专门设计用于近视控制的眼镜镜片的有效性:系统性审查和元分析
Julia Perea-Romero1, Isabel Signes-Soler2,3, Laura Badenes-Ribera4
1Department of Optics and Optometry and Vision Sciences, Universitat de València, Burjassot, Valencia, Spain.
概括
用于近视控制的眼镜镜片在12个月后在减少折射误差和轴长度方面显示出短期的好处. 然而,对近视进展的长期疗效仍然不确定,需要进一步研究.
科学领域:
- 眼科医生 眼科 眼科
- 眼镜测量是指眼睛的测量.
- 公共卫生 公共卫生
背景情况:
- 近视,或近视,是一个日益严重的公共卫生问题,特别是在儿童中.
- 有效的近视管理策略对于预防高近视和相关的眼部并发症至关重要.
- 具有新设计的眼镜镜片旨在减缓近视的进展.
研究的目的:
- 评估专用眼镜镜片在控制18岁以下患者近视进展方面的疗效.
- 评估这些透镜对球体等效折射 (SER) 和轴长 (AL) 的影响.
- 探索与镜头磨损相关的相对外周折射 (RPR) 的变化.
主要方法:
- 按照PRISMA指南进行了系统审查和元分析.
- 搜索主要数据库 (PubMed,Embase,Scopus) 在过去六年内发表的研究.
- 包括21项研究 (6,175名患者);元分析侧重于12个月和24个月的SER和AL.
主要成果:
- 在12个月后,近视控制镜头与对照相比显著降低了SER (d+ = -0.281) 和AL (d+ = -0.155).
- 在24个月后,两组之间没有发现SER或AL的显著差异.
- 在敏感性分析中,结果很强大;RPR数据有限且多样化.
结论:
- 专为近视控制而设计的眼镜镜片显示出显著的短期疗效.
- 这些透镜在阻止近视进展方面的长期有效性尚未确定.
- 需要进一步的研究来确定治疗反应的预测因素,并确认长期的安全性和有效性.
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