中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2012年
10期
601-603
,共3页
Menicon-Z%角膜接触镜,硬性透气性%青少年%近视,进展性
Menicon-Z%角膜接觸鏡,硬性透氣性%青少年%近視,進展性
Menicon-Z%각막접촉경,경성투기성%청소년%근시,진전성
Menicon-Z%Contact lenses,rigid gas permeable%Adolescent%Myopia progression
目的 观察Menicon-Z硬性透气性角膜接触镜(RGPCL)控制青少年进展性近视的临床效果.方法 前瞻性自身对照研究.选取18岁以下近视患者76例(148眼),按近视度分为4组(-0.50～-3.00 D,-3.25～-6.00 D,-6.25～-9.00 D,9.25～-20.00 D),分析配戴RGPCL(15.2±5.2)个月后的矫正视力、屈光状态、角膜地形图参数、年近视增长幅度及眼轴长度等项目的变化.采用配对样本t检验、单因素方差分析评价RGPCL控制青少年进展性近视的效果.结果 配戴RGPCL后平曲率(FK)、陡曲率(SK)值均降低,差异均有统计学意义(t=4.80,P＜0.01；t=7.76,P＜0.01)；而球镜度、散光度、眼轴长度变化不明显；同原近视增长幅度[(-1.10±0.53)D/年]比较,配戴RGPCL后近视增幅[(-0.00±0.47)D/年]显著降低(t=-13.9S,P＜0.01).不同近视程度组间比较,配戴RGPCL前后近视增长幅度差异有统计学意义(F=4.84,P＜0.01),较高近视度患者配戴RGPCL后近视增长幅度较小.结论 长期配戴Menicon-Z RGPCL安全性高,并能有效地延缓青少年不断增长的近视度、角膜曲率及眼轴长度,尤其是对较高近视度者控制的效果更为显著.
目的 觀察Menicon-Z硬性透氣性角膜接觸鏡(RGPCL)控製青少年進展性近視的臨床效果.方法 前瞻性自身對照研究.選取18歲以下近視患者76例(148眼),按近視度分為4組(-0.50～-3.00 D,-3.25～-6.00 D,-6.25～-9.00 D,9.25～-20.00 D),分析配戴RGPCL(15.2±5.2)箇月後的矯正視力、屈光狀態、角膜地形圖參數、年近視增長幅度及眼軸長度等項目的變化.採用配對樣本t檢驗、單因素方差分析評價RGPCL控製青少年進展性近視的效果.結果 配戴RGPCL後平麯率(FK)、陡麯率(SK)值均降低,差異均有統計學意義(t=4.80,P＜0.01；t=7.76,P＜0.01)；而毬鏡度、散光度、眼軸長度變化不明顯；同原近視增長幅度[(-1.10±0.53)D/年]比較,配戴RGPCL後近視增幅[(-0.00±0.47)D/年]顯著降低(t=-13.9S,P＜0.01).不同近視程度組間比較,配戴RGPCL前後近視增長幅度差異有統計學意義(F=4.84,P＜0.01),較高近視度患者配戴RGPCL後近視增長幅度較小.結論 長期配戴Menicon-Z RGPCL安全性高,併能有效地延緩青少年不斷增長的近視度、角膜麯率及眼軸長度,尤其是對較高近視度者控製的效果更為顯著.
목적 관찰Menicon-Z경성투기성각막접촉경(RGPCL)공제청소년진전성근시적림상효과.방법 전첨성자신대조연구.선취18세이하근시환자76례(148안),안근시도분위4조(-0.50～-3.00 D,-3.25～-6.00 D,-6.25～-9.00 D,9.25～-20.00 D),분석배대RGPCL(15.2±5.2)개월후적교정시력、굴광상태、각막지형도삼수、년근시증장폭도급안축장도등항목적변화.채용배대양본t검험、단인소방차분석평개RGPCL공제청소년진전성근시적효과.결과 배대RGPCL후평곡솔(FK)、두곡솔(SK)치균강저,차이균유통계학의의(t=4.80,P＜0.01；t=7.76,P＜0.01)；이구경도、산광도、안축장도변화불명현；동원근시증장폭도[(-1.10±0.53)D/년]비교,배대RGPCL후근시증폭[(-0.00±0.47)D/년]현저강저(t=-13.9S,P＜0.01).불동근시정도조간비교,배대RGPCL전후근시증장폭도차이유통계학의의(F=4.84,P＜0.01),교고근시도환자배대RGPCL후근시증장폭도교소.결론 장기배대Menicon-Z RGPCL안전성고,병능유효지연완청소년불단증장적근시도、각막곡솔급안축장도,우기시대교고근시도자공제적효과경위현저.
Objective To evaluate the effect of Menicon-Z gas permeable contact lenses (RGPCLs) in controlling the progression of myopia in adolescents.Methods It was a prospective self-control study.Seventy-six myopia patients (148 eyes) under the age of 18 were recruited for this study.Divided into 4 groups according to the degree of refractive error (-0.50--3.00 D,-3.25--6.00 D,-6.25--9.00 D,-9.25--20.00 D).Clinical data included corrected visual acuity,refractive power,corneal curvature,axial length,annual progression rate of myopia and follow-up records for (15.2±5.2)months were analyzed.Data analysis included a paired samples t test and ANOVA on the effect of clinical RGPCLs to control juvenile myopia progression.Results There were significant differences in corneal curvature after wearing RGPCLs (FK t=4.80,P＜0.01;SK t=7.76,P＜0.01).There were no obvious differences in refractive power,astigmatism or axial length.However,there was a significant difference in the range of myopia progression (from-1.10±0.53 D to-0.00±0.47 D)that showed a decrease after wearing RGPCLs for about 1 year (t=-13.95,P＜0.01).There were statistically significant differences between different refractive power groups (F=4.84,P=0.004): for higher refractive powers,myopia progression was less.Conclusion Long-term wear of Menicon-Z RGPCLs is safe for adolescents.And it effectively decreases the progression of myopia,corneal curvature and axial length,especially in more severe myopia cases.
