儿童近视控制的现有和新兴策略:基于证据的综合性审查
Aldo Vagge1,2, Matteo Baldi1,2, Maria Musolino1,2
1University Eye Clinic of Genoa, Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa, Viale Benedetto XV, 5, 16132 Genoa, Italy.
Journal of clinical medicine
|February 27, 2026
概括
近视是一个日益严重的全球健康问题. 有效的管理策略,包括专用眼镜,隐形眼镜,低剂量氨酸和生活方式的改变,有助于减缓进展并防止严重的视力丧失.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 儿科医学 儿科医学
背景情况:
- 近视的流行是一个全球性的危机,特别是在东亚,增加了严重眼睛疾病的风险.
- 高近视显著提高了终身危及视力的并发症的风险,如黄斑变性,视网膜脱落和玻璃眼.
研究的目的:
- 审查目前对减缓儿童近视进展的干预措施.
- 突出主动近视管理在预防高近视和相关并发症方面的重要性.
主要方法:
- 对行为策略的审查 (例如,户外暴露).
- 对眼镜镜头干预措施 (例如,DIMS,HALT,CARE,DOT) 的分析.
- 评估隐形眼镜模式 (正眼镜,双聚焦软眼镜),药理疗法 (低剂量氨酸) 和红光疗法.
主要成果:
- 增加户外时间显示出保护作用;一些历史方法缺乏临床益处.
- 眼镜和隐形眼镜干预表明临床上有意义的减轻轴延长.
- 低剂量氨酸 (0.01%-0.05%) 有效,副作用很少;红光疗法显示有希望,但需要进一步研究.
- 组合疗法为控制不充分的病例提供了附加效益.
结论:
- 现代近视管理涉及风险分层,个性化治疗和定期监测.
- 目标是通过积极的,基于证据的护理来预防高近视和减少长期视力障碍.
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