CAJ | 학술논문

目的：观察青少年长期配戴角膜塑形镜矫正近视及控制近视发展的临床有效性和安全性。 　　方法：近视患者102例204眼，平均屈光度-3．36±1．07 D （等效球镜），用临床问诊、视力检查、裂隙灯检查等方式，观察戴镜2a平均屈光度、裸眼视力、眼轴、中央角膜厚度、视觉异常（有无复视、眩光、重影）以及眼表并发症等情况。 　　结果：戴镜6mo；1，2a与戴镜前相比，裸眼远视力、平均屈光度变化有显著差异（P＜0．05），所有患者配戴镜片后屈光度降低，视力改善；眼轴、中央角膜厚度戴镜前后差异无显著变化（P＞0．05），角膜健康状况良好，因戴镜所致不适症状经适当用药或镜片处理后均可消失。 　　结论：角膜塑形镜是一种有效地矫正视力和控制近视增长的方法。在使用合格的产品、规范的流程、合格的验配技术和严格的复查的前提保障下长期配戴角膜塑形镜是安全的。
목적：관찰청소년장기배대각막소형경교정근시급공제근시발전적림상유효성화안전성。 　　방법：근시환자102례204안，평균굴광도-3．36±1．07 D （등효구경），용림상문진、시력검사、렬극등검사등방식，관찰대경2a평균굴광도、라안시력、안축、중앙각막후도、시각이상（유무복시、현광、중영）이급안표병발증등정황。 　　결과：대경6mo；1，2a여대경전상비，라안원시력、평균굴광도변화유현저차이（P＜0．05），소유환자배대경편후굴광도강저，시력개선；안축、중앙각막후도대경전후차이무현저변화（P＞0．05），각막건강상황량호，인대경소치불괄증상경괄당용약혹경편처리후균가소실。 　　결론：각막소형경시일충유효지교정시력화공제근시증장적방법。재사용합격적산품、규범적류정、합격적험배기술화엄격적복사적전제보장하장기배대각막소형경시안전적。
AIM: To observe the effectiveness and safety of orthokeratology in juvenile myopia patients. METHODS:There were 204 eyes of 102 myopic patients, whose average diopter was -3.36 ±1.07D ( spherical equivalent ) . The changes of mean myopia diopter, uncorrected visual acuity ( UCVA ) , axial length, corneal thickness, visual quality and complications during two years of receiving orthokeratology treatment by the way of clinical diagnosis, general examination, slit lamp examination and corneal thickness examination were observed. RESULTS:After receiving orthokeratology treatment for half a year, one year and two years, the naked vision and the mean myopia diopter had significant difference ( P<0.05 ) , the mean myopia diopter of all patients were decreased, and their naked vision were improve.There was no significant difference in corneal thickness and axial length ( P>0.05 ) .The corneal of patients were in good health.Discomfort symptoms due to wearing glasses can disappear after reasonable medication and adjustments with the glasses lenses. CONCLUSION: Orthokeratology is a kind of method of effectively correcting eyesight and controlling growth of myopia.In the premise of security products, standard processes, qualified fitting technology and rigorous review, Long-term wearing orthokeratology lens is safe.