适应和双眼协调在近视开始和进展中的作用的范围审查
Bruce John William Evans1, Rakhee Shah1, Natalia Vlasak2
1Optometry and Visual Sciences, City St George's, University of London, London, EC1V 0HB, UK.
Clinical ophthalmology (Auckland, N.Z.)
|December 22, 2025
概括
虽然相对外围超视失焦 (RPHD) 是一种关键的近视控制理论,但适应性和双眼因素在近视进展方面似乎影响较小. 需要进一步的研究才能充分理解近视的发展.
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
- 视觉科学 视觉科学 视觉科学
背景情况:
- 相对外围超视失焦 (RPHD) 是近视控制干预背后的主要理论.
- 目前针对RPHD的干预措施只能适度减少近视的进展 (~50%).
- 这表明其他因素对近视的发展和进展有很大影响.
研究的目的:
- 审查现有的关于近视的适应和双眼协调作用的文献.
- 调查它们作为近视发病和进展的因果因素的潜力.
主要方法:
- 在2025年9月,PubMed进行了全面的文献搜索.
- 包括标准侧重于英语语言研究,不包括非人类研究.
- 分析的重点是与近视的适应,收和眼睛对齐相关的发现.
主要成果:
- 受损的适应性和增加的适应性趋同/适应性 (AC/A) 比率与近视发作有关.
- 适应性滞后大小与近视进展率的相关性很弱.
- 在一些近视眼中,在发病时观察到近食,可能是由于增加了AC/A比率.
- 双焦和渐进式添加镜片试验显示近视控制的有效性有限,即使在特定的子组.
结论:
- 适应性功能障碍可能导致近视发作.
- 适应性和双眼因素不太可能是近视进展的主要驱动因素.
- 拟用于未来研究的附加风险因子和风险性模型.
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