中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2011年
1期
76-78
,共3页
常枫%沈政伟%陈云辉%魏润菁%周和政
常楓%瀋政偉%陳雲輝%魏潤菁%週和政
상풍%침정위%진운휘%위윤정%주화정
硬性透氧性角膜接触镜%屈光不正%视力
硬性透氧性角膜接觸鏡%屈光不正%視力
경성투양성각막접촉경%굴광불정%시력
Rigid gas permeable contact lenses%Special ametropia%Best corrected visual acuity
目的 观察硬性透氧性角膜接触镜(rigidgas permeable contactlens,RGPCL)矫正特殊类型屈光不正的临床疗效及安全性.方法 收集验配RGPCL的患者61例(98只眼),包括高度近视29例(55只眼)、高度散光9例(18只眼)、无晶状体高度远视20例(20只眼)、屈光参差3例(5只眼).在裂隙灯下进行荧光素染色配戴评估后确定处方,定期复查随访6～12个月.结果 98眼均一次配适成功.高度近视组佩戴框架眼镜和RGPCL后矫正视力≥4.9分别为37眼(67.27%)、47只眼(85.46%),平均最佳矫正视力RGPCL好于框架眼镜(P<0.05);无晶状体眼高度远视组佩戴框架眼镜和RGPCL后矫正视力≥4.9分别为7眼(38.9%)、6只眼(33.3%),平均最佳矫正视力两者间无差异(P>0.05);高度散光组佩戴框架眼镜和RGPCL后矫正视力≥4.9分别为15只眼(75%)、20只眼(100%),平均最佳矫正视力RGPCL好于框架眼镜(P<0.05);屈光参差者佩戴RGP后达到双眼平衡.随访未发现明显眼部并发症.结论 对于特殊类型屈光不正,RGPCL的视觉效果明显优于框架眼镜,并有较高地安全性,无明显并发症发生.
目的 觀察硬性透氧性角膜接觸鏡(rigidgas permeable contactlens,RGPCL)矯正特殊類型屈光不正的臨床療效及安全性.方法 收集驗配RGPCL的患者61例(98隻眼),包括高度近視29例(55隻眼)、高度散光9例(18隻眼)、無晶狀體高度遠視20例(20隻眼)、屈光參差3例(5隻眼).在裂隙燈下進行熒光素染色配戴評估後確定處方,定期複查隨訪6～12箇月.結果 98眼均一次配適成功.高度近視組珮戴框架眼鏡和RGPCL後矯正視力≥4.9分彆為37眼(67.27%)、47隻眼(85.46%),平均最佳矯正視力RGPCL好于框架眼鏡(P<0.05);無晶狀體眼高度遠視組珮戴框架眼鏡和RGPCL後矯正視力≥4.9分彆為7眼(38.9%)、6隻眼(33.3%),平均最佳矯正視力兩者間無差異(P>0.05);高度散光組珮戴框架眼鏡和RGPCL後矯正視力≥4.9分彆為15隻眼(75%)、20隻眼(100%),平均最佳矯正視力RGPCL好于框架眼鏡(P<0.05);屈光參差者珮戴RGP後達到雙眼平衡.隨訪未髮現明顯眼部併髮癥.結論 對于特殊類型屈光不正,RGPCL的視覺效果明顯優于框架眼鏡,併有較高地安全性,無明顯併髮癥髮生.
목적 관찰경성투양성각막접촉경(rigidgas permeable contactlens,RGPCL)교정특수류형굴광불정적림상료효급안전성.방법 수집험배RGPCL적환자61례(98지안),포괄고도근시29례(55지안)、고도산광9례(18지안)、무정상체고도원시20례(20지안)、굴광삼차3례(5지안).재렬극등하진행형광소염색배대평고후학정처방,정기복사수방6～12개월.결과 98안균일차배괄성공.고도근시조패대광가안경화RGPCL후교정시력≥4.9분별위37안(67.27%)、47지안(85.46%),평균최가교정시력RGPCL호우광가안경(P<0.05);무정상체안고도원시조패대광가안경화RGPCL후교정시력≥4.9분별위7안(38.9%)、6지안(33.3%),평균최가교정시력량자간무차이(P>0.05);고도산광조패대광가안경화RGPCL후교정시력≥4.9분별위15지안(75%)、20지안(100%),평균최가교정시력RGPCL호우광가안경(P<0.05);굴광삼차자패대RGP후체도쌍안평형.수방미발현명현안부병발증.결론 대우특수류형굴광불정,RGPCL적시각효과명현우우광가안경,병유교고지안전성,무명현병발증발생.
Objective To evaluate the effectiveness and safety of rigid gas permeable contact lenses (RGPCL) for special ametropia. Methods Of 61 patients (98 eyes), including high myopia 29 (55 eyes), high degree of astigmatism 9 (18 eyes), 20 non-lens high hyperopia (20 eyes), anisometropia 3 (5 eyes), were fitted with RGPCLs. They were followed up for 6 to 12 months. Results High myopia to wear spectacles and RGPCLs, Best corrected visual acuity (BCVA) ≥ 4.9 were 37 eyes (67.27%) and 47 (85.46%) respectively, the average BCVA RGPCLs better than spectacles (P <0.05). Non-lens high hyperopia group after wearing spectacles and RGPCLs BCVA ≥ 4.9 were 7 eyes (38.9%) and 6 eyes (33.3%) respectively. There was no difference between them (P>0.05). In the high astigmatism group, BCVA was better than 4.9 in 20 eyes (100%) with RGPCLs and in 15 eyes (75%) with spectacles. The average BCVA, RGPCLs were better than spectacles (P <0.05).Anisometropia patients obtained binocular balance with RGPCLs. No serious complications occurred within follow-up period. Conclusions RGPCL is safe and more effective than with spectacles for special ametropia significantly.
