首页|差异性离焦设计镜片对学龄期近视儿童眼部异常参数的改善作用

差异性离焦设计镜片对学龄期近视儿童眼部异常参数的改善作用

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目的 探讨并分析差异性离焦设计镜片对学龄期近视儿童眼部异常参数的改善作用。方法 选取2020年1月至 2022 年12 月就诊的 160 例学龄期近视儿童开展试验,以随机数表法将其分为多区正向组与特殊周边组,各 80 例。多区正向组佩戴多区正向离焦设计镜片,特殊周边组佩戴特殊周边离焦设计镜片。比较两组的佩戴效果。结果 佩戴后,多区正向组的等效球镜度高于特殊周边组,眼轴长度短于特殊周边组,角膜曲率低于特殊周边组,差异具有统计学意义(P<0。05)。佩戴后,多区正向组不同经线的屈光度均低于特殊周边组,差异具有统计学意义(P<0。05)。佩戴后,多区正向组 11~14岁儿童的等效球镜度高于7~10 岁,眼轴长度短于 7~10岁,角膜曲率低于 7~10 岁,差异具有统计学意义(P<0。05)。佩戴后,特殊周边组不同年龄段儿童的等效球镜度、眼轴长度及角膜曲率比较,差异无统计学意义(P>0。05)。结论 多区正向离焦设计镜片有利于改善学龄期近视儿童的眼部异常参数,可防止屈光度增长,且11~14岁近视儿童的改善效果要优于7~10岁近视儿童。
Improvement effect of differential defocus design lens on abnormal ocular parameters in school-age children with myopia
Objective To explore and analyze the improvement effect of differential defocus design lens on abnormal ocular parameters in school-age children with myopia.Methods A total of 160 school-age children with myopia treated from January 2020 to December 2022 were selected to carry out the experiment.The children were divided into multi-zone forward group and special peripheral group by random number table method,with 80 cases in each group.The multi-zone forward group were accepted the multi-zone forward defocus design lens,and the special peripheral group were accepted the special peripheral defocus design lens.The wearing effects of the two groups were compared.Results After wearing,the spherical equivalent of the multi-zone forward group was higher than that of the special peripheral group,while the axial length was shorter than that of the special peripheral group,the corneal curvature was lower than that of the special peripheral group,and the differences were statistically significant(P<0.05).After wearing,the diopter of different meridians in the multi-zone forward group were lower than those in the special peripheral group,and the differences were statistically significant(P<0.05).After wearing,the spherical equivalent of the children aged 11-14 years in the multi-zone forward group was higher than that of the children aged 7-10 years,while the axial length was shorter than that of the children aged 7-10 years,the corneal curvature was lower than that of the children aged 7-10 years,and the differences were statistically significant(P<0.05).After wearing,there were no significant differences in spherical equivalent,axial length and corneal curvature between children of different ages in the special peripheral group(P>0.05).Conclusion The multi-zone forward defocus design lens is beneficial to improve the abnormal ocular parameters of school-age children with myopia and prevent the increase of diopter,and the improvement effect of the 11-14 years old myopic children is better than that of the 7-10 years old.

myopiachildrenmulti-zone forward defocus design lensspecial peripheral defocus design lensocular parameter

李煜、杨恒敏

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西安存济眼科医院综合眼科,陕西 西安,710000

西安爱尔古城眼科医院白内障科,陕西 西安,710014

近视 儿童 多区正向离焦设计镜片 特殊周边离焦设计镜片 眼部参数

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(34)