失焦的现实有效性结合了多个细分和高度无球的小透镜在近视控制上:来自法国近视队列的纵向研究
Rime Najji1,2, Mark Bullimore3, Serge Resnikoff4
1LabCom CNRS I3M, Siemens Healthineers - University of Poitiers and CHU Poitiers, Poitiers, France.
BMJ open ophthalmology
|June 27, 2025
概括
近视控制眼镜 (MCS),包括DIMS和HAL镜头,在一个真实世界的研究中,有效地减少了4-15岁儿童近视的进展. 两种眼镜类型都显示出有效性,与DIMS相比,HAL显示出具有统计学意义但未具有临床意义的差异.
科学领域:
- 眼科医生 眼科 眼科
- 儿科光学测量 儿科光学测量
- 公共卫生 公共卫生
背景情况:
- 近视是一种日益严重的全球健康问题,特别是在儿童中.
- 有效的近视控制策略对于预防高近视和相关的眼部并发症至关重要.
- 眼镜镜片为近视管理提供了一种非侵入性的方法.
研究的目的:
- 评估近视控制眼镜 (MCS) 在减少儿童近视进展方面的实际有效性.
- 为了比较失焦组合多段 (DIMS) 和高度无球镜头 (HAL) 与单视镜头 (SVL) 的有效性.
主要方法:
- 这是一项纵向,回顾性,现实世界的研究,涉及2542名年龄在4-15岁的近视儿童.
- 参与者被分配到佩戴单眼镜 (SVL) 或近视控制眼镜 (DIMS或HAL) 的组.
- 倾向性得分匹配 (两级) 用于比较SVL和MCS组之间的近视进展.
主要成果:
- 与SVL相比,近视控制眼镜 (MCS) 显著降低了近视的进展,在第一次和第二次匹配后,进展差异分别为+0.59 D和+0.30 D.
- 与DIMS眼镜相比,高形球透镜 (HAL) 在统计学上显著,但在临床上没有意义,减少了近视进展 (+0.14 D差异).
- DIMS和HAL都在减少幼儿 (4-6岁) 近视进展方面表现出有效性.
结论:
- 在现实世界中,DIMS和HAL眼镜有效地控制了儿童近视的进展.
- 虽然HAL在统计学上比DIMS有显著优势,但临床意义需要进一步调查.
- 这项研究强调了专用眼镜镜片在儿科患者近视管理中的潜力.
相关概念视频
01:16Focusing of Light in the Eye
3.3K
Light rays enter the eye through the cornea, a transparent dome-shaped tissue that is the eye's outermost layer. The cornea bends or refracts, light rays traveling to the pupil. The shape of the cornea determines how much of the light is bent and whether the image will be focused correctly on the retina at the back of the eye. Once the light has passed through both refraction layers, it converges into a single focal point onto a small area. This is where photoreceptors start transforming...
3.3K
01:28Angle Closure Glaucoma: Treatment
705
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
705
01:27Open Angle Glaucoma: Treatment
586
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
586