CAJ | 학술논문

目的:评价个体化硬性透气性角膜接触镜(rigid gas permeable contact lens,RGP)控制青少年近视眼的进展.方法:选择来我院就诊的近视患者90例180眼,屈光度- 0.75～- 6.00DS.随机分为三组:A组(框架眼镜组),B组(普通RGP组),C组(个性化RGP组),对三组患者戴镜1,3,6mo;1,2a的屈光度、角膜曲率、眼轴长度进行观察.结果:三组在戴镜前屈光度、角膜曲率及眼轴比较无统计学差异(P＞0.05).屈光度在戴镜1,2a后,A组(4.46±1.98,5.18±2.09D)与B(3.44±2.41D,3.41±2.01D),C组(3.43±2.43D,3.39±2.32D)比较有统计学差异(P<0.05);B,C组之间无统计学差异(P>0.05).角膜曲率半径在戴镜1,2a后,A组(7.58±0.17mm,7.60±0.21mm),C(8.12±0.20mm,8.27±0.19mm)两组比较统计学差异有显著意义(P<0.01),戴镜1,2a后,B组(7.91±0.22mm,7.94±0.27mm),与A,C两组比较有统计学差异(P<0.05).眼轴长度分别在戴镜1,2a,A组(26.03±1.07mm,26.09±1.11mm)与C(25.82±1.20mm,25.97±1.29mm)及A组与B组(25.71±1.07mm,25.83±1.09mm)两组间比较有统计学差异(P<0.05);B,C组无统计学差异(P＞0.05).结论:个体化硬性透气性角膜接触镜更符合角膜生理,从远期效果看可以有效控制青少年近视眼进展.
목적:평개개체화경성투기성각막접촉경(rigid gas permeable contact lens,RGP)공제청소년근시안적진전.방법:선택래아원취진적근시환자90례180안,굴광도- 0.75～- 6.00DS.수궤분위삼조:A조(광가안경조),B조(보통RGP조),C조(개성화RGP조),대삼조환자대경1,3,6mo;1,2a적굴광도、각막곡솔、안축장도진행관찰.결과:삼조재대경전굴광도、각막곡솔급안축비교무통계학차이(P＞0.05).굴광도재대경1,2a후,A조(4.46±1.98,5.18±2.09D)여B(3.44±2.41D,3.41±2.01D),C조(3.43±2.43D,3.39±2.32D)비교유통계학차이(P<0.05);B,C조지간무통계학차이(P>0.05).각막곡솔반경재대경1,2a후,A조(7.58±0.17mm,7.60±0.21mm),C(8.12±0.20mm,8.27±0.19mm)량조비교통계학차이유현저의의(P<0.01),대경1,2a후,B조(7.91±0.22mm,7.94±0.27mm),여A,C량조비교유통계학차이(P<0.05).안축장도분별재대경1,2a,A조(26.03±1.07mm,26.09±1.11mm)여C(25.82±1.20mm,25.97±1.29mm)급A조여B조(25.71±1.07mm,25.83±1.09mm)량조간비교유통계학차이(P<0.05);B,C조무통계학차이(P＞0.05).결론:개체화경성투기성각막접촉경경부합각막생리,종원기효과간가이유효공제청소년근시안진전.