国际眼科杂志2025，Vol.25Issue(7)：1067-1072,6.DOI:10.3980/j.issn.1672-5123.2025.7.05
多区正向光学离焦眼镜对青少年近视的控制效果
Control effect of defocus incorporated multiple segments on myopia in adolescents
摘要
Abstract
AIM:To investigate the effectiveness and safety of defocus incorporated multiple segments(DIMS)on myopia in adolescents,and provide a theoretical basis for clinical application. METHODS:Retrospective study.A total of 560 myopic children(560 eyes)aged 8-13 years who were admitted to our hospital from January 2019 to January 2022 were selected as research subjects,of whom 180 cases(180 eyes)were enrolled in the DIMS group.The orthokeratology(OK lens)group consisted of 182 patients(182 eyes),and the single vision(SV)group consisted of 198 patients(198 eyes).The changes of the spherical equivalent and axial length in the three groups were observed after 1 and 2 a respectively.The myopia degree(group A:spherical equivalent ≥-3.00 D and group B:-6.00 D≤ spherical equivalent＜-3.00 D),and age(groupⅠ:8-10 years old and group Ⅱ:11-13 years old)were grouped to further analyze the effect of myopia degree and age on treatment effect. RESULTS:At 1 and 2 a after wearing lenses,the spherical equivalent in the DIMS and SV groups was statistically significant(all P＜0.05);there was statistical significance in the axial length among the DIMS,OK and SV groups(F=21.791,3.576,all P＜0.05).At 1 and 2 a after wearing lenses,there was statistical significance in the changes of spherical equivalent in both the DIMS and SV groups of the groups A and B(all P＜0.05);and there was statistical significance in axial length growth of the DIMS,OK and SV groups(all P＜0.05).At 1 and 2 a after wearing lenses,there was statistical significance in the changes of spherical equivalent in the DIMS and SV groups of the groups Ⅰ and Ⅱ(all P＜0.01);in the group Ⅰ,there was statistical significance in the comparison of axial length growth in the DIMS,OK and SV groups(all P＜0.05);in the group Ⅱ,there was no statistical significance in the changes of axial length in the DIMS and OK groups.The efficacy of DIMS and OK in the prevention and treatment of myopia was comparable,and the myopia progression was delayed,and the efficacy was enhanced in those older adolescents wearing DIMS. CONCLUSION:Compared with SV lens,DIMS and OK lenses effectively slow down the myopia progression in adolescents.The overall myopia control effect of DIMS is slightly inferior to that of OK lens.However,with the increase of age and the degree of refractive error,the delaying effect of DIMS on myopia progression is enhanced.关键词
多区正向光学离焦眼镜/角膜塑形镜/单焦框架镜/近视/眼轴/等效球镜Key words
defocus incorporated multiple segments/orthokeratology lens/single vision/myopia/axial length/spherical equivalent引用本文复制引用
程静,秦爱姣,陈斯敏,吕露..多区正向光学离焦眼镜对青少年近视的控制效果[J].国际眼科杂志,2025,25(7):1067-1072,6.基金项目
武汉市医学科研项目(No.WG20B06) Medical Research Project in Wuhan City(No.WG20B06) （No.WG20B06）
