中国斜视与小儿眼科杂志2025，Vol.33Issue(3)：22-24,39,4.DOI:10.3969/J.ISSN.1005-328X.2025.03.005
不同近视防控眼镜配戴后对调节功能的影响分析
The impact of wearing different myopia control glasses on accommodative function in adolescent myopia patients
摘要
Abstract
Objective To investigate the impact of wearing different myopia control glasses on accommodative func-tion in adolescent myopia patients.Methods A total of 107 adolescent myopia patients were enrolled divided into three groups:Orthokeratology(Ortho-K)group(n=36),Peripheral Defocus Spectacle Lenses(PDSL)group(n=36),and Single-Vision Spectacle Lenses(SVSL)group(n=35).Changes in spherical equivalent refraction(SE),axial length(AL),accommodative amplitude(AMP),accommodative lag(AL),and accommodative sensitivity(measured by FLIPPER test)were observed after one year of correction and compared among groups.Results Compared to the SVSL group,both the Ortho-K and PDSL groups showed significantly slower progression of SE and less increase in axial length after one year,all P＜0.05,with no significant difference between the Ortho-K and PDSL groups,P＞0.05.Regarding ac-commodative function:AMP significantly increased in the Ortho-K group,P＜0.05,remained unchanged in the PDSL group,and slightly decreased in the SVSL group,P＜0.05.The PDSL group demonstrated significantly greater improvement in both accommodative lag(AL)and accommodative sensitivity(FLIPPER)compared to both the Ortho-K and SVSL groups,all P＜0.05.Conclusions The three types of myopia control glasses exhibit distinct effects on accommodative function:Ortho-K enhances AMP,while PDSL is more effective in improving accommodative lag and sensitivity.SVSL shows relatively weaker effects.The choice of correction can be tailored based on individual accommodative function needs.关键词
近视/调节功能/单光镜/角膜塑形镜/周边离焦框架眼镜Key words
Myopia/Accommodation/Ocular single vision lenses/Orthokeratology/Peripheral defocus spectacle lenses引用本文复制引用
宋艳霞,赵敬聪,杨晓格,王伟,杨素玲,尚李娅,刘丽芳,王建仓..不同近视防控眼镜配戴后对调节功能的影响分析[J].中国斜视与小儿眼科杂志,2025,33(3):22-24,39,4.基金项目
河北省医学科学研究课题计划资助(20211182) （20211182）
