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对近视控制的光学干预措施
Nicola S Logan1, Mark A Bullimore2
1School of Optometry, Aston University, Birmingham, UK.
Eye (London, England)
|September 22, 2023
概括
光学干预有效地减缓了近视的进展. 一夜性脊髓炎和新型眼镜设计显示出最一致的结果,双聚焦隐形眼镜也显示出显著的好处.
科学领域:
- 眼科医生 眼科 眼科
- 视光学测量 视光学测量 视光学测量
- 视觉科学 视觉科学 视觉科学
背景情况:
- 近视的进展在全球范围内越来越令人担忧.
- 光学干预是近视控制的主要策略.
- 关于不同光学方法比较有效性的证据至关重要.
研究的目的:
- 审查和总结对近视控制光学干预的同行评审随机对照试验 (RCT) 的结果.
- 为了比较眼镜,软隐形眼镜和脊髓炎治疗在减缓轴延长和折射误差进展方面的疗效.
主要方法:
- 对至少18个月持续时间的RCT进行系统审查.
- 包括的研究评估了眼镜,夜间脊髓炎治疗,软隐形眼镜,以及与低度氨酸联合脊髓炎治疗.
- 关于轴延长和折射误差进展的数据被提取和总结.
主要成果:
- 一夜间的骨关节病理学表明轴延长的持续减缓 (在2年内0.240.32毫米).
- 带有外围镜片的新型眼镜设计显示出显著的有效性 (在2年内长达0.35毫米的延长和0.80 D的进展减少).
- 双聚焦软隐形眼镜的效果是有效的 (0.28毫米的延长和0.67 D的进展减少超过3年),优于较旧的设计.
结论:
- 所有审查的光学干预措施 (眼镜,软隐形眼镜,脊髓瘤学) 都可以显著减缓近视的进展.
- 视力质量和安全性在各种模式中总体上是令人满意的.
- 需要进一步研究治疗后的进展和阿特罗宾的辅助益处.
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