CAJ | 학술논문

目的：通过观察高透氧性夜戴型硬性角膜塑形镜片的临床应用情况，评价角膜塑形镜矫治青少年轻中度近视临床使用的安全性、有效性及其疗效，同时分析其相关因素。方法选择我院眼科门诊的7～15岁轻中度近视眼患者35例（70眼），按照我院角膜塑形验配流程规范验配，均以夜戴镜片为主，随访3个月，观察其疗效、并发症及配戴者主观症状。结果裸眼视力：配戴前与配戴后7 d、1 mo及3 mo差异具有统计学意义（均P＜0．05）。等效球镜：配戴前与配戴后7 d、1 mo及3 mo差异具有统计学意义（均P＜0．05）。角膜厚度与眼压各时间段两两比较均无统计学差异。各时间段角膜损伤中以轻度损伤所占比例最大。 OV 100％：配戴后7 d与配戴后1 mo及3 mo有显著差异（均P＜0．05），其余时间点无差异；OV 20％：配戴前与配戴后1 mo、3 mo，配戴后1 mo与3 mo，配戴后7 d与1 mo及3 mo差异具有统计学意义（均P＜0．05）；OV 9％：7 d与配戴后1 mo、3 mo，配戴前与配戴后1 mo、3 mo差异有统计学意义（均P＜0．05），其余时间点无差异。结论高透氧性角膜塑形镜矫治青少年轻中度近视是安全的、有效的，但会影响视觉质量。
목적：통과관찰고투양성야대형경성각막소형경편적림상응용정황，평개각막소형경교치청소년경중도근시림상사용적안전성、유효성급기료효，동시분석기상관인소。방법선택아원안과문진적7～15세경중도근시안환자35례（70안），안조아원각막소형험배류정규범험배，균이야대경편위주，수방3개월，관찰기료효、병발증급배대자주관증상。결과라안시력：배대전여배대후7 d、1 mo급3 mo차이구유통계학의의（균P＜0．05）。등효구경：배대전여배대후7 d、1 mo급3 mo차이구유통계학의의（균P＜0．05）。각막후도여안압각시간단량량비교균무통계학차이。각시간단각막손상중이경도손상소점비례최대。 OV 100％：배대후7 d여배대후1 mo급3 mo유현저차이（균P＜0．05），기여시간점무차이；OV 20％：배대전여배대후1 mo、3 mo，배대후1 mo여3 mo，배대후7 d여1 mo급3 mo차이구유통계학의의（균P＜0．05）；OV 9％：7 d여배대후1 mo、3 mo，배대전여배대후1 mo、3 mo차이유통계학의의（균P＜0．05），기여시간점무차이。결론고투양성각막소형경교치청소년경중도근시시안전적、유효적，단회영향시각질량。
Objective To observe the clinical effects of rigid gas permeable contact lens , evaluate the safety and effect of orthokeratology , and analyze relevant factors for teenagers .Methods Thirty-five patients (70 eyes, aging from 7 to 15 years old) were followed up for three months .All patients wore night orthokeratology lens after standard optometry for spectacles .The therapeutic effect complications , subjective feeling were observed . Results There was statistical difference between before treatment and 7d, 1mo, 3mo in UCVA group ( P <0.05).There was statistical difference between before treatment and 7d, 1mo, 3mo in SE group(P<0.05). There was not statistical difference in the corneal thickness group and intraocular pressure group .The proportion of mild injury was the largest in corneal damage .There was statistical difference between 7d and 1mo,3mo in OV100%group(P<0.05).There was statistical difference between before treatment and 1mo, 3mo, 1mo and 3mo, 7d and 1mo, 3mo in OV20% group(P<0.05).There was statistical difference between 7d and 1mo, 3mo, before treatment and 1mo, 3mo in OV9% group(P<0.05).Conclusions Orthokeratology lens are safe and effective for treating mild and middle myopia of teenagers , but it can impact visual quality .