对于儿童近视控制策略的进展
Xiu Juan Zhang1, Ebenezer Zaabaar1, Amanda Nicole French2
1Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR, China.
The British journal of ophthalmology
|May 22, 2024
概括
有效的近视控制策略,包括氨酸眼滴和专用透镜,显著减缓了进展. 增加户外时间是预防的关键,而0.05%的氨酸和红光疗法对高危人群来说是有前途的.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 眼镜测量是指眼睛的测量.
背景情况:
- 近视是一个重要的全球公共卫生问题.
- 及时干预对于预防视力危害的并发症至关重要.
- 有各种治疗方法可以减缓近视的进展和发病.
研究的目的:
- 审查已建立和新兴的近视控制策略.
- 为了比较不同干预措施的有效性和安全性.
- 突出公共卫生和临床预防方法.
主要方法:
- 审查目前的近视控制方法,包括药物 (阿特罗平),光学 (眼镜,隐形眼镜) 和生活方式干预 (户外时间).
- 对干预措施的疗效率进行比较,例如0.05%的阿特罗宾,HALT镜头,RLT,DIMS,DOT和多焦点隐形眼镜.
- 对安全性概况和组合治疗结果的评估.
主要成果:
- 0.05%的氨酸,HALT镜头,RLT和+3.00外围添加软隐形镜头实现了>60%的近视进展减少.
- DIMS,DOT和MiSight的隐形眼镜显示至少50%的疗效.
- 0.05%的氨酸提供了比0.01%的氨酸更好的疗效/安全平衡;组合疗法 (例如,低剂量氨酸与脊髓瘤学) 改善了结果.
- 增加户外时间是有效的预防措施;0.05%的氨酸和RLT对高风险群体来说是有希望的.
结论:
- 近视控制策略的重大进展提供了有意义的临床结果.
- 控制近视的眼镜镜片是安全的长期使用,因为他们的非侵入性.
- 长期安全监测和定期后续检查对于所有干预措施至关重要,以确保患者的信心和管理潜在的并发症.
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