中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2011年
36期
8-10
,共3页
近视%角膜塑形术%屈光度
近視%角膜塑形術%屈光度
근시%각막소형술%굴광도
Myopia%Orthokeratology%Diopter
目的 观察角膜塑形术降低近视度和控制近视的有效性和安全性.方法 选择戴角膜塑形镜的68例(136眼)青少年近视患者作为研究组,55例(110眼)戴框架眼镜的青少年近视患者作为对照组,对两组临床资料进行回顾性分析,以评价角膜塑形镜控制近视进展的作用.结果 研究组治疗后裸眼视力较治疗前显著提高(由0.40±0.13升至0.76±0.15),等效球镜和角膜曲率则显著降低[分别由(-3.52±1.25)D降至(-2.63±1.06)D;(43.21±1.28)D降至(42.30±1.25)D],治疗前后比较差异均有统计学意义(P＜0.05)；对照组治疗后等效球镜较治疗前显著提高[由(-3.55±1.27)D升至(-4.65±1.29)D],眼轴亦显著延长[由(24.30±0.53)mm升至(25.16±0.55)mm],治疗前后比较差异均有统计学意义(P＜0.05).研究组治疗期间均无严重角膜感染发生.结论 角膜塑形术可有效降低近视度,减缓眼轴的增长,而且使用方便,安全性高.
目的 觀察角膜塑形術降低近視度和控製近視的有效性和安全性.方法 選擇戴角膜塑形鏡的68例(136眼)青少年近視患者作為研究組,55例(110眼)戴框架眼鏡的青少年近視患者作為對照組,對兩組臨床資料進行迴顧性分析,以評價角膜塑形鏡控製近視進展的作用.結果 研究組治療後裸眼視力較治療前顯著提高(由0.40±0.13升至0.76±0.15),等效毬鏡和角膜麯率則顯著降低[分彆由(-3.52±1.25)D降至(-2.63±1.06)D;(43.21±1.28)D降至(42.30±1.25)D],治療前後比較差異均有統計學意義(P＜0.05)；對照組治療後等效毬鏡較治療前顯著提高[由(-3.55±1.27)D升至(-4.65±1.29)D],眼軸亦顯著延長[由(24.30±0.53)mm升至(25.16±0.55)mm],治療前後比較差異均有統計學意義(P＜0.05).研究組治療期間均無嚴重角膜感染髮生.結論 角膜塑形術可有效降低近視度,減緩眼軸的增長,而且使用方便,安全性高.
목적 관찰각막소형술강저근시도화공제근시적유효성화안전성.방법 선택대각막소형경적68례(136안)청소년근시환자작위연구조,55례(110안)대광가안경적청소년근시환자작위대조조,대량조림상자료진행회고성분석,이평개각막소형경공제근시진전적작용.결과 연구조치료후라안시력교치료전현저제고(유0.40±0.13승지0.76±0.15),등효구경화각막곡솔칙현저강저[분별유(-3.52±1.25)D강지(-2.63±1.06)D;(43.21±1.28)D강지(42.30±1.25)D],치료전후비교차이균유통계학의의(P＜0.05)；대조조치료후등효구경교치료전현저제고[유(-3.55±1.27)D승지(-4.65±1.29)D],안축역현저연장[유(24.30±0.53)mm승지(25.16±0.55)mm],치료전후비교차이균유통계학의의(P＜0.05).연구조치료기간균무엄중각막감염발생.결론 각막소형술가유효강저근시도,감완안축적증장,이차사용방편,안전성고.
Objective To observe the effect and safety of orthokeratology in myopia patients.Methods Sixty-eight(136 eyes)young patients with myopia wore orthokeratology lens as research group,and 55 cases(110 eyes)young patients with myopia wore glasses as control group,clinical data of both groups were retrospectively analyzed to evaluate the role of orthokeratology lens on controlling the progression of myopia.Results After treatment,uncorrected visual acuity of research group significantly improved (0.76 ± 0.15 vs.0.40 ± 0.13,P ＜ 0.05),while spherical equivalent(SE)and corneal curvature significantly reduced[(-2.63 ± 1.06)D vs.(-3.52 ± 1.25)D,(42.30 ± 1.25)D vs.(43.21 ± 1.28)D,P ＜ 0.05].After treatment,SE of control group significantly increased[(-4.65 ± 1.29)D vs.(-3.55 ± 1.27)D,P ＜ 0.05],axis oculi significantly prolonged[(25.16 ± 0.55)mm vs.(24.30 ± 0.53)mm,P ＜ 0.05].Research group had no serious corneal infection happened during the treatment.Conclusion Orthokeratology lens can effectively reduce the degree of myopia and slow down the axis oculi growth,and it is used convenient with high security.
