中国斜视与小儿眼科杂志2017，Vol.25Issue(3)：7-10,4.DOI:10.3969/J.ISSN.1005-328X.2017.03.002
Pentacam眼前节分析系统引导下儿童硬性透氧性角膜接触镜验配体会
The experience of wearing rigid gas permeable contact lens for the children guided by Pentacam anterior segment analysis system
摘要
Abstract
Objective To observe the clinical effect of rigid gas permeable contact lens (RGPCL) for the treatment of children with high refractive error and keratoconus by using the Pentacam anterior segment analysis system of corneal topography to guide RGPCL wearing.Methods In this retrospective analysis, 27 cases(50 eyes) were divided into high refractive error group and keratoconus group according to the refractive status and the corneal shape through Pentacam anterior segment analysis system. The best corrected visual acuity of two groups were observed before and 1 week, 6 months and 1 year after wearing RGPCL . The changes of corneal curvature, corneal thickness, anterior corneal surface height and posterior corneal surface height of children with keratoconus were also observed before and 1 year after RGPCL wearing.Results After 1 week, 6 months and 1 year wearing RGPCL, the changes of BCVA were statistically significant in high refractive error group and keratoconus group, compared with before treatment(P<0.05). There was no significant difference in BCVA between high refractive error group and keratoconus group, in 1 week, 6 months and 1 year after treatment(P>0.05). By using Pentacam three-dimensional anterior segment analysis system to observe the changes of corneal parameters in keratoconus group, the maximum curvature of the anterior surface of cornea decreased significantly after 1 years of treatment(P<0.05). There was no significant difference in the thinnest corneal thickness, the height of the anterior surface and the height of the posterior surface of the cornea, before and 1 year after wearing RGPCL(P>0.05) .Conclusions Wearing RGPCL is safe and effective for children with high refractive error and keratoconus. Pentacam anterior segment analysis system can accurately detect changes in keratoconus corneal morphology in children.关键词
硬性透氧性角膜接触镜/高度屈光不正/圆锥角膜/Pentacam眼前节分析系统Key words
Rigid gas permeable contact lens/High refractive error/Keratoconus/Pentacam anterior segment analysis system引用本文复制引用
詹玉蕊,田蔓男,王海燕..Pentacam眼前节分析系统引导下儿童硬性透氧性角膜接触镜验配体会[J].中国斜视与小儿眼科杂志,2017,25(3):7-10,4.基金项目
甘肃省自然科学基金项目(NO.1308RJZA193) （NO.1308RJZA193）
