控制近视的有效性-反弹的影响
Mark A Bullimore1, Noel A Brennan2
1College of Optometry, University of Houston, Houston, Texas, USA.
概括
眼镜和软隐形眼镜等近视控制治疗方法在停止后没有出现反弹进展. 然而,在其他治疗方法中观察到反弹,这需要进一步研究年龄和疗效的影响.
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
- 儿科眼科护理 儿科眼科护理
背景情况:
- 控制近视的治疗旨在减缓儿童的轴延长和折射误差的进展.
- 暂停近视控制可能导致近视的进展,称为"反弹".
研究的目的:
- 为了调查近视的进展是否在停止治疗后加速或恢复到预期的年龄和种族值.
- 为了确定特定的近视控制方法是否与反弹进展有关.
主要方法:
- 使用关键词"反弹"和"近视控制"进行了系统的文献搜索.
- 纳入标准:前性研究,≥6个月的治疗,≥3个月的停止后数据,轴长度测量.
- 分析了19项研究 (24组治疗),包括并发和交叉设计,以计算年度反弹进展.
主要成果:
- 平均年化反弹为+0.05±0.10毫米 (轴长) 和-0.09±0.24 D (近视进展),与治疗疗效相关.
- 对于近视控制眼镜和软隐形眼镜没有观察到反弹.
- 较高的反弹值 (≥0.14毫米) 与红光疗法和氨酸相关;一夜间的脊髓瘤学显示反弹从+0.03到+0.14毫米.
结论:
- 近视控制眼镜和软隐形眼镜在停止治疗后没有出现反弹进展.
- 需要进一步的研究,以了解患者年龄和治疗疗效大小对反弹现象的影响.
相关概念视频
Focusing of Light in the Eye
2.5K
Light rays enter the eye through the cornea, a transparent dome-shaped tissue that is the eye's outermost layer. The cornea bends or refracts, light rays traveling to the pupil. The shape of the cornea determines how much of the light is bent and whether the image will be focused correctly on the retina at the back of the eye. Once the light has passed through both refraction layers, it converges into a single focal point onto a small area. This is where photoreceptors start transforming...
2.5K
Open Angle Glaucoma: Treatment
403
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
403
Angle Closure Glaucoma: Treatment
448
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
448


