在高近视人群中,失焦结合多段眼镜镜片的近视控制效应
Chia-Yi Lee1,2,3, Shun-Fa Yang1,4, Jing-Yang Huang4
1Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan, R.O.C.
In vivo (Athens, Greece)
|August 28, 2025
概括
与ATR单独治疗的儿童相比,组合阿特罗平 (ATR) 和失焦结合多段 (DIMS) 的眼镜镜片显著减缓了近视的进展. 这种组合疗法为治疗高危儿童近视提供了有前途的策略.
科学领域:
- 眼科 眼科
- 儿童视光学
- 近视控制
背景情况:
- 儿童的近视性对未来的眼睛健康构成重大风险.
- 目前的近视控制策略包括单一治疗和专用眼镜镜片.
- 研究结合疗法对于优化近视治疗至关重要.
研究的目的:
- 在儿童中控制高近视的进展方面,将联合阿特罗宾 (ATR) 和脱焦结合多段 (DIMS) 眼镜镜片的疗效与ATR单一疗法的疗效进行比较.
- 评估一年内对球体等效折射 (SER) 和轴长度 (AXL) 延伸的影响.
主要方法:
- 追溯队列研究,包括使用ATR单一治疗的35只眼睛和使用ATR和DIMS镜片治疗的32只眼睛.
- 主要结局:在一年的随访期间,SER进展和AXL延长.
- 使用独立的t测试和通用线性模型进行统计分析.
主要成果:
- 与ATR单独治疗组相比,ATR组和DIMS组的SER进展明显较小 (- 0. 15±0. 09D) (p< 0. 001).
- 与ATR组 (0. 13±0. 07) 相比,AXL延长在组合组 (0. 06±0. 04毫米) 中也明显较低 (p< 0. 001).
- 较年轻的年龄,较高的基线SER和较长的AXL与ATR组的更大进展相关,而较高的基线SER和AXL则独立地与组合组的进展相关.
结论:
- 在高近视儿童中,ATR和DIMS眼镜组合更有效地减缓近视的进展,而不是ATR单一治疗.
- 这种结合方法可能是治疗高危儿科近视的最佳策略.
- 需要进一步研究组合治疗方式.
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