近视控制和角膜折射变化的数量之间的关系在orthokeratology透镜治疗后
Lu Sun1,2, Hong-Xin Song3, Zheng-Xuan Li2
1Beijing Aier-Intech Eye Hospital, Beijing, 100021, China.
BMC ophthalmology
|October 31, 2023
概括
在儿童中,正视镜 (Ortho-K) 镜片的佩戴与轴长度 (AL) 增长的减少有关. 控制AL延长似乎与角膜折射变化 (CRC) 区域的面积和体积有关.
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
- 角膜折射手术 角膜折射手术
背景情况:
- 整形眼镜 (Ortho-K) 镜片用于纠正折射误差.
- 了解角膜变化和轴长度 (AL) 增长之间的关系对于近视管理至关重要.
研究的目的:
- 为了研究由Ortho-K镜头诱导的角膜折射变化 (CRC) 的程度与儿童随后的轴长度 (AL) 增长之间的关联.
- 为了确定CRC的特定参数是否与Ortho-K在控制AL延长中的有效性相关.
主要方法:
- 对77名儿童 (8-14岁) 进行了回顾性分析,他们使用了Ortho-K超过12个月.
- 角膜拓数据 (CRC的面积,高度,体积) 和AL测量在基线和随访期间收集.
- 多变量线性回归分析了CRC参数,AL延长和球体等价值 (SE) 之间的关系.
主要成果:
- 在3个月内,Ortho-K磨损导致CRC高度,面积和体积发生显著变化.
- 在Ortho-K磨损1年后,观察到AL延长的统计显著减少 (P <0.05).
- 一年后,AL延长与CRC区域的面积和体积有负相关性,这表明较大的CRC尺寸与较少的AL增长有关.
结论:
- 在控制轴长度延长方面,Ortho-K镜片的有效性可能与角膜折射变化 (CRC) 区域的诱导变化有关.
- 具体的CRC参数,即其面积和体积,是Ortho-K在近视控制中的有效性的潜在指标.
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