印度儿童中五种类型的近视控制眼镜的有效性
Sneha Batra1, Supratik Bandyopadhyay1, Swarup K Roy1
1From The Himalayan Eye Institute, Siliguri, India.
Journal of pediatric ophthalmology and strabismus
|December 2, 2025
概括
在印度儿童中评估了五种类型的近视控制眼镜 (MCG). 类型I,II和III的MCG在减缓近视进展方面表现出类似的有效性,特别是在年龄较大的儿童和低近视儿童中.
科学领域:
- 眼科医生 眼科 眼科
- 儿科光学测量 儿科光学测量
- 眼睛近视管理 管理近视
背景情况:
- 近视在全球范围内是一个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高近视和相关的眼部疾病至关重要.
- 由于不同的环境和遗传因素,印度儿童代表了近视研究的重要人口.
研究的目的:
- 评估印度儿童队伍中五种不同类型的近视控制眼镜 (MCG) 的比较疗效.
- 评估MCG对1年时间内的折射误差进展和轴延长的影响.
- 识别潜在的人口或折射性子组,这些子组对近视控制干预措施的反应不同.
主要方法:
- 一个回顾性队列研究,涉及216名印度儿童 (397只眼睛),年龄在4-17岁,近视.
- 儿童被处方为五种类型的近视控制眼镜之一:I型 (DIMS),II型 (高度无球的镜片),III型 (圆柱形环形折射元件),IV型 (外围失焦) 或V型 (儿科渐进式添加镜片).
- 在12个月的时间内测量了球体等效 (SER) 和轴长 (AL) 变化,根据年龄,性别和近视严重程度对子组进行了分析.
主要成果:
- 对所有MCG的综合分析显示,12个月后SER的平均变化为-0.26 D和AL的0.16 mm.
- 类型I,II和III的近视控制眼镜表现出可比的有效性,它们之间没有统计学上显著的差异.
- 在年龄较大的儿童中,轴向疗效明显更好 (P < .01),在12个月后,低近视儿童的折射疗效更高 (P < .01).
结论:
- 类型I,II和III的近视控制眼镜对于印度儿童的近视控制同样有效.
- 较年长的儿童和近视水平较低的儿童从这些近视控制干预中获得了更显著的好处.
- 这些发现支持在儿童群体中使用特定的MCG设计来治疗近视,同时考虑年龄和折射误差.
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