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瞳孔区域与外围失焦眼镜镜片在近视控制中的有效性之间的关联

Jinghua Zhu¹, Zhengfei Yang², Danyu Sun¹

¹Affiliated Shenzhen Aier Eye Hospital of Jinan University, Shenzhen, China.

Translational vision science & technology

|January 14, 2026

概括

瞳孔大小影响近视控制镜头的有效性. 瞳孔较大的儿童从无球镜片中获益更多,这表明个性化的方法可以获得更好的视力结果.

科学领域:

眼科医生眼科眼科
眼镜测量是指眼睛的测量.
儿科眼科护理儿科眼科护理

背景情况:

儿童近视控制对于预防视力障碍至关重要.
外围失焦眼镜镜是一种常见的近视管理策略.
个体患者的因素可能会影响治疗疗效.

研究的目的:

为了确定瞳孔区域是否会影响外围失焦透镜在控制近视进展方面的成功.
根据瞳孔大小,比较不同近视控制镜头设计的疗效.

主要方法:

在12个月内对310名近视儿童 (7-14岁) 进行了回顾性分析.
参与者使用了脱焦结合多段 (DIMS),高度非球状镜片或个性化的自由形镜片.
测量了轴长和折射误差;分析考虑了瞳孔面积 (高于/低于平均值) 和镜头类型的相互作用.

主要成果:

与其他镜片类型相比,高非球性镜片 (B型) 显著降低了与其他镜片类型相比,瞳孔较大的儿童的轴延长和折射误差 (P < 0.001).
对于小瞳孔的儿童,在镜片类型之间没有发现有效性的显著差异.
一个显著的相互作用 (β = -0.086,P = 0.002) 确认的瞳孔区域影响B型镜片的有效性.

结论:

瞳孔区域是影响外围失焦近视控制镜片有效性的关键因素.
拥有较大的瞳孔的儿童从高度不球形的小透镜中获得更大的好处.
在镜头选择中考虑瞳孔大小可以优化近视管理策略.

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