夜戴型角膜塑形镜矫治青少年近视的临床观察研究

发布时间：2018-04-10 10:09

本文选题：角膜塑形镜　切入点：近视　出处：《第二军医大学学报》2017年11期

【摘要】：目的观察青少年近视患者配戴夜戴型角膜塑形镜(Ortho-KCL)后裸眼视力、角膜曲率、角膜厚度、眼轴长度的变化。方法应用欧普康视科技股份有限公司提供的梦戴维夜戴型角膜塑形镜,对2010年6月至2012年6月于第二军医大学长征医院门诊就诊并随访的近视度数-6.00D的50例患者(100眼)进行矫治。采用综合验光仪检测患者配戴前和配戴3、6、12、24个月后的裸眼视力,角膜地形图检测角膜曲率和角膜厚度,眼科A/B超测量眼轴长度。结果患者配戴夜戴型角膜塑形镜3、6、12、24个月后裸眼视力较戴镜前均稳定提高;角膜曲率平均K值均减小(P均0.01)。左右眼配戴夜戴型角膜塑形镜3、6、12、24个月后角膜厚度与戴镜前相比均无明显改变(P均0.05);眼轴长度略增加,但与戴镜前比较差异均无统计学意义(P均0.05)。结论配戴夜戴型角膜塑型镜能够有效提高近视青少年的裸眼视力,有效、安全地减缓近视发展。
[Abstract]:Objective to observe the changes of naked visual acuity, corneal curvature, corneal thickness and axial length of juvenile myopia patients with night wear ortho-KCLs.Methods Dream-David 's night-wearing keratoplasty was used in the study, which was provided by Opkon Technology Co., Ltd.From June 2010 to June 2012, 50 patients (100 eyes) with myopia of -6.00D who were treated in the outpatient clinic of long March Hospital of the second military Medical University were treated.Combined optometry was used to detect the visual acuity, curvature and thickness of cornea before and after 24 months, and the length of eye axis was measured by ophthalmology / B ultrasound.Results the naked visual acuity was improved steadily after 24 months after wearing 3 eyes and 12 eyes, and the mean K value of corneal curvature was decreased (P < 0.01).There were no significant changes in corneal thickness after 24 months, and the length of eye axis increased slightly, but there was no significant difference between right and left eyes in terms of corneal thickness after 24 months, but there was no significant difference between them before and after wear.Conclusion wearing night-wear keratoplastic lens can effectively improve the naked vision of myopic adolescents and can safely slow the development of myopia.
【作者单位】：第二军医大学长征医院眼科;
【分类号】：R778.11

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