首页|不同角膜曲率近视青少年佩戴角膜塑形镜疗效对比

不同角膜曲率近视青少年佩戴角膜塑形镜疗效对比

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目的 对比分析不同角膜曲率近视青少年佩戴角膜塑形镜的效果.方法 回顾分析2022年5月—2023年5月在本院佩戴角膜塑形镜的青少年患者100例的临床资料,以不同角膜曲率为参考将其分为陡角膜曲率组和平角膜曲率组,各50例.对比两组的佩戴效果.结果 持续进行1年的佩戴随访,与戴镜前矫正视力相比,两组的裸眼视力均明显提高且趋于稳定(P>0.05).同时,平角膜曲率组的眼轴与其增长值均高于陡角膜曲率组(P<0.05);但两组的角膜中央厚度与内皮细胞计数相比,无显著差异(P>0.05);平角膜曲率组的眼轴增长值高于陡角膜曲率组(P<0.05);两组角膜厚度、内皮细胞的变化值比较,无显著差异(P>0.05).结论 对于佩戴角膜塑形镜的青少年患者,陡角膜曲率对眼轴的控制效果更好.但陡角膜曲率和平角膜曲率均不会对角膜中央厚度与内皮细胞计数造成不良影响,且均有改善视力的效果.
Curative Effect Comparison of Orthokeratological Glasses on Myopic Adolescents with Different Corneal Curvatures
Objective To investigate curative effect of orthokeratological glasses on myopic adolescents with different corneal curvatures.Methods The paper reviewed and studied 100 adolescent patients with orthokeratological glasses in our hospital from May 2022 to May 2023,and divided them into two groups based on different corneal curvatures:steep corneal curvature group and flat corneal curvature group (50 cases in each group) The wearing effect between two groups was compared.Results With continuous 1-year follow-up,the uncorrected visual acuity of two groups significantly improved and tended to be stable compared with before wearing glasses,(P>0.05).Meanwhile,axial length and its growth value of the group with flat corneal curvature was higher than that with steep corneal curvature (P<0.05).But corneal central thickness and endothelial cell count between two groups had little difference (P>0.05).The axial growth value of the group with flat corneal curvature was higher than that with steep corneal curvature (P<0.05),there was no significant difference in corneal thickness and changes in endothelial cells (P>0.05).Conclusion Steep corneal curvature can achieve better control effect on ocular axis of adolescent patients wearing orthokeratological glasses.However,they can not cause adverse effect on central corneal thickness and endothelial cell count,and achieve effect of improving vision.

Different corneal curvaturesMyopiaAdolescentsWearingOrthokeratological glasses

刘云生

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梧州爱尔眼科医院,广西 梧州 543099

不同角膜曲率 近视 青少年 佩戴 角膜塑形镜

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(28)