眼科新进展2017，Vol.37Issue(7)：636-639,4.DOI:10.13389/j.cnki.rao.2017.0161
不同光学矫正方式对青少年近视的控制效果研究
Control effects of different optical correction methods on adolescent myopia
摘要
Abstract
Objective To compare the changes of diopter and axial length(AL) m 2 years after wearing orthokeratology lens,rigid gas permeable contact lens (RGPCL) and spectacles in adolescent myopia,and evaluate the control effects of different methods on adolescent myopia.Methods Prospective clinical study.The date of 99 eyes of 50 adolescent myopia cases wearing orthokeratology,95 eyes of 48 adolescent myopia cases wearing RGPCL,and 100 eyes of 50 adolescent myopia cases wearing full correction single vision spectacles were collected from June 2012 to June 2014.The follow-up time was 2 years.The status of diopter and AL before and wore mirror after 2 years and the uncorrected visual acuity (UCVA) in group of orthokeratology were recorded.The examinations were repeated after 2 years without wearing orthokeratology and RGPCL at least 30 days.Results There was no statistical difference in age,refractive status and AL among three groups before wearing the mirror.After wearing for 2 years,AL and spherical equivalent in three groups were increased (F =278.43,140.12;all P ＜ 0.01).The increase of AL and SE was as follows:orthokeratology group (0.30 ± 0.39) mm,(0.83 ±0.97) D;RGPCL group (0.55 ± 0.41) mm,(1.55 ± 0.63) D;spectacles group (0.59 ± 0.34)mm,(1.73 ± 0.62)D.The increase of orthokeratology group was the least,and there was no statistical difference between the other two groups.UCVA was significantly improved at each time point after wearing orthokeratology(F =486.38,P ＜0.01).Conclusion In the three optical correction methods of orthokeratology,RGP and spectacles,the ortho-keratology is the best on controlling adolescent myopia,and no difference between the other two.At the same time,wearing orthokeratology can also significantly improve UCVA in myooia cases.关键词
角膜塑形镜/硬性透气性角膜接触镜/框架眼镜/眼轴长度/近视Key words
orthokeratology/contact lens/spectacles/axial length/myopia分类
医药卫生引用本文复制引用
李秀红,王敏,吕勇,符爱存,尚丽娜,朱豫..不同光学矫正方式对青少年近视的控制效果研究[J].眼科新进展,2017,37(7):636-639,4.基金项目
国家自然科学基金-联合培养基金项目(编号:U1204812) （编号:U1204812）
河南省医学科技攻关计划项目(编号:201403050).NSFC-Joint Training Fund Project (No:U1204812) （编号:201403050）
Medical Science and Technology Project of Henan Province (No:201403050) （No:201403050）
