基于隐形眼镜的干预措施在减缓儿童近视进展方面的有效性:系统性审查
Abdulaziz A Alagsam1, Hani A Al-Ghamdi2, Rola M Alradaddi3
1Ophthalmology, Prince Mohammed bin Nasser Hospital, Jazan, SAU.
Cureus
|November 10, 2025
概括
隐形眼镜有效地减缓了儿童近视的进展,双焦和多焦设计显示了折射误差和轴长度的显著减少. 这些干预措施是安全的,并保持视力敏,但坚持是最佳结果的关键.
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:
- 全球近视患病率增加,特别是在儿童中.
- 儿童近视的进展可能会导致高近视和视力危险的并发症.
- 在儿童群体中需要有效的近视控制策略.
研究的目的:
- 评估隐形眼镜干预措施的有效性和安全性,以减缓儿童近视的进展.
- 分析球体等效折射 (SER) 和轴长 (AL) 的变化.
- 评估视觉性能,合规性和不良事件.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在PubMed,科学网,Scopus,CENTRAL中搜索到2025年9月.
- 包括RCT和对儿童 (<18岁) 的前性比较研究.
主要成果:
- 双聚焦和高附加多聚焦软透镜可以将SER进展 (~0.40-0.73 D) 和AL延长 (~0.23-0.32 mm) 降低40-60%.
- 扩展焦点深度 (EDOF) 和脊髓瘤学显示出有利的影响,脊髓瘤学表明长期减少AL.
- 视力敏性得到保留;不良事件是轻微的,与单视镜头相比.
结论:
- 隐形眼镜干预措施,特别是双聚焦和高添加多聚焦软眼镜,对于儿童近视控制有效和安全.
- 虽然证据质量各不相同,但EDOF和脊髓瘤学也提供了好处.
- 早期启动和持续的磨损对于最大限度地控制近视的结果至关重要.
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