对于儿童近视控制的Lenslet-ARray-Integrated眼镜镜片的两年结果
Binbin Su1, Pauline Cho1,2,3, Stephen J Vincent4
1National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, 325027, China.
Eye and vision (London, England)
|November 1, 2025
概括
在两年内,Lenslet-ARray-Integrated (LARI) 镜头有效地减缓了近视的进展. 切换LARI设计在第二年改善了轴延长控制,但没有影响折射误差的进展.
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:
- 近视是一种日益严重的公共卫生问题,特别是在儿童中.
- 有效的近视控制策略对于预防相关的眼部疾病至关重要.
- 镜片-ARray-Integrated (LARI) 镜片代表了近视管理的一种新方法.
研究的目的:
- 评估LARI透镜的2年有效性,其中包括积极的 (PLARI) 和负的 (NLARI) 透镜片,用于近视控制.
- 评估PLARI和NLARI设计之间的切换对近视进展的影响.
- 为了比较LARI镜头与单视 (SV) 镜头的性能.
主要方法:
- 这是一项为期两年的随机化,双重掩护试验,涉及218名儿童.
- 参与者被分配佩戴PLARI,NLARI或SV镜头,可以在1年后选择更换设计.
- 测量了球体等效折射 (SER) 和轴延伸 (AE) 的变化,并与额外推算的 SV 组 (ESV) 进行了比较.
主要成果:
- 2年后,与ESV组相比,所有LARI透镜组的SER变化和AE显著减少 (SER为P <0.05,AE为P <0.001).
- 在第二年 (第二阶段),与ESV相比,P-NLARI和N-PLARI组的AE显著减少 (P < 0.001).
- 在第二阶段,在LARI组和ESV组之间没有观察到SER变化的显著差异.
结论:
- 在两年内,LARI镜头在减缓近视的进展和轴延长方面表现出显著的有效性.
- 一年后切换到不同的LARI设计,在第二年加强了近视控制,特别是轴延长.
- 拉里透镜为儿童近视管理提供了一个有前途的治疗选择.
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