在中度至高近视的青少年中, Orthokeratology 与眼镜相结合
Feifu Wang1, Ge Wu1, Xindi Xu2
1National Clinical Research Centerfor Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou 325027, China.
概括
使用白天眼镜进行夜间骨科治疗 (Ortho-k) 可以纠正残留折射误差 (RRE),并可能有助于控制青少年的近视. 这种方法显示了与轻度近视患者相比较的轴长度增长.
科学领域:
- 眼科医生 眼科 眼科
- 眼镜测量是指眼睛的测量.
- 视觉科学科学 视觉科学
背景情况:
- 青少年近视的管理往往涉及一夜间的骨髓瘤学 (Ortho-k) 镜头.
- 剩余折射误差 (RRE) 可能会持续存在,影响视觉质量和潜在的近视控制.
- 理论上,外周折射模式会影响近视的进展.
研究的目的:
- 为了比较夜间Ortho-k磨损后不同白天校正策略下的相对外围折射误差 (RPRE).
- 在青少年使用夜间Ortho-k与日间眼镜校正用于RRE的过程中评估两年间的轴长度变化.
主要方法:
- 对27名青少年 (平均年龄12.48岁) 进行了前性观察性研究,这些青少年患有中度至高近视 (-5.00至 -8.25D).
- 参与者至少一个月,一夜之间戴着Ortho-k透镜.
- 相对外围折射误差 (RPRE) 在三个条件下进行了评估:无助,眼镜校正 (Spec-RE) 和持续的Ortho-k磨损. 轴长被监测了两年.
主要成果:
- 与持续的Ortho-k磨损相比,在无助和Spec-RE条件下,RPRE显著更近视.
- 在无辅助和Spec-RE条件之间没有发现RPRE的显著差异.
- 两年轴长度增长为0.17 ± 0.32毫米,相当于轻度近视进展,与初始年龄和残留二眼相负相关.
结论:
- 对于近视> -5.00D的青少年,建议在夜间进行Ortho-k结合白天对RRE进行眼镜校正.
- 这一策略确保了良好的视觉质量,并可能通过更多近视RPRE来增强近视控制.
- 轴长度变化是最小的,可与两年内轻微近视进展相比较.
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