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关于近视的常见信念缺乏强有力的证据基础:2025年更新
Noel A Brennan1, Xu Cheng, Monica Jong
1Freelance (N.A.B.), Department of Optometry and Vision Sciences, The University of Melbourne, Melbourne, Australia; Johnson & Johnson (X.C., M.J.); School of Optometry & Vision Science (M.J.), University of New South Wales, Kensington, Australia; and College of Optometry (M.A.B.), University of Houston, Houston, TX.
Eye & contact lens
|May 21, 2025
概括
基于证据的审查显示,0.01%的氨酸不是一线近视控制. 近视管理需要仔细考虑各种因素,因为该领域不断发展,带来新的见解.
科学领域:
- 眼科医生 眼科 眼科
- 眼镜测量是指眼睛的测量.
- 视觉科学 视觉科学 视觉科学
背景情况:
- 近视是一种普遍的折射误差,对其发展,进展和管理提出了许多科学辩论领域.
- 了解这些有争议的问题对于有效的临床实践和患者的治疗结果至关重要.
研究的目的:
- 用严格的基于证据的方法,批判性地评估近视领域的关键分歧领域.
- 重新探讨以前讨论过的主题,并引入新的争议领域进行详细分析.
主要方法:
- 对最近的同行评审文献进行了全面的审查.
- 从之前的审查中重新审查了10个主题,以及新确定的9个辩论领域.
主要成果:
- 不建议使用0.01%的氨酸作为初级近视控制治疗.
- 在近视方面,外周超视的作用仍然不确定.
- 没有证据表明,低校正和手持数字设备会影响近视的进展.
- 户外时间,特别是日光,显示出减缓近视转移的潜力.
- 所有的近视,不仅仅是高近视,都会带来严重的眼睛并发症的风险.
- 前视障碍是一个公认的疾病,近视障碍可能被归类为一种疾病.
- 成年近视的进展是显著的,而过去的进展是开始治疗的不可靠预测因素.
- 单视软隐形眼镜不致近视,儿童佩戴隐形眼镜被认为是安全的.
- 红光疗法在近视管理中的安全性值得怀疑.
结论:
- 科学对近视的理解是动态的,一些争议得到解决,新的不确定性出现.
- 持续的研究是必要的,以解决正在进行的辩论,并澄清近视出现的问题.
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