world's top products.In the future, Kanghong Pharmaceutical will build more academic research platforms to help Chinese ophthalmologists bloom "eyes" and go to the world stage.

Capture/Edit: Song Yan

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