《中国医药科学》杂志欢迎您的投稿!.   今天是:        
司俊峰1,刘院斌2,武忠华2.不同调节幅度对配戴角膜塑形镜轻中度近视儿童控制效果的影响[J].中国医药科学,2022,(20):173-176        基金项目:
不同调节幅度对配戴角膜塑形镜轻中度近视儿童控制效果的影响
Effects of different amplitudes of accommodation on myopia control response for children with mild to moderate myopia wearing orthokeratology lenses
  
DOI:
中文关键词:  近视;调节幅度;角膜塑形镜;控制效果;眼轴
英文关键词:Myopia; Amplitude of accommodation; Orthokeratology lenses; Control effect; Ocular axis
作者单位
司俊峰1,刘院斌2,武忠华2 1.山西医科大学汾阳学院眼视光学系,山西吕梁 032200;2.山西省汾阳医院眼科,山西吕梁 032200 
摘要点击次数: 38
全文下载次数: 162
中文摘要:
      [摘要] 目的 研究角膜塑形镜差异性调节幅度应用于轻中度近视患儿中的效果。 方法 选取2019年1月至2020年1月山西省汾阳医院眼科收治的82例配戴角膜塑形镜轻中度近视儿童。根据随机抽签法分为观察组及对照组,每组各41例。观察组戴镜前调节幅度低于平均值,对照组戴镜前调节幅度高于平均值。比较两组戴镜前后眼轴长度、角膜曲率及屈光度、角膜内皮细胞密度以及面积、并发症发生情况。并比较两组戴镜前后主观视觉质量变化情况。 结果 观察组戴镜12、24个月时眼轴长度分别低于对照组,差异有统计学意义(P < 0.05)。观察组戴镜24个月水平曲率、垂直曲率以及屈光度均低于对照组,差异有统计学意义(P < 0.05)。两组戴镜前、戴镜24个月时的角膜内皮细胞密度以及面积比较,差异无统计学意义(P > 0.05)。两组视觉异常、过敏结膜炎以及角膜上皮点状染色发生率比较,差异无统计学意义(P > 0.05)。两组戴镜24个月主观视觉质量评分均高于戴镜前(P < 0.05);两组戴镜前、戴镜24个月时的主观视觉质量评分比较,差异无统计学意义(P > 0.05)。 结论 调节幅度低的配戴角膜塑形镜轻中度近视儿童眼轴长度控制效果优于调节幅度高的儿童,且不会对角膜功能产生较大影响,不会增加并发症发生风险,有助于水平曲率、垂直曲率及屈光度的改善。
英文摘要:
      [Abstract] Objective To study the effect of differential amplitudes of accommodation of orthokeratology lenses in children with mild to moderate myopia. Methods A total of 82 children with mild to moderate myopia wearing orthokeratology lenses admitted to the Department of Ophthalmology of Shanxi Province Fenyang Hospital from January 2019 to January 2020 were selected. According to the random lottery method, they were divided into the observation group and the control group, with 41 cases in each group. The amplitude of accommodation before wearing lenses in the observation group was lower than the average value, and the amplitude of accommodation before wearing lenses in the control group was higher than that in the average value. The axial length, corneal curvature and diopter, corneal endothelial cell density and area, as well as the occurrence of complications before and after wearing lenses were compared between the two groups. And the changes of subjective visual quality before and after wearing lenses were compared between the two groups. Results The axial length of the observation group was shorter than that of the control group at 12 months and 24 months after wearing lenses, and the difference was statistically significant (P < 0.05). The horizontal curvature, vertical curvature and diopter of the observation group at 24 months after wearing lenses were lower than those of the control group, and the differences were statistically significant (P < 0.05). There were no statistically significant differences in corneal endothelial cell density and area before wearing lenses and 24 months after wearing lenses for the two groups (P > 0.05). There were no statistically significant differences in the incidences of visual abnormalities, allergic conjunctivitis and corneal epithelial punctate staining for the two groups (P > 0.05). The subjective visual quality score of the two groups at 24 months after wearing lenses was higher than that before wearing lenses (P < 0.05). There was no statistically significant difference in subjective visual quality score before wearing lenses and 24 months after wearing lenses for the two groups (P > 0.05). Conclusion The effect of axial length control in children with mild to moderate myopia wearing orthokeratology lenses with a lower amplitude of accommodation is better than that in children with a higher amplitude of accommodation. Such application will not have a great impact on corneal function, will not increase the risk of complications, and will contribute to the improvement of horizontal curvature, vertical curvature and diopter.
查看全文  查看/发表评论  下载PDF阅读器
关闭
关键词: 中国医药科学 中国医学 中国医学科学 中华医学 医学杂志 临床医学杂志 医学期刊 中国预防医学 中华预防医学 预防医学杂志 中国药学 药学杂志
药理杂志 中国中医 中医杂志 中华中医药 中医药杂志 中国医疗 医疗器械杂志 中国中西医结合 中国医药 医药杂志 医药期刊 医药论文 医学论文 科研论文 职称论文
function PdfOpen(url){ var win="toolbar=no,location=no,directories=no,status=yes,menubar=yes,scrollbars=yes,resizable=yes"; window.open(url,"",win); } function openWin(url,w,h){ var win="toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=no,width=" + w + ",height=" + h; controlWindow=window.open(url,"",win); } &et=970261AF74811A5DB2E0B078D94861FB68181A05BD0D7A7517E67FA377C26BADBF197BFECECF91699DBD88B4CE018779F1C4E5AF39C6CC4B9B325A88B097DB80185804A267CAEB7D51EC0AD3CCCB8FE03A95BA1E15E8D4059ECAED6247D62D072DA1100D890B03E2D878FD15235BFE830D83D079016C643F0242B7C4380B00D178FC95C44A3A9D6006601EF764F4984C3948CD335844CC64&pcid=&cid=&jid=&yid=885CEFEC57DA488F&aid=&vid=&iid=A04140E723CB732E&sid=DABEF202280E7EF1&eid=5BC9492E1D772407&fileno=20220933&flag=1&is_more=0">