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氨酸0.01%对近视儿童折射误差的影响
Xingxue Zhu1,2,3, Yuliang Wang1,2,3, Yujia Liu1,2,3
1Department of Ophthalmology and Vision Science, Eye & ENT Hospital, Fudan University, Shanghai, China.
Heliyon
|August 14, 2023
概括
低剂量阿特罗宾眼药有效减缓儿童近视的进展. 然而,治疗导致了小但显著增加的整体白症,主要是由于角膜白症的变化.
科学领域:
- 眼科医生 眼科 眼科
- 儿科眼科医生 儿科眼科医生
- 控制近视 控制近视
背景情况:
- 在阿特罗平治疗期间的标变化并未得到充分理解.
- 近视是儿童群体日益关注的一个问题.
- 阿特罗平眼滴用于近视管理.
研究的目的:
- 调查0.01%的阿特罗宾眼滴对近视儿童球形和圆柱形折射误差的影响.
- 为了评估在阿特罗平治疗期间的总形 (TA),角膜形 (CA) 和残留形 (RA) 的变化.
主要方法:
- 一项随机对照试验,涉及6至14岁近视儿童.
- 参与者每晚接受0.01%的阿特罗平眼滴或单眼透镜.
- 在9个月的随访期内测量了循环折射和轴长度.
主要成果:
- 与对照组相比,阿特罗平治疗显著降低了近视的进展 (球体等价: -0.35 与 -0.56 D 相比;轴长: 0.20 与 0.33 mm 相比).
- 与对照组相比,在阿特罗平组 (-0.14 D) 中观察到总标症 (TA) 的统计学上显著增加 (-0.04 D).
- 增高的TA主要是由于角膜纹症 (CA) 的变化.
结论:
- 0.01%的阿特罗宾眼药在预防儿童近视进展方面是有效的.
- 九个月的阿特罗治疗导致了小但统计学上显著的增加总.
- 研究结果表明,在控制近视的低剂量氨酸治疗期间,需要仔细监测纹症.
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