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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We appreciate the comments and interest shown in our work&#44; &#8220;Retinal Venous Thrombosis&#44; a Great Unknown and a Challenge in Venous Thromboembolic Disease&#44;&#8221; and the opportunity for this reply&#46; We indeed agree on the need for comprehensive care programs composed of a multidisciplinary team that includes primary care physicians and internists&#44; among others&#44; in the overall management of patients with retinal venous thrombosis&#46; Additionally&#44; it would be highly beneficial to formally reference this aspect in clinical practice guidelines&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#8211;3</span></a> Therefore&#44; we encourage further work in this direction and continued research in the field of retinal venous thrombosis&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Regarding angiographic diagnosis&#44; as appropriately stated in the reply letter&#44; a clinical diagnosis based on history and characteristic ophthalmologic examination can be made &#40;which is the most commonly performed diagnostic method in actual medical practice&#41;&#46; However&#44; fluorescein angiography can also be used to confirm the diagnosis of retinal vein occlusion &#40;RVO&#41; and evaluate the degree of retinal perfusion deficit &#40;typically performed during the initial assessment&#41;&#46; This imaging test is also useful in objectively assessing retinal capillary perfusion deficit to evaluate the risk of neovascularization&#44; the need for follow-up and prognosis&#44; and guide the most appropriate therapeutic approach&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> Indeed&#44; this test requires more time due to its duration and involves intravenous contrast administration&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Furthermore&#44; optical coherence tomography &#40;OCT&#41; of the macula is primarily used to quantify retinal thickening caused by intraretinal fluid in cases of macular edema<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> and determine its progression during follow-up&#46; Due to its shorter duration and the absence of contrast administration&#44; OCT is an increasingly utilized imaging test&#46;</p></span>"
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October 2023 Response to letter: “Recommendations for systemic diagnosis and management in...
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Vol. 223. Issue 8.
Pages 521 (October 2023)
Correspondence
DOI: 10.1016/j.rceng.2023.07.001
Response to letter: “Recommendations for systemic diagnosis and management in clinical practice guidelines for retinal vein occlusion (RVO)”
Respuesta a carta réplica: «Recomendaciones de diagnóstico y manejo sistémico en las guías de práctica clínica de la oclusión venosa retiniana (OVR)»
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Leticia Guirado-Torrecillas
Unidad de Trombosis, Servicio de Medicina Interna, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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