| 王海荣,肖海华,严宗辉,等.角膜塑形镜对中低度近视控制效果及其影响因素分析[J].安徽医药,2022,26(10):1968-1972. |
| 角膜塑形镜对中低度近视控制效果及其影响因素分析 |
| Control effect of orthokeratology lens on moderate and low myopia and its influencing factors |
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| DOI：10.3969/j.issn.1009-6469.2022.10.014 |
| 中文关键词: 近视 眼防护装置 瞳孔 角膜塑形镜 控制效果 影响因素 |
| 英文关键词: Myopia Eye protective devices Pupil Orthokerateology lens Control effect Influence factor |
| 基金项目: |
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| 中文摘要: |
| 目的观察角膜塑形镜( OK)对中低度近视病人近视控制效果，分析影响近视控制效果的相关因素。方法选择 2015年 1月至 2016年 1月在深圳市眼科医院就诊并佩戴 OK镜的中低度近视病人 73例( OK镜组)和同期验光配框架镜的中低度近视病人 82例(框架镜组)，比较两组戴镜前、戴镜 6个月、 1年、 2年、 4年眼轴长度增加量，观察配镜前、配镜后 4年角膜厚度、角膜内皮细胞等指标变化，分析影响近视进展控制的因素。结果 OK镜组戴镜后 6个月、 1年、 2年、 4年眼轴增加值［( 0.06± |
| 英文摘要: |
| Objective To observe the effect of orthokeratology (OK) on myopia control in patients with moderate and low myopia, and analyze the related factors affecting the control effect.Methods Seventy-three patients with moderate and low myopia who woreOK glasses (OK glasses group) in the Optometry Department of Shenzhen eye hospital from January 2015 to January 2016 andeighty-two cases of moderateand low myopia with frame glasses (frame glasses group) in the same period were selected. The axial lengthincrement of the two groups was compared before and after wearing glasses for 6 months, 1 year, 2 years and 4 years. The changes ofcorneal thickness and corneal endothelial cells before and 4 years after wearing glasses were observed, and the factors influencing myo.pia progression control were analyzed.Results The axial values [(0.06±0.02) mm vs. (0.16±0.05) mm,(0.11±0.04) mm vs. (0.28±0.13) mm,(0.13±0.05) mm vs. (0.29±0.12) mm,(0.15±0.06) mm vs. (0.33±0.14) mm,] and diopter values [(0.19±0.09) D vs. (0.24±0.12) D, (0.23±0.114) D vs. (0.31±0.14) D,(0.26±0.13) D vs. (0.53±0.25) D,(0.32±0.16) D vs. (0.75±0.38) D] of OK glasses group were lower thanthose of frame glasses group at 6 months, 1 year, 2 years and 4 years after wearing glasses (P<0.05). There were significant differences in gender (male/female: 17/27 vs. 14/7), age [(10.23±2.70) years vs. (12.42±2.14) years], pupil diameter [(6.21±1.35) mm vs. (5.10± 0.83) mm] and basic axial length [(25.61±3.21) mm vs. (22.32±2.70) mm] between the well-controlled group and poor-controlled group (P<0.05). According to multivariate Logistic regression analysis, male, age and pupil diameter were independent risk factors for poorcontrol effect of low and medium myopia after 4 years of wearing OK glasses, while basal axial length was a protective factor (P>0.05). Conclusion Long-term wearing OK glasses can control the progression of myopia. Gender, age, pupil diameter and basic axial lengthare the factors influencing the long-term control effect of myopia. |
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