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边缘失焦修饰眼镜镜片对儿童和青少年近视控制的疗效:一个元分析

Hao-Bo Fan^1,2, Zhi-Lin Li¹, Xue-Min Zhang²

¹Eye College of Chengdu University of Traditional Chinese Medicine, Chengdu 610000, Sichuan Province, China.

International journal of ophthalmology

|April 21, 2025

概括

与微镜设计的外围失焦修饰眼镜镜片 (PDMSL) 与单视镜片 (SVL) 相比,在儿童和青少年中显著减缓近视的进展. 非微镜片的PDMSL与SVL没有显著差异.

科学领域:

眼科医生眼科眼科
眼镜测量是指眼睛的测量.
儿科眼科护理儿科眼科护理

背景情况:

近视的进展在儿童和青少年中越来越令人担忧.
设计用于修改外围失焦的眼镜镜片正在研究近视控制.

研究的目的:

为了比较外围失焦修饰眼镜镜片 (PDMSLs) 与微镜设计的效果,与控制近视进展的非微镜设计相比.
为了评估PDMSL与单视镜片 (SVL) 对儿科患者近视管理.

主要方法:

进行了随机对照试验 (RCT) 和队列研究 (CT) 的系统审查和元分析.
在包括PubMed,Cochrane图书馆,Embase,CNKI和Web of Science在内的主要数据库中进行了搜索.
使用Cochrane偏差风险工具和纽卡斯尔-太华尺度评估偏差风险,使用埃格尔出版偏差测试.

主要成果:

与多个时间点 (6,12,18,24个月) 的SVL相比,Microlens PDMSL显示球形等效折射 (SER) 和轴长 (AL) 的变化明显较低.
在SER的减少范围从0.19 D到0.51 D,和AL的减少范围从-0.09毫米到-0.29毫米与微镜PDMSLs与SVLs.
在非微镜片PDMSL和SVL之间的SER或AL变化中没有观察到显著差异.

结论:

与SVL和非微镜 PDMSL相比,PDMSL 的微镜设计在儿童和青少年中提供了优越的近视管理.
这表明特定的镜头设计,特别是那些结合微镜头的镜头,对于有效的近视控制眼镜至关重要.

关键词:

进行元分析分析.轴长的轴长是指轴的长度.短视近视近视近视近视近视近视近外围失焦的情况眼镜镜片眼镜镜片

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