系统审查近视控制的光学干预停止后近视进展
Yu-Chieh Chiu1, Ping-Chiao Tsai1, Ssu-Hsien Lee1
1School of Medicine, Tzu Chi University, Hualien 970, Taiwan.
Journal of clinical medicine
|January 11, 2024
概括
控制近视的干预措施,如orthokeratology和多焦镜头,可以在停止治疗后引起反弹效应. 这些影响表明近视的进展速度更快,随着时间的推移,随着治疗的停止而减少.
科学领域:
- 眼科医生 眼科 眼科
- 眼镜测量是指眼睛的测量.
- 儿科眼科护理 儿科眼科护理
背景情况:
- 对于近视控制干预的高停药率是常见的.
- 在停止近视控制治疗后,潜在的反弹效应尚未得到研究.
- 了解反弹效应对于治疗儿科近视至关重要.
研究的目的:
- 系统地审查和评估在儿童中断光学近视控制干预后的反弹效应.
- 为了对不同干预措施的反弹效应的严重程度进行分类.
- 探索反弹效应的时间趋势和潜在机制.
主要方法:
- 在PubMed,Embase,Cochrane CENTRAL和ClinicalTrials.gov (开始至2023年10月) 的系统文献搜索.
- 包括14项涉及703名参与者的研究.
- 基于轴长度变化或球形等效后处理停止的反弹效应的分析.
主要成果:
- 在脊髓炎 (8项研究) 观察到一种主要的强烈反弹效应.
- 多焦点软隐形眼镜显示出弱反弹效应 (4项研究).
- 外围加眼镜镜片表现出可变的反弹效应 (2项研究).
- 反弹效应随着停止持续时间的增加而减少.
- 潜在的机制包括扭转胆道结厚和外围近视失焦.
结论:
- 对于脊髓瘤学,多焦柔性隐形眼镜和外围加眼镜镜片,存在反弹效应的时间趋势.
- 反弹效应可能与近视控制的潜在机制有关.
- 需要进一步的研究,以充分理解和管理这些停止后效应.
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