在皮质透镜磨损后,异常变化发生在眼睛中,有透明边缘变性
Ronit Dutta1, Geetha Iyer2, Bhaskar Srinivasan2
1Department of Contact Lens, Sankara Nethralaya, Unit of Medical Research Foundation, Chennai, Tamil Nadu, India.
Indian journal of ophthalmology
|February 7, 2024
概括
膜透镜 (SLs) 显著改善视力,并减少具有透视边缘退行症 (PMD) 的眼睛中的更高阶异常 (HOA). 这些镜头增强了纠正距离视觉敏度 (CDVA) 和对比度敏感度 (CS),提供了有效的视觉校正选项.
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
- 角膜疾病 角膜疾病
背景情况:
- 皮质边缘退行症 (PMD) 是一种渐进的角膜稀释障碍.
- PMD往往导致不规则的白和显著的视力障碍.
- 标准的折射校正对于PMD患者来说往往是不够的.
研究的目的:
- 评估膜透镜 (SLs) 在管理PMD相关的视觉障碍方面的有效性.
- 量化SLs对高阶偏差 (HOA),纠正距离视敏度 (CDVA) 和PMD眼睛对比度敏感度 (CS) 的影响.
主要方法:
- 在诊断出PMD的24只眼睛上安装了膜透镜 (SL).
- 测量CDVA,CS和HOA是在基线和SL磨损后进行的.
- 使用i-Trace异常计进行HOA评估.
主要成果:
- SL磨损导致CDVA (P < 0.001) 和CS (P < 0.001) 的统计学显著改善.
- 观察到总HOA (HO-RMS,P < 0.001),昏迷 (P < 0.001),二次纹 (P = 0.007) 和三叶草 (P < 0.001) 的显著减少.
- RMS球形偏差没有显示出统计学上显著的变化 (P = 0.37).
结论:
- 膜透镜是纠正PMD视力缺陷的有效方式.
- SLs显著降低了高阶异常,从而提高了PMD患者的视觉表现.
- SLs提供了一个有前途的治疗方案,以改善视力,在个体有透明边缘退行性变性.
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