本文選題：角膜塑形鏡　切入點(diǎn)：硬性透氣性角膜接觸鏡　出處：《眼科新進(jìn)展》2017年07期

【摘要】：目的比較青少年近視患者配戴角膜塑形鏡、硬性透氣性角膜接觸鏡(rigid gas permeable contact lens,RGPCL)及框架眼鏡2 a后屈光度及眼軸長度變化,評估不同光學(xué)矯正方式對青少年近視的控制效果。方法前瞻性臨床研究。收集2012年6月至2014年6月驗(yàn)配角膜塑形鏡的近視者50例(99眼)為角膜塑形鏡組、RGPCL近視者48例(95眼)為RGPCL組及單光足矯框架眼鏡近視者50例(100眼)為框鏡組,隨訪2 a。記錄三組患者戴鏡前及戴鏡2 a后的近視球鏡度、柱鏡度、等效球鏡度(spherical equivalent,SE)、眼軸長度(axial length,AL)及角膜塑形鏡組戴鏡6個月內(nèi)每次復(fù)查時裸眼視力(uncorrected visual acuity,UCVA)。為準(zhǔn)確測量屈光度及AL,角膜塑形鏡組和RGPCL組2 a后至少停戴30 d再進(jìn)行檢查。結(jié)果戴鏡前3組間年齡、屈光狀態(tài)、AL等比較,差異均無統(tǒng)計學(xué)意義(均為P0.05)。2 a后,三組的AL及SE均有所增加(F=278.43、140.12,均為P0.01),AL和SE增加分別為:角膜塑形鏡組(0.30±0.39)mm、(0.83±0.97)D,RGPCL組(0.55±0.41)mm、(1.55±0.63)D,框鏡組(0.59±0.34)mm、(1.73±0.62)D,角膜塑形鏡組增加量最少,另兩組增加量差異無統(tǒng)計學(xué)意義。角膜塑形鏡組戴鏡后各時間點(diǎn)的UCVA較配戴前均明顯提高(F=486.38,P0.01)。結(jié)論角膜塑形鏡、RGPCL及框架眼鏡3種光學(xué)矯正方式對青少年近視進(jìn)展的控制作用以角膜塑形鏡效果最佳,配戴角膜塑形鏡還能明顯提高近視者的UCVA。
[Abstract]:Objective to compare the changes of diopter and axial length in juvenile myopia patients after wearing rigid gas permeable contact lensus (RGPCL), rigid gas permeable contact lens and frame glasses for 2 years. To evaluate the control effect of different optical correction methods for juvenile myopia. Methods prospective clinical study. From June 2012 to June 2014, 50 cases (99 eyes) of myopia with corneal plastic lens were collected as RGPCL myopia. 48 cases (95 eyes) were treated with RGPCL and 50 cases (100 eyes) with single light foot frame glasses. Follow up for 2 years. The myopia degree of ball and column were recorded before and 2 years after wearing mirror in the three groups. The axial length of the eyes and the cornea plastic lens group were examined at least 30 days after wearing the lens for 6 months. In order to accurately measure the diopter and ALS, the uncorrected visual acuity of the cornea plastic lens group and the RGPCL group were stopped for at least 30 days after wearing the lens within 6 months. In order to measure the diopter and AL1 accurately, the corneal plastic lens group and the RGPCL group stopped wearing at least 30 days after wearing the lens. Results the age of the three groups before wearing the mirror, There was no significant difference in the refractive state of AL between the three groups (P 0.05a, P 0.05a). The levels of AL and SE in the three groups were increased (P 0.01, P 0.01, P < 0.01) and SE were 0.30 鹵0.39 mm, 0.83 鹵0.97DRGPCL, 0.59 鹵0.34mm, 1.73 鹵0.62D, respectively, and 0.55 鹵0.41 鹵0.63d, respectively, and 0.59 鹵0.34mm, 1.73 鹵0.62D, respectively, in the RGPCL group, 0.59 鹵0.34mm and 1.73 鹵0.62D, respectively. There was no statistical difference between the other two groups. The UCVA of the corneal plastic lens group at each time point after wearing the lens was significantly higher than that of the pre-wear group. Conclusion the three optical correction methods of corneal plastic lens and framing glasses for juvenile myopia are significantly higher than those before wear. Conclusion the three optical correction methods of corneal plastic lens and framing glasses are useful for the development of juvenile myopia. The best control effect is the corneal plastic lens. Wearing corneal plastic lens can also significantly improve the UCVA of myopia.
【作者單位】： 鄭州大學(xué)第一附屬醫(yī)院眼科;鄭州鐵路職業(yè)技術(shù)學(xué)院眼視光系;
【基金】：國家自然科學(xué)基金-聯(lián)合培養(yǎng)基金項(xiàng)目(編號:U1204812) 河南省醫(yī)學(xué)科技攻關(guān)計劃項(xiàng)目(編號:201403050)~~
【分類號】：R778.11

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本文編號：1663994