Revised criteria of International Workshop on Ocular Sarcoidosis (IWOS) for the diagnosis of ocular sarcoidosis
AimsInternational criteria for the diagnosis of ocular sarcoidosis (OS) was established by the first International Workshop on Ocular Sarcoidosis (IWOS) and validations studies revealed certain limitations of the criteria. To overcome the limitations, revised IWOS criteria was established in an inte...
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| Veröffentlicht in: | British journal of ophthalmology Jg. 103; H. 10; S. 1418 - 1422 |
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| Hauptverfasser: | , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
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England
BMJ Publishing Group LTD
01.10.2019
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| ISSN: | 0007-1161, 1468-2079, 1468-2079 |
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| Abstract | AimsInternational criteria for the diagnosis of ocular sarcoidosis (OS) was established by the first International Workshop on Ocular Sarcoidosis (IWOS) and validations studies revealed certain limitations of the criteria. To overcome the limitations, revised IWOS criteria was established in an international meeting. This manuscript was aimed at reporting the revised IWOS criteria.MethodsA consensus workshop was carried out to discuss and revise the IWOS criteria. The workshop was held on 27 April 2017, in Nusa Dua, Bali, Indonesia. Prior to the workshop, a questionnaire proposing revised criteria and consisting of one item for differential diagnosis, seven items for ocular clinical signs, 10 items for systemic investigations and three categories of diagnostic criteria was circulated to 30 uveitis specialists. Questionnaire items with over 75% support were taken as consensus agreement; items with below 50% support were taken as consensus disagreement and items with 50%–75% support were discussed at the workshop. Of the latter items, those supported by two-thirds majority in the workshop were taken as consensus agreement.ResultsThe survey and subsequent workshop reached consensus agreements of the revised criteria for the diagnosis of OS as follows: (1) other causes of granulomatous uveitis must be ruled out; (2) seven intraocular clinical signs suggestive of OS; (3) eight results of systemic investigations in suspected OS and (4) three categories of diagnostic criteria depending on biopsy results and combination of intraocular signs and results of systemic investigations.ConclusionsRevised IWOS criteria were proposed by a consensus workshop. |
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| AbstractList | AimsInternational criteria for the diagnosis of ocular sarcoidosis (OS) was established by the first International Workshop on Ocular Sarcoidosis (IWOS) and validations studies revealed certain limitations of the criteria. To overcome the limitations, revised IWOS criteria was established in an international meeting. This manuscript was aimed at reporting the revised IWOS criteria.MethodsA consensus workshop was carried out to discuss and revise the IWOS criteria. The workshop was held on 27 April 2017, in Nusa Dua, Bali, Indonesia. Prior to the workshop, a questionnaire proposing revised criteria and consisting of one item for differential diagnosis, seven items for ocular clinical signs, 10 items for systemic investigations and three categories of diagnostic criteria was circulated to 30 uveitis specialists. Questionnaire items with over 75% support were taken as consensus agreement; items with below 50% support were taken as consensus disagreement and items with 50%–75% support were discussed at the workshop. Of the latter items, those supported by two-thirds majority in the workshop were taken as consensus agreement.ResultsThe survey and subsequent workshop reached consensus agreements of the revised criteria