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每日一次性失焦内置软隐形眼镜对近视控制的影响:一年多中心随机对照试验
Lin Liu1, Jinghui Wang1, Dennis Yan-Yin Tse2
1Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Centre for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China.
The British journal of ophthalmology
|July 24, 2025
概括
与单视镜头相比,失焦内置软接触 (DISC) 镜头显著减缓了儿童近视的进展和轴长度延长. 这种近视控制策略在年幼儿童中特别有效,会影响胸膜厚度.
科学领域:
- 眼科医生 眼科 眼科
- 视光学测量 视光学测量 视光学测量
- 儿科眼科护理 儿科眼科护理
背景情况:
- 近视的进展是儿童群体的一个重大问题.
- 目前的近视控制策略旨在减缓轴长度延长和折射误差变化.
- 胸膜厚度在近视的进展及其通过隐形眼镜调节的作用需要进一步研究.
研究的目的:
- 评估除焦内置软接触 (DISC) 镜片在控制12个月内中国儿童近视进展方面的疗效.
- 评估DISC镜片对胸膜厚度 (ChT) 的影响,与单视镜片 (SVL) 相比.
- 探索CHT变化和近视进展参数之间的关系.
主要方法:
- 一项为期12个月的前性,双盲,随机对照试验与84名近视儿童进行.
- 参与者被分配到DISC镜头或SVL.
- 测量包括在基线,6个月和12个月时的循环球等效折射 (SER),轴长 (AL) 和CHT.
主要成果:
- 与12个月的SVL相比,DISC镜头在SER (-0.50 D与-1.23 D) 和AL (0.22毫米与0.49毫米) 中的变化明显较低.
- 控制近视的有效性为SER的59%,AL的55%. 在10岁以下的儿童中,疗效在6个月达到95% (SER),在12个月达到71.4% (SER).
- 在DISC组中,CHT增加了 (0.16微米),而在SVL组中变薄 (-9.11微米). 在DISC组中,CHT变化与AL负相关.
结论:
- 与SVL相比,DISC镜头有效地减缓近视的进展和轴延长,与SVL相比,DISC镜头在儿童中有效地减缓近视的进展和轴延长,对年轻人有显著的好处.
- 用DISC透镜对近视失焦治疗改变了CHT和近视进展之间的关系.
- 这些发现提供了强有力的证据,即近视失焦设计可以控制近视的进展,可能是通过调节冠状腺厚度.
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