近视进展管理中的治疗坚持:关于速率和决定因素的单心回顾性研究
Andrea Lembo1, Alessandra Curci1, Edoardo Villani1,2
1Eye Clinic, San Giuseppe Hospital - IRCCS MultiMedica, Milan, Italy.
Clinical ophthalmology (Auckland, N.Z.)
|November 13, 2025
概括
失焦嵌入多段 (DIMS) 眼镜镜片,单独或与氨酸一起,最好预测儿童近视治疗的坚持. 年龄较小和近视进展较慢也与更好的治疗坚持相关.
科学领域:
- 眼科医生 眼科 眼科
- 儿科光学测量 儿科光学测量
- 近视控制研究近视研究
背景情况:
- 近视管理旨在减缓儿童近视的进展.
- 存在各种干预措施,包括低剂量氨酸,专用透镜和光疗法.
- 患者的坚持是治疗疗效的关键.
研究的目的:
- 确定与良好的近视管理策略的遵守相关的因素.
- 为了比较不同近视控制方法的坚持率.
主要方法:
- 177名儿科患者 (<17岁) 的回顾性,观察性,单中心图表审查.
- 收集的数据包括年龄,折射误差,近视进展,治疗类型和坚持.
- 多变量逻辑回归分析了坚持预测因素.
主要成果:
- 84.2%的患者报告了良好的坚持.
- 失焦嵌入多段 (DIMS) 眼镜镜片显示出与粘附度 (OR=21.17) 最强的关联.
- 联合DIMS和氨酸也预测了坚持 (OR=4.02);较高的近视进展和年龄较大与较低的坚持有关.
结论:
- 年轻的年龄和较慢的近视进展与更好的坚持有关.
- DIMS眼镜镜片 (单独或与阿特罗平结合) 是粘附的强有力的预测器.
- 当坚持是一个问题时,基于光学的策略可能会受到青;对于青少年来说,需要加强咨询.
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