for the diagnosis of OS as follows: (1) other causes of granulomatous uveitis must be ruled out; (2) seven intraocular clinical signs suggestive of OS; (3) eight results of systemic investigations in suspected OS and (4) three categories of diagnostic criteria depending on biopsy results and combination of intraocular signs and results of systemic investigations.ConclusionsRevised IWOS criteria were proposed by a consensus workshop. International criteria for the diagnosis of ocular sarcoidosis (OS) was established by the first International Workshop on Ocular Sarcoidosis (IWOS) and validations studies revealed certain limitations of the criteria. To overcome the limitations, revised IWOS criteria was established in an international meeting. This manuscript was aimed at reporting the revised IWOS criteria.AIMSInternational criteria for the diagnosis of ocular sarcoidosis (OS) was established by the first International Workshop on Ocular Sarcoidosis (IWOS) and validations studies revealed certain limitations of the criteria. To overcome the limitations, revised IWOS criteria was established in an international meeting. This manuscript was aimed at reporting the revised IWOS criteria.A consensus workshop was carried out to discuss and revise the IWOS criteria. The workshop was held on 27 April 2017, in Nusa Dua, Bali, Indonesia. Prior to the workshop, a questionnaire proposing revised criteria and consisting of one item for differential diagnosis, seven items for ocular clinical signs, 10 items for systemic investigations and three categories of diagnostic criteria was circulated to 30 uveitis specialists. Questionnaire items with over 75% support were taken as consensus agreement; items with below 50% support were taken as consensus disagreement and items with 50%-75% support were discussed at the workshop. Of the latter items, those supported by two-thirds majority in the workshop were taken as consensus agreement.METHODSA consensus workshop was carried out to discuss and revise the IWOS criteria. The workshop was held on 27 April 2017, in Nusa Dua, Bali, Indonesia. Prior to the workshop, a questionnaire proposing revised criteria and consisting of one item for differential diagnosis, seven items for ocular clinical signs, 10 items for systemic investigations and three categories of diagnostic criteria was circulated to 30 uveitis specialists. Questionnaire items with over 75% support were taken as consensus agreement; items with below 50% support were taken as consensus disagreement and items with 50%-75% support were discussed at the workshop. Of the latter items, those supported by two-thirds majority in the workshop were taken as consensus agreement.The survey and subsequent workshop reached consensus agreements of the revised criteria for the diagnosis of OS as follows: (1) other causes of granulomatous uveitis must be ruled out; (2) seven intraocular clinical signs suggestive of OS; (3) eight results of systemic investigations in suspected OS and (4) three categories of diagnostic criteria depending on biopsy results and combination of intraocular signs and results of systemic investigations.RESULTSThe survey and subsequent workshop reached consensus agreements of the revised criteria for the diagnosis of OS as follows: (1) other causes of granulomatous uveitis must be ruled out; (2) seven intraocular clinical signs suggestive of OS; (3) eight results of systemic investigations in suspected OS and (4) three categories of diagnostic criteria depending on biopsy results and combination of intraocular signs and results of systemic investigations.Revised IWOS criteria were proposed by a consensus workshop.CONCLUSIONSRevised IWOS criteria were proposed by a consensus workshop. International criteria for the diagnosis of ocular sarcoidosis (OS) was established by the first International Workshop on Ocular Sarcoidosis (IWOS) and validations studies