首页|离焦框架镜片防控青少年近视的临床效果

离焦框架镜片防控青少年近视的临床效果

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目的 探讨基于高非球微透镜星控技术的离焦框架镜片(highly aspherical lenslets,HAL)在青少年近视防控中的临床效果.方法 选取 2021年 1 月至 2022 年 2 月在笔者医院眼科门诊就诊的青少年近视患者 101 例(202 眼)作为研究对象,其中 43 例(86 眼)配戴HAL镜片作为观察组,58 例(116 眼)配戴单光框架镜片(single-vision spectacle lenses,SVL)作为对照组.随访 12 个月,分别记录第 6 个月、12 个月等效球镜度数和眼轴长度变化.结果 HAL组第 6 个月等效球镜度数变化为(-0.18±0.22)D,SVL组为(-0.47±0.21)D,HAL组变化小于SVL组,差异有统计学意义(P<0.001).HAL组第 12 月等效球镜度数变化为(-0.33±0.32)D,HAL组为(-0.82±0.20)D,HAL组变化小于SVL组,差异有统计学意义(P<0.001).HAL组 6 个月眼轴长度变化为(0.09±0.09)mm,SVL组为(0.20±0.07)mm,HAL组变化小于SVL组,差异有统计学意义(P<0.001).HAL组 12 个月眼轴长度变化为(0.14±0.13)mm,SVL组为(0.37±0.08)mm,HAL组变化小于SVL组,差异有统计学意义(P<0.001).结论 青少年近视患者配戴HAL镜片 12 个月内,可有效减缓近视度数和眼轴长度的增长.
Clinical effect of defocusing frame lens on myopia control in adolescents
Objective To investigate the clinical effect of highly aspherical lenslets(HAL)in myopia control in adolescents.Methods Totally 101 cases(202 eyes)of adolescent myopia patients treated in ophthalmology outpatient department of our hospital from January 2021 to February 2022 were selected as the study objects.Of these,43 cases(86 eyes)wore HAL lenses as an observation group and 58 cases(116 eyes)wore single-vision spectacle lenses(SVL)as a control group.After 12 months of follow-up,the equivalent spherical lens degree and axial length were recorded in 6 months and 12 months respectively.Results The change of equivalent spherical lens in the HAL group was(-0.18±0.22)D and that in the SVL group was(-0.47±0.21)D,and the change in the HAL group was less than that in the SVL group,the difference was significant(P<0.001).The equivalent spherical lens degree in the HAL group was(-0.33±0.32)D and the HAL group was(-0.82±0.20)D at the 12th month,and the change in the HAL group was less than that in the SVL group,the difference was significant(P<0.001).The axial length of the eye in the HAL group was(0.09±0.09)mm and the SVL group was(0.20±0.07)mm in June,and the change in the HAL group was less than that in the SVL group,and the difference was significant(P<0.001).The axial length of the eye in the HAL group was(0.14±0.13)mm and that in the SVL group was(0.37±0.08)mm,and the change in the HAL group was less than that in the SVL group,and the difference was significant(P<0.001).Conclusion Wearing HAL lens for 12 months can effectively slow down the growth of myopia degree and axial length in adolescent myopia patients.

TeenagersMyopiaAxial length of eyeEquivalent spherical lens degreeDefocusing frame mirror

邓涛、刘芳

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大理大学第一附属医院眼科,云南大理 671000

青少年 近视 眼轴长度 等效球镜度数 离焦框架镜

大理大学博士科研启动基金

FY202003

2024

中国现代医生
中国医学科学院

中国现代医生

影响因子:1.571
ISSN:1673-9701
年,卷(期):2024.62(8)
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