[1]李斌,牛燕,李超,等.初发性近视患者配戴角膜塑形镜和框架眼镜的疗效观察[J].眼科新进展,2015,35(1):078-80.[doi:10.13389/j.cnki.rao.2015.0022]
　LI Bin,NIU Yan,LI Chao,et al.Clinical observation on orthokeratology and glasses treatment of onset myopia[J].Recent Advances in Ophthalmology,2015,35(1):078-80.[doi:10.13389/j.cnki.rao.2015.0022]
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初发性近视患者配戴角膜塑形镜和框架眼镜的疗效观察
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
35卷
期数:
2015年1期
页码:
078-80
栏目:
应用研究
出版日期:
2015-01-05

文章信息/Info

Title:
Clinical observation on orthokeratology and glasses treatment of onset myopia
作者:
李斌; 牛燕; 李超; 徐庆
２１５０２１　江苏省苏州市，上海交通大学医学院附属九龙医院眼科
Author(s):
LI Bin ;  NIU Yan ;  LI Chao ;  XU Qing
Department of Ophthalmology , Suzhou Kowloon Hospital Afiliated to Shanghai Jiaotong University , Suzhou 215021 , Jiangsu Province . China
关键词:
角膜塑形术; 初发性近视; 屈光; 眼轴长度
Keywords:
orthokeratology ;  onset myopia ;  refraction ;  axial length
DOI:
10.13389/j.cnki.rao.2015.0022
文献标志码:
A
摘要:
目的　观察配戴角膜塑形镜和框架眼镜控制青少年初发性近视的临床效果。方法　前瞻性临床研究。选取８～１５岁的初发性近视患者９４例（９４眼），其中４１例配戴角膜塑形镜，５３例配戴框架眼镜，戴镜前和戴镜后１周、１个月、３个月、６个月、１ａ随访裸眼视力（ｕｎｃｏｒｒｅｃｔｅｄｖｉｓｕａｌａｃｕｉｔｙ，ＵＣＶＡ）、角膜曲率、角膜地形图；比较戴镜１ａ后停戴１个月等效屈光度、角膜厚度及眼轴的变化。结果　角膜塑形镜组戴镜前ＵＣＶＡ为４．４６±０．１６，戴镜后１周、１个月、３个月、６个月、１ａ分别为５．００±０１７、５．０５±０．１３、５．０４±００６、５．０２±０．０６、５．００±０．０７，差异有统计学意义（Ｆ＝１５０．４１７，Ｐ＜０．０１）。配戴角膜塑形镜组１ａ后等效球镜度为（－２．２７±０．５４）Ｄ，框架眼镜组为（－２．７７±０．４７）Ｄ，分别增加了（－０．３３±０．２５）Ｄ、（－０．８８±０．３８）Ｄ，差异有统计学意义（ｔ＝５．９７７，Ｐ＝０．０１６）；眼轴分别增加了（０．１４±０．２１）ｍｍ、（０．２４±０．３５）ｍｍ，差异有统计学意义（ｔ＝１３９４８，Ｐ＝００００）。结论　角膜塑形镜治疗初发性近视效果确切，可显著提高裸眼视力；和框架眼镜相比，可明显减轻近视增长，有效控制眼轴变长，一定程度上可以控制近视的发展。
Abstract:
Objective To observe the clinical efficacy of orthokeratology and glasses for adolescents with onset myopia. Methods Prospective study. Ninety-four patients with onset myopia aged from 8 years t0 15 years were chosen,in which 41 cases were fitted with orthokeratology lens .53 cases with glasses. The uncorrected visual acuity ( UCVA) ,corneal curvature and corneal topography were measured before wearing and I week.l month ,3 months.6 months , I year after wearing. The changes in refraction ,corneal thickness and axial length at I month after not wearing for I year. Results The UCVA before wearing in orthokeratology lens group was 4. 46 +0. 16 , which at I week.l month,3 months ,6 months,l year after wearing were 5. 00 +0. 17 .5. 05 + 0. 13 ,5. 04 + 0. 06 .5. 02 + 0. 06 and 5. 00 + 0. 07 , respectively , there was statistical difference(F= 150. 417 ,P < 0. 01 ) . After one year , the spherical equivalent refraction in orthokeratology lens group and glasses group were ( - 2. 27 + 0. 54 ) D and ( - 2. 77 + 0. 47 ) D,respectively, and the spherical equivalent refraction increase were ( - 0. 33 + 0. 25 ) D and ( - 0. 88 + 0. 38 ) D respectively in the two gropes, there was statistical difference ( t = 5. 977 ,P = 0. 016) . The axial length increase were ( 0. 14 + 0. 21 ) mm and (0. 24 +0. 35 ) mm respectively in the two gropes, there was statistical difference ( t = 13. 948 ,P = 0. 000 ) . Conclusion Orthokeratology for onset myopia can sigruficantly improve the visual acuity to a certain extent. Compared with glasses, orthokeratology can control the progression of myopia, and effectively control the increase of axial length.

相似文献/References:

[1]朱梦钧 瞿小妹 冯浩雁.角膜塑形术前后角膜地形图与角膜曲率计一致性研究[J].眼科新进展,2012,32(3):000.
[2]刘维锋,胡爱梅,徐志红,等.角膜塑形术对眼视觉质量、调节功能的动态影响[J].眼科新进展,2015,35(12):1177.[doi:10.13389/j.cnki.rao.2015.0322]
　LIU Wei-Feng,HU Ai-Mei,XU Zhi-Hong,et al.Dynamic changes of visual quality and accommodation after orthokeratology[J].Recent Advances in Ophthalmology,2015,35(1):1177.[doi:10.13389/j.cnki.rao.2015.0322]

更新日期/Last Update: 2015-01-04