[快速增长的近视症的综合治疗:一系列案例]
Nir Erdinest1, Maya Atar Vardi2, Yair Morad3
1Department of Ophthalmology, Hadassah-Hebrew University Medical Center, The Myopia Center, Petah Tikva, Israel.
Harefuah
|February 23, 2025
概括
这项研究表明,结合阿特罗平眼药,特殊的隐形眼镜和户外时间,有效地减缓了三名儿童近视的快速进展. 这种方法在一年内显著降低了折射误差和轴长度增长.
科学领域:
- 眼科医生 眼科 眼科
- 儿科光学测量 儿科光学测量
背景情况:
- 快速发展的近视是儿童日益关注的问题.
- 以前的近视管理策略的有效性各不相同.
- 如果不治疗,高近视会增加未来眼部病理的风险.
研究的目的:
- 评估联合治疗方案对儿童快速发展近视的疗效.
- 为了评估局部氨酸,外围失焦隐形眼镜和增加户外时间对近视控制的影响.
主要方法:
- 一个案例系列涉及三名儿童 (2名男孩,1名女孩) 患有高近视和快速进展.
- 治疗包括每天0.05%的局部氨酸,每天一次性外围失焦 (MF60) 隐形眼镜和增加户外活动.
- 每六个月进行一次眼科检查,包括循环折射和轴长度测量.
主要成果:
- 联合治疗显著减少了近视的平均进展,从-1.29 D/年降至-0.34 D/年.
- 平均轴长度增长从基线下降到0.16毫米/年.
- 没有报告任何显著的不良影响,平均隐形眼镜干眼问卷 (CLDEQ-8) 评分为19.33.
结论:
- 局部氨酸,外围失焦隐形眼镜和增加户外活动的组合是一种有希望的策略,用于管理儿童近视的快速进展.
- 这种多方面的方法在减缓折射误差和轴延长方面表现出相当大的有效性.
- 需要对更大的队列进行进一步的研究来证实这些发现.
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