中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
7期
876-879
,共4页
调节滞后%隐斜%角膜接触镜%眼镜%渐变多焦镜%青少年近视
調節滯後%隱斜%角膜接觸鏡%眼鏡%漸變多焦鏡%青少年近視
조절체후%은사%각막접촉경%안경%점변다초경%청소년근시
Accommodative lag%Phoria%Contact lens%Glasses%Progressive multifocal%Adolescent myopia
目的 观察青少年近视患者配戴单光框架眼镜、渐变多焦镜、硬性透氧性角膜接触镜(Rigid Gas Permeable Contact Lens,RGPCL)调节滞后及近距隐斜的变化情况.方法 选取75例9～14岁中低度近视患者,根据患者的屈光度数、角膜参数、近距隐斜及调节滞后将患者平均分为3组,单光眼镜组、渐变镜组、RGPCL组,分别测量配戴前、配戴1年后的调节滞后和近距隐斜量,比较三种矫正方式两参数的变化量.结果 完成随访的患者61例.戴镜1年后,仅渐变多焦镜组调节滞后量的改变差异有统计学意义(t =2.208,P=0.040),各组近距隐斜变化量差异均无统计学意义(P＞0.05).结论 单光眼镜、渐变多焦镜和RGPCL延缓近视进展的机制可能与调节滞后和近距隐斜有关.
目的 觀察青少年近視患者配戴單光框架眼鏡、漸變多焦鏡、硬性透氧性角膜接觸鏡(Rigid Gas Permeable Contact Lens,RGPCL)調節滯後及近距隱斜的變化情況.方法 選取75例9～14歲中低度近視患者,根據患者的屈光度數、角膜參數、近距隱斜及調節滯後將患者平均分為3組,單光眼鏡組、漸變鏡組、RGPCL組,分彆測量配戴前、配戴1年後的調節滯後和近距隱斜量,比較三種矯正方式兩參數的變化量.結果 完成隨訪的患者61例.戴鏡1年後,僅漸變多焦鏡組調節滯後量的改變差異有統計學意義(t =2.208,P=0.040),各組近距隱斜變化量差異均無統計學意義(P＞0.05).結論 單光眼鏡、漸變多焦鏡和RGPCL延緩近視進展的機製可能與調節滯後和近距隱斜有關.
목적 관찰청소년근시환자배대단광광가안경、점변다초경、경성투양성각막접촉경(Rigid Gas Permeable Contact Lens,RGPCL)조절체후급근거은사적변화정황.방법 선취75례9～14세중저도근시환자,근거환자적굴광도수、각막삼수、근거은사급조절체후장환자평균분위3조,단광안경조、점변경조、RGPCL조,분별측량배대전、배대1년후적조절체후화근거은사량,비교삼충교정방식량삼수적변화량.결과 완성수방적환자61례.대경1년후,부점변다초경조조절체후량적개변차이유통계학의의(t =2.208,P=0.040),각조근거은사변화량차이균무통계학의의(P＞0.05).결론 단광안경、점변다초경화RGPCL연완근시진전적궤제가능여조절체후화근거은사유관.
Objective To observe the change of accommodative lag and near distance phoria in the adolescent myopia with three different refractive corrections (single focus glasses,progressive lenses and rigid gas permeable contact lens).Methods To choose 75 patients of 9-14 years old,according to the patients' refraction,corneal parameters,near distance phoria and accommodative lag,these patients were equally divided into three groups:respectively wore single focus glasses,progressive lenses and RGPCL.The accommodative lag and near distance phoria before and after 1 year were examined.The two parameters' change in three groups was compared.Results After 1 year,61 patients finally were followed.The accommodative lag was statistically changed only in progressive lenses group (t =2.208,P =0.040).The amount of near distance phoria in each group was not statistically changed (P ＞0.05).Conclusions The mechanism of slowing down myopic progression with 3 different refractive corrections may be related to accommodative lag and near distance phoria.
