对于近视控制的正视治疗:一项为期三年的纵向研究,研究了轴长度调制受基线年龄和球体等效影响
Xiaoxue Hu1, Zixun Wang1, Boxuan Sun1
1Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute, School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China.
BMC ophthalmology
|August 19, 2025
概括
骨科治疗 (Ortho-k) 是最有效的近视控制在年龄较大的孩子和更高的处方. 较年轻的近视儿童可能需要额外的治疗以获得最佳的轴长度控制.
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:
- 高近视会导致眼部并发症导致不可逆转的视力丧失的风险.
- 脊椎病理 (Ortho-k) 减缓轴长度 (AL) 延长,但基线因素的长期影响尚不清楚.
- 在Ortho-k治疗期间AL缩短的证据需要进一步调查.
研究的目的:
- 评估基线年龄和球形等效 (SE) 如何影响Ortho-k的AL控制疗效.
- 评估长期的AL缩短效应,并确定潜在的潜在机制.
- 为了比较不同基准年龄和SE组的AL控制和回归率.
主要方法:
- 对1303名接受Ortho-k (2020-2025) 的儿童 (7-16岁) 进行了回顾性队列研究.
- 参与者根据基线年龄 (≥11 vs. ≤11年) 和SE (≤-3.00D vs. >-3.00D) 分为四个分层.
- 对三年来AL测量的分析,对增长进行校准,将回归定义为≥0.05毫米缩短.
主要成果:
- 高年龄/高SE组显示出优异的AL控制 (85.95%在第一年表现出色,p<0.01).
- 这个群体也表现出最显著的AL缩短 (23.90%超过2年,平均-0.16毫米),持续到3年.
- 低年龄/低SE组的AL回归是最小的 (1.89%在3年内) 和较低的优异反应率 (13.21%).
结论:
- 奥尔托克的AL控制有效性显著取决于基线年龄和SE.
- 较年长的儿童 (≥11岁) 具有较高的近视 (SE ≤-3.00D) 达到最佳的AL抑制和回归.
- 更年轻的儿童 (≤11岁) 较低的SE可能受益于辅助疗法,以实质性控制AL.
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