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角膜塑形镜治疗青少年近视的临床价值

Clinical value of orthokeratology in the treatment of juvenile myopia

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目的 探讨角膜塑形镜治疗青少年近视的临床价值.方法 以本院收治的青少年近视患者54例作为研究对象,时间在2021年1月~2022年1月,共108眼.遵循盲选法分组,将其划分为对照组(n=27,共54只眼)和观察组(n=27,共54只眼).其中,对照组佩戴框架眼镜来进行矫正;观察组佩戴角膜塑形镜来进行矫正.对患者进行为期半年的观察,就并发症(角膜溃疡、穿孔、瘢痕)发生状况进行统计,并且就治疗前后的视力状况变化进行观察,评估治疗效果.结果 两组患者在视力矫正期间,均无明显的并发症发生,有部分患者主诉存在轻微的眼部肿胀、疲劳等现象,在对其滴用眼药水后,临床症状明显缓解.治疗前,两组患者的屈光度、眼轴长度差异无统计学意义(P > 0.05).治疗后,观察组患者的屈光度、眼轴长度改善幅度相较于对照组更大,差异有统计学意义(P < 0.05).结论 对青少年近视患者予以角膜塑形镜佩戴治疗,在佩戴规范的状况下,基本无严重并发症发生,安全性较好,且能过对患者的近视状况进行控制,是缓解近视进展的一种有效措施.
Objective To investigate the clinical value of orthokeratology in the treatment of juvenile myopia. Methods A total of 54 adolescent myopia patients treated in our hospital were selected as the research object, with 108 eyes from January 2021 to January 2022. They were divided into control group (n=27, 54 eyes in total) and observation group (n=27, 54 eyes in total) by blind selection method. Among them, the control group wore frame glasses for correction; The observation group wore orthokeratology lenses for correction. The patients were observed for half a year, the occurrence of complications (corneal ulcer, perforation, scar) were statistically analyzed, and the changes of visual acuity before and after treatment were observed to evaluate the therapeutic effect. Results No obvious complications occurred in the two groups during visual acuity correction. Some patients complained of mild eye swelling, fatigue and other phenomena, and their clinical symptoms were significantly relieved after the use of eye drops. Before treatment, there was no significant difference in diopter and axial length between 2 groups (P>0.05). After treatment, the improvement of diopter and axial length in observation group was greater than that in control group, and the difference was statistically significant (P<0.05). Conclusion The orthokeratology lens wearing treatment for adolescent patients with myopia, under the condition of wearing standard, basically no serious complications, good safety, and can control the myopia condition of patients, is an effective measure to alleviate the progression of myopia.

orthokeratoscopeteenagersmyopiacomplicationsdiopteraxial length

张亚楠

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山东省鲁南眼科医院,山东 临沂 276002

角膜塑形镜 青少年 近视 并发症 屈光度 眼轴长度

2023

科学养生
中国医院管理杂志社

科学养生

影响因子:0.019
ISSN:1672-9714
年,卷(期):2023.26(1)
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