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Journal of Ophthalmology
Volume 2014, Article ID 595132, 10 pages
Research Article

A Delphi Study to Detect Deficiencies and Propose Actions in Real Life Treatment of Neovascular Age-Related Macular Degeneration

1Clínica Universidad de Navarra, Avenida de Pío XII 36, 31008 Pamplona, Spain
2Hospital de Bellvitge, C/Feixa Llargasn, L’Hospitalet de Llobregat, 08907 Barcelona, Spain
3Hospital Universitario Ramon y Cajal, Carretera de Colmenar km 9, 28034 Madrid, Spain
4Vissum Madrid, Santa Hortensia 58, 28002 Madrid, Spain
5Hospital de San Eloy, Avenida Antonio Miranda 5, 48902 Baracaldo, Spain
6Hospital Universitario de Albacete, Avenida de Almansa, s/n, 02006 Albacete, Spain
7Hospital VallD’Hebron, Passeig de la Valld’Hebron 119-129, 08035 Barcelona, Spain
8Instituto Oftalmológico Gómez-Ulla, Calle Maruja Mallo 3, 15706 Santiago de Compostela, Spain
9IOBA, Hospital Clínico Universitario de Valladolid, Paseo de Belén 17, 47011 Valladolid, Spain
10Complejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, Avenida Marítima del Sur, s/n, 35016 Las Palmas de Gran Canaria, Spain
11Hospital Universitario Virgen de la Victoria, Campus de Teatinos, s/n, 29010 Málaga, Spain
12Institut de la Macula i de la Retina, Carrer de Vilana 12, 08022 Barcelona, Spain
13Hospital General de Valencia, Avenida Tres Cruces 2, 46014 Valencia, Spain
14Hospital la Paz, Paseo de la Castellana 261, 28046 Madrid, Spain
15Hospital la Fe, Valencia, Avenida de Fernando Abril Martorell 106, 46026 Valencia, Spain
16Hospital Universitario de Valme, Avenida de Bellavista, s/n, 41014 Sevilla, Spain
17Hospital Universitario Nuestra Señora de la Candelaria, Carretera del Rosario 145, 38010 Santa Cruz de Tenerife, Spain

Received 13 October 2014; Accepted 7 November 2014; Published 21 December 2014

Academic Editor: Siamak Ansari-Shahrezaei

Copyright © 2014 Alfredo García-Layana et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. Spanish retina specialists were surveyed in order to propose actions to decrease deficiencies in real-life neovascular age macular degeneration treatment (nv-AMD). Methods. One hundred experts, members of the Spanish Vitreoretinal Society (SERV), were invited to complete an online survey of 52 statements about nv-AMD management with a modified Delphi methodology. Four rounds were performed using a 5-point Linkert scale. Recommendations were developed after analyzing the differences between the results and the SERV guidelines recommendations. Results. Eighty-seven specialists completed all the Delphi rounds. Once major potential deficiencies in real-life nv-AMD treatment were identified, 15 recommendations were developed with a high level of agreement. Consensus statements to reduce the burden of the disease included the use of treat and extend regimen and to reduce the amount of diagnostic tests during the loading phase and training technical staff to perform these tests and reduce the time between relapse detection and reinjection, as well as establishing patient referral protocols to outside general ophthalmology clinics. Conclusion. The level of agreement with the final recommendations for nv-AMD treatment among Spanish retinal specialist was high indicating that some actions could be applied in order to reduce the deficiencies in real-life nv-AMD treatment.