折射误差变化和超微小的镜头治疗儿童间歇性异质变异
, , Angela M Chen1
1Southern California College of Optometry at Marshall B. Ketchum University, Fullerton.
JAMA ophthalmology
|March 27, 2024
概括
间歇性外观变形症 (IXT) 儿童的过小眼镜治疗导致近视在三年内增加. 应该与家长讨论近视进展的风险.
科学领域:
- 眼科医生 眼科 眼科
- 儿科光学测量 儿科光学测量
- 控制近视 控制近视
背景情况:
- 增加近视转移与间歇性异视 (IXT) 儿童的过小眼镜治疗有关.
- 在停止治疗后,这种近视转变的长期持久性以前是未知的.
研究的目的:
- 为了比较IXT儿童的折射误差在三年内发生的变化,这些儿童最初使用了overminus与nonoverminus眼镜进行治疗.
- 评估超微光眼镜治疗对儿科患者折射误差的持续影响.
主要方法:
- 一个随机试验的18个月延长,涉及3-10岁的儿童IXT.
- 参与者被随机分配,在最初的治疗期内接受超减小或非超减小眼镜.
- 折射误差在基线和36个月的随访期间使用循环视网膜镜测量.
主要成果:
- 超减小组在36个月内显示出更大的平均近视转移 (-0.74 D) 与非超减小组相比 (-0.44 D) (调整后的差异: -0.36 D).
- 用超微小镜片治疗的儿童患近视转移超过1D的风险更高 (26.8%vs15%).
- 在治疗停止后的2年期间,近视转移在各组之间是相似的.
结论:
- 与初始超微小透镜治疗相关的近视转移增加在3年后仍然存在.
- 对儿童进行IXT的过小眼镜治疗有诱导或恶化近视的风险.
- 父母应该被告知近视进展的潜力,当考虑过小的透镜治疗IXT.
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