revealed certain limitations of the criteria. To overcome the limitations, revised IWOS criteria was established in an international meeting. This manuscript was aimed at reporting the revised IWOS criteria. A consensus workshop was carried out to discuss and revise the IWOS criteria. The workshop was held on 27 April 2017, in Nusa Dua, Bali, Indonesia. Prior to the workshop, a questionnaire proposing revised criteria and consisting of one item for differential diagnosis, seven items for ocular clinical signs, 10 items for systemic investigations and three categories of diagnostic criteria was circulated to 30 uveitis specialists. Questionnaire items with over 75% support were taken as consensus agreement; items with below 50% support were taken as consensus disagreement and items with 50%-75% support were discussed at the workshop. Of the latter items, those supported by two-thirds majority in the workshop were taken as consensus agreement. The survey and subsequent workshop reached consensus agreements of the revised criteria for the diagnosis of OS as follows: (1) other causes of granulomatous uveitis must be ruled out; (2) seven intraocular clinical signs suggestive of OS; (3) eight results of systemic investigations in suspected OS and (4) three categories of diagnostic criteria depending on biopsy results and combination of intraocular signs and results of systemic investigations. Revised IWOS criteria were proposed by a consensus workshop. |
| Author | Acharya, Nisha R Mochizuki, Manabu Rao, Narsing A Smith, Justine R Takase, Hiroshi Kaburaki, Toshikatsu |
| Author_xml | – sequence: 1 givenname: Manabu surname: Mochizuki fullname: Mochizuki, Manabu email: m.manabu.oph@tmd.ac.jp organization: Miyata Eye Hospital, Miyakonojo, Japan – sequence: 2 givenname: Justine R surname: Smith fullname: Smith, Justine R email: m.manabu.oph@tmd.ac.jp organization: Flinders University School of Medicine and Public Health, Adelaide, South Australia, Australia – sequence: 3 givenname: Hiroshi surname: Takase fullname: Takase, Hiroshi email: m.manabu.oph@tmd.ac.jp organization: Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, Tokyo, Japan – sequence: 4 givenname: Toshikatsu surname: Kaburaki fullname: Kaburaki, Toshikatsu email: m.manabu.oph@tmd.ac.jp organization: Department of Ophthalmology, University of Tokyo School of Medicine, Tokyo, Japan – sequence: 5 givenname: Nisha R surname: Acharya fullname: Acharya, Nisha R email: m.manabu.oph@tmd.ac.jp organization: F. I. Proctor Foundation and Department of Ophthalmology, University of California San Francisco, San Francisco, California, USA – sequence: 6 givenname: Narsing A surname: Rao fullname: Rao, Narsing A email: m.manabu.oph@tmd.ac.jp organization: Department of Ophthalmology, USC Roski Eye Institute, Keck School of Medicine of University of Southern California, Los Angeles, California, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30798264$$D View this record in MEDLINE/PubMed |
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| ContentType | Journal Article |
| Contributor | Cowan, Claude L LeHoang, Phuc Zierhut, Manfred Gon Yu, Hyeong Biswas, Jyotirmay Goldstein, Debra A Babu, Kalpana Hwang, Yih-Shiou McCluskey, Peter Mochizuki, Manabu Ohguro, Nobuyuki Sakai, Tsutomu Smith, Justine R Bodaghi, Bahram Jabs, Douglas A Ohno, Shigeaki P Jones, Nicholas Sukavatcharin, Somsiri Goto, Hiroshi Chhabra, Ramandeep Chee, Soon-Phaik Asyari, Fatma Ishihara, Mami Maruyama, Kazuichi Rao, Narsing A Kawashima, Hidetoshi Sonoda, Ko-Hei Khairallah, Moncef Tugal-Tutkun, Ilknur Takase, Hiroshi A Acharya, Nisha Murray, Philip I Okada, Annabelle A Accorinti, Massimo Namba, Kenichi Basu, Soumyava Sheu, Shwu-Jiuan Kaburaki, Toshikatsu |
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| Copyright | Author(s) (or their employer(s)) 2018. No commercial re-use. See rights and permissions. Published by BMJ. 2019 Author(s) (or their employer(s)) 2018. No commercial re-use. See rights and permissions. Published by BMJ. |
