首页|角膜塑形镜联合框架眼镜对青少年高度近视患者的疗效

角膜塑形镜联合框架眼镜对青少年高度近视患者的疗效

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目的 分析角膜塑形镜联合框架眼镜对青少年高度近视患者的疗效。方法 选取2021年1月—2023年5月漳州科宏眼科医院收治的60例青少年高度近视患者为研究对象。根据自愿选择治疗方法分为观察组(n=34,64眼)与对照组(n=26,49眼)。对照组采用框架眼镜治疗,观察组采用框架眼镜+角膜塑形镜治疗。比较2组视力(visual acuity,VA)、屈光度(refractive error,RE)、眼轴长度(axial length,AL)、眼压(intraocular pressure,IOP)、角膜曲率(corneal curvature,K)、角膜内皮细胞密度(endothelial cell density,ECD)、六角形细胞(hexagonal cells,HEX)。结果 治疗前,2组VA、RE、AL、IOP、K比较,差异无统计学意义(P>0。05)。治疗后6个月、1年,观察组VA为(0。68±0。11)、(0。85±0。13),高于对照组,差异有统计学意义(P<0。05);治疗后6个月、1年,观察组RE为(1。45±0。34)D、(0。99±0。24)D,AL为(24。18±3。48)mm、(24。27±4。32)mm,均低于对照组,差异有统计学意义(P<0。05);治疗后1年,2组IOP、K比较,差异均无统计学意义(P>0。05);治疗前、治疗后1年,2组ECD、HEX比较,差异均无统计学意义(P>0。05)。结论 青少年高度近视患者通过联合采用角膜塑形镜,能有效改善矫正近视屈光度,并且有助于视力恢复,安全性高。
Effect of Orthokeratology Lens Combined With Frame Glasses on Adolescent Patients With High Myopia
Objective To analyze the effect of orthokeratology lens combined with frame glasses on adolescent patients with high myopia.Methods A total of 60 adolescents with high myopia admitted to Zhangzhou Kehong Eye Hospital from January 2021 to May 2023 were selected as the study subjects.Groups according to voluntary treatment selection were divided into observation group (n=34,64 eyes) and control group (n=26,49 eyes).The control group was treated with frame glasses,while the observation group was treated with frame glasses and orthokeratology lens.The visual acuity (VA),refractive error (RE),axial length (AL),intraocular pressure (IOP),corneal curvature (K),endothelial cell density (ECD) and hexagonal cells (HEX) of two groups were compared.Results Before treatment,there was no statistical difference in VA,RE,AL,IOP,and K between the two groups (P>0.05).After 6 months and 1 year of treatment,the VA values of the observation group were (0.68±0.11) and (0.85±0.13),which were higher than those of the control group,and the difference was statistically significant (P<0.05).After 6 months and 1 year of treatment,the RE values of the observation group were (1.45±0.34)D,(0.99±0.24)D,the AL values of the observation group were (24.18±3.48)mm,and (24.27±4.32)mm,which were higher than those of the control group,and the differences were statistically significant (P<0.05).After 1 year of treatment,there was no statistical difference in IOP and K between the two groups (P>0.05).Before treatment and after 1 year of treatment,there was no statistical difference in ECD and HEX between the two groups (P>0.05).Conclusion Teenagers with high myopia can effectively improve the correction of myopic refractive error and aid in the recovery of vision through the combined use of orthokeratology lenses,with high safety.

orthokeratology lensframe glasseshigh myopiacorneal endothelial cellsteenagerscurative effect

严明伟、罗彬彬

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漳州科宏眼科医院眼科,福建漳州 363005

云霄县 医院眼科,福建云霄 363300

角膜塑形镜 框架眼镜 高度近视 角膜内皮细胞 青少年 疗效

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(21)