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在停止佩戴软多焦点隐形眼镜后,轴向生长和近视进展
David A Berntsen1, Anita Ticak1, Danielle J Orr2
1University of Houston College of Optometry, Houston, Texas.
JAMA ophthalmology
|January 17, 2025
概括
在青少年中停止使用多焦点隐形眼镜并没有引起反弹近视的进展. 在停止治疗后,眼睛的生长恢复到正常,年龄预期的速度.
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:
- 近视控制旨在减缓眼睛的生长,但如果停止治疗,可能会导致眼睛复发.
- 近视儿童双焦镜片2 (BLINK2) 研究研究了这种潜在的反弹效应.
研究的目的:
- 为了确定是否停止软多焦点隐形眼镜导致儿童的反弹近视进展.
- 评估近视控制治疗的长期影响.
主要方法:
- BLINK2队列研究跟踪了完成BLINK随机临床试验的儿童 (11-17岁).
- 参与者在2年内佩戴高附加多焦镜头,然后在1年内佩戴单视镜头.
- 每年测量眼睛的长度和折射误差,以监测近视的进展.
主要成果:
- 在多焦镜头佩戴后切换到单视镜头后,轴延长 (0.03毫米/年) 和近视进展 (-0.17 D/年) 略有增加.
- 这些增加并不取决于BLINK研究中接受的初始近视控制治疗.
- 最初佩戴高添加多焦镜头的参与者在整个研究过程中保持了更短的眼睛和更少的近视.
结论:
- 在老年青少年中停止使用多焦点隐形眼镜后,没有观察到显著的反弹近视进展的证据.
- 眼睛的生长和近视的进展恢复到预期的年龄率,支持持续使用多焦镜头,直到进展自然停止.
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