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| References | Maruyama, Inaba, Tamada 2016; 95 Jabs, Johns 1986; 102 Fang, Huang, Xu 2016; 11 Takase, Shimizu, Yamada 2010; 54 Hunninghake, Costabel, Ando 1999; 16 Spalton, Sanders 1981; 65 Acharya, Browne, Rao 2018; 125 Shigemura, Nasuhara, Konno 2012; 10 Danila, Norkūniene, Jurgauskienė 2009; 3 Kawaguchi, Hanada, Horie 2007; 51 Gundlach, Hoffmann, Prasse 2016; 11 Oda, Ishimoto, Yatera 2014; 52 Jones, Tsierkezou, Patton 2016; 100 Shijubo, Yamaguchi 2015; 35 Gupta, Kumar, Aggarwal 2011; 28 Babu, Bhat, Philips 2016; 24 Thorne, Brucker 2000; 20 Babu, Shukla, Philips 2017; 25 Ohguro, Sonoda, Takeuchi 2012; 56 Ohara, Okubo, Sasaki 1992; 36 Ishikawa, Hattori, Yokoyama 2012; 50 Jones 2002; 15 Newman, Rose, Maier 1997; 336 Eishi 2013; 51 Crick, Hoyle, Smellie 1961; 45 Herbort, Rao, Mochizuki 2009; 17 Mostard, Voo, van Kroonenburgh 2011; 105 Thi Hong Nguyen, Kambe, Kishimoto 2017; 44 Vyas, Thangakunam, Gupta 2015; 31 Shen, Pang, Wu 2016; 8 Yamamoto, Sharma, Hosoda 1992; 9 2020050713022504000_103.10.1418.7 2020050713022504000_103.10.1418.6 Maruyama (2020050713022504000_103.10.1418.26) 2016; 95 2020050713022504000_103.10.1418.4 2020050713022504000_103.10.1418.18 Shen (2020050713022504000_103.10.1418.25) 2016; 8 Eishi (2020050713022504000_103.10.1418.29) 2013; 51 2020050713022504000_103.10.1418.2 2020050713022504000_103.10.1418.19 2020050713022504000_103.10.1418.17 2020050713022504000_103.10.1418.12 2020050713022504000_103.10.1418.9 2020050713022504000_103.10.1418.10 2020050713022504000_103.10.1418.11 Babu (2020050713022504000_103.10.1418.16) 2017; 25 Gupta (2020050713022504000_103.10.1418.30) 2011; 28 Babu (2020050713022504000_103.10.1418.27) 2016; 24 Hunninghake (2020050713022504000_103.10.1418.1) 1999; 16 Shigemura (2020050713022504000_103.10.1418.21) 2012; 10 Jabs (2020050713022504000_103.10.1418.5) 1986; 102 Oda (2020050713022504000_103.10.1418.24) 2014; 52 Acharya (2020050713022504000_103.10.1418.14) 2018; 125 Vyas (2020050713022504000_103.10.1418.31) 2015; 31 Ohara (2020050713022504000_103.10.1418.8) 1992; 36 2020050713022504000_103.10.1418.23 2020050713022504000_103.10.1418.22 2020050713022504000_103.10.1418.20 Fang (2020050713022504000_103.10.1418.28) 2016; 11 Yamamoto (2020050713022504000_103.10.1418.3) 1992; 9 Takase (2020050713022504000_103.10.1418.13) 2010; 54 Shijubo (2020050713022504000_103.10.1418.15) 2015; 35 |
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American thoracic society/European respiratory society/world association of sarcoidosis and other granulomatous disorders publication-title: Sarcoidosis Vasc Diffuse Lung Dis – volume: 9 start-page: 33 year: 1992 ident: 2020050713022504000_103.10.1418.3 article-title: Special report: the 1991 descriptive definition of sarcoidosis publication-title: Sarcoidosis – ident: 2020050713022504000_103.10.1418.4 doi: 10.1136/bjo.45.7.461 – volume: 95 start-page: e5531 year: 2016 ident: 2020050713022504000_103.10.1418.26 article-title: Vitreous lavage fluid and bronchoalveolar lavage fluid have equal diagnostic value in sarcoidosis publication-title: Medicine doi: 10.1097/MD.0000000000005531 – volume: 51 start-page: 56 year: 2013 ident: 2020050713022504000_103.10.1418.29 article-title: Etiologic link between sarcoidosis and propionibacterium acnes publication-title: Respir Investig doi: 10.1016/j.resinv.2013.01.001 – volume: 54 start-page: 529 year: 2010 ident: 2020050713022504000_103.10.1418.13 article-title: Validation of international criteria for the diagnosis of ocular sarcoidosis proposed by the first international workshop on ocular sarcoidosis publication-title: Jpn J Ophthalmol doi: 10.1007/s10384-010-0873-2 – ident: 2020050713022504000_103.10.1418.9 doi: 10.1007/s10384-012-0158-z – ident: 2020050713022504000_103.10.1418.12 doi: 