中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
31期
55-55,57
,共2页
角膜塑形镜%近视治疗%随访体会
角膜塑形鏡%近視治療%隨訪體會
각막소형경%근시치료%수방체회
Orthokeratology%Myopic treatment%Follow-up experience
目的：观察角膜矫形对近视眼的治疗效果，以及各种参数与疗效的关系和治疗中出现的不良反应。方法：对角膜矫形治疗的183例346只眼进行了3～12个月随访观察。对不同屈光度用3种不同的角膜矫形镜做治疗，统计屈光不正患者的不同参数与疗效的关系及各种不良反应出现的时段与频率。结果：角膜矫形治疗后，视力≥4.8的320只眼(92.5%)，视力≥5.0的275只眼(79.9%)。治疗前屈光度≥-5.0 D、角膜曲率≥45.0 D、眼轴长≥25 mm的患者以及早期未提供E值的患者，疗效均较差(P＜0.01)。13～17岁年龄组疗效较佳(P＜0.01)。主要不良反应是角膜上皮损伤(初戴49.7%)和出现重影(3周内41.0%)，1例患者出现顽固的视疲劳。结论：角膜矫形技术是一项安全、有效的提高近视眼裸眼视力的方法，对少儿近视的治疗较好，但应注意角膜上皮损伤及重影等不良反应。
目的：觀察角膜矯形對近視眼的治療效果，以及各種參數與療效的關繫和治療中齣現的不良反應。方法：對角膜矯形治療的183例346隻眼進行瞭3～12箇月隨訪觀察。對不同屈光度用3種不同的角膜矯形鏡做治療，統計屈光不正患者的不同參數與療效的關繫及各種不良反應齣現的時段與頻率。結果：角膜矯形治療後，視力≥4.8的320隻眼(92.5%)，視力≥5.0的275隻眼(79.9%)。治療前屈光度≥-5.0 D、角膜麯率≥45.0 D、眼軸長≥25 mm的患者以及早期未提供E值的患者，療效均較差(P＜0.01)。13～17歲年齡組療效較佳(P＜0.01)。主要不良反應是角膜上皮損傷(初戴49.7%)和齣現重影(3週內41.0%)，1例患者齣現頑固的視疲勞。結論：角膜矯形技術是一項安全、有效的提高近視眼裸眼視力的方法，對少兒近視的治療較好，但應註意角膜上皮損傷及重影等不良反應。
목적：관찰각막교형대근시안적치료효과，이급각충삼수여료효적관계화치료중출현적불량반응。방법：대각막교형치료적183례346지안진행료3～12개월수방관찰。대불동굴광도용3충불동적각막교형경주치료，통계굴광불정환자적불동삼수여료효적관계급각충불량반응출현적시단여빈솔。결과：각막교형치료후，시력≥4.8적320지안(92.5%)，시력≥5.0적275지안(79.9%)。치료전굴광도≥-5.0 D、각막곡솔≥45.0 D、안축장≥25 mm적환자이급조기미제공E치적환자，료효균교차(P＜0.01)。13～17세년령조료효교가(P＜0.01)。주요불량반응시각막상피손상(초대49.7%)화출현중영(3주내41.0%)，1례환자출현완고적시피로。결론：각막교형기술시일항안전、유효적제고근시안라안시력적방법，대소인근시적치료교호，단응주의각막상피손상급중영등불량반응。
Objective:To observe the treatment effect of corneal orthopedic for myopia,and the relationship between various parameters and curative effects,the adverse reactions in the treatment.Methods:183 cases(346 eyes) with corneal orthodontic treatment were given followed up for 3 to 12 months.The different diopters were treated by using three different corneal orthopaedic mirror.The relationships between different parameters and curative effects,the emerging time and frequency of various adverse reactions of patients with ametropia.Results:After corneal orthopedic treatment,320 eyes(92.5%) were visual acuity more than or equal to 4.8,275 eyes(79.9%) were visual acuity more than or equal to 5.0.Before treatment,the patients with the diopter more than or equal to -5.0 D,the corneal curvature more than or equal to 45.0 D,the ocular axial length more than or equal to 25 mm and patients who were not provide E value in early,the curative effects were poor(P<0.01).The curative effect of 13 to 17 years old age group was poor(P<0.01).The main adverse reactions were corneal epithelial injury(first wear 49.7% ) and the appearance of double image(41% in 3 weeks),1 patient had persistent eyestrain.Conclusion:Corneal correction technique is a safe and effective method to improve the naked vision of myopia,and the treatment of juvenile myopia is better,but it should pay attention to the adverse reactions such as corneal epithelial injury and double image.