10.1080/09273940902818861 – ident: 2020050713022504000_103.10.1418.11 doi: 10.1097/00006982-200001000-00002 – ident: 2020050713022504000_103.10.1418.10 doi: 10.1136/bjo.65.5.348 – ident: 2020050713022504000_103.10.1418.19 doi: 10.1111/1346-8138.13792 – volume: 102 start-page: 297 year: 1986 ident: 2020050713022504000_103.10.1418.5 article-title: Ocular involvement in chronic sarcoidosis publication-title: Am J Ophthalmol doi: 10.1016/0002-9394(86)90001-2 – ident: 2020050713022504000_103.10.1418.20 doi: 10.1016/j.resinv.2012.02.001 – volume: 28 start-page: 95 year: 2011 ident: 2020050713022504000_103.10.1418.30 article-title: Interferon gamma release assay (QuantiFERON-TB Gold In Tube) in patients of sarcoidosis from a population with high prevalence of tuberculosis infection publication-title: Sarcoidosis Vasc Diffuse Lung Dis – volume: 10 start-page: 111 year: 2012 ident: 2020050713022504000_103.10.1418.21 article-title: Effects of molecular structural variants on serum krebs von den lungen-6 levels in sarcoidosis publication-title: J Transl Med doi: 10.1186/1479-5876-10-111 – volume: 36 start-page: 452 year: 1992 ident: 2020050713022504000_103.10.1418.8 article-title: Intraocular manifestations of systemic sarcoidosis publication-title: Jpn J Ophthalmol – volume: 11 start-page: e0154716 year: 2016 ident: 2020050713022504000_103.10.1418.28 article-title: Immunological evidence for the role of mycobacteria in sarcoidosis: a meta-analysis publication-title: PLoS One doi: 10.1371/journal.pone.0154716 – ident: 2020050713022504000_103.10.1418.17 doi: 10.1016/j.rmed.2011.08.012 – volume: 25 start-page: 253 year: 2017 ident: 2020050713022504000_103.10.1418.16 article-title: High resolution chest computerized tomography in the diagnosis of ocular sarcoidosis in a high TB endemic population publication-title: Ocul Immunol Inflamm doi: 10.3109/09273948.2015.1115082 – volume: 52 start-page: 179 year: 2014 ident: 2020050713022504000_103.10.1418.24 article-title: Relationship between the ratios of CD4/CD8 T-lymphocytes in the bronchoalveolar lavage fluid and lymph nodes in patients with sarcoidosis publication-title: Respir Investig doi: 10.1016/j.resinv.2013.12.003 – volume: 24 start-page: 498 year: 2016 ident: 2020050713022504000_103.10.1418.27 article-title: Review of results of quantiFERON TB gold test in presumed ocular tuberculosis in a south indian patient population publication-title: Ocul Immunol Inflamm – ident: 2020050713022504000_103.10.1418.2 doi: 10.1056/NEJM199704243361706 – volume: 35 start-page: 3 year: 2015 ident: 2020050713022504000_103.10.1418.15 article-title: Diagnosis criteria and classification of disease severity for sarcoidosis in Japan publication-title: The Japanese Journal of Sarcoidosis and Other Granulomatous Disorders doi: 10.7878/jjsogd.35.3 – ident: 2020050713022504000_103.10.1418.23 doi: 10.1111/j.1752-699X.2008.00126.x – ident: 2020050713022504000_103.10.1418.7 doi: 10.1007/s10384-006-0413-2 – volume: 125 start-page: 119 year: 2018 ident: 2020050713022504000_103.10.1418.14 article-title: Distinguishing features of ocular sarcoidosis in an international cohort of uveitis patients publication-title: Ophthalmology doi: 10.1016/j.ophtha.2017.07.006 – ident: 2020050713022504000_103.10.1418.6 doi: 10.1016/S0896-1549(02)00021-4 |
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| Snippet | AimsInternational criteria for the diagnosis of ocular sarcoidosis (OS) was established by the first International Workshop on Ocular Sarcoidosis (IWOS) and... International criteria for the diagnosis of ocular sarcoidosis (OS) was established by the first International Workshop on Ocular Sarcoidosis (IWOS) and... |
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| Title | Revised criteria of International Workshop on Ocular Sarcoidosis (IWOS) for the diagnosis of ocular sarcoidosis |
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