青少年近视散光患者长期配戴硬性透气性角膜接触镜临床观察

发布时间：2018-07-05 01:14

本文选题：硬性透气性角膜接触镜 + 近视　；参考：《眼科》2017年05期

【摘要】：目的探讨青少年近视散光患者长期配戴硬性透气性角膜接触镜(RGPCL)的临床效果。设计回顾性病例系列。研究对象在北京同仁验光配镜中心验配RGPCL且连续戴镜8年以上的青少年近视散光患者51例(102眼),连续配戴框架眼镜6年以上青少年近视散光患者50例(100眼)。方法观察RGPCL配戴者8年间中央角膜曲率半径、球镜度、柱镜度、角膜散光度的变化情况,对比戴镜前及戴镜8年后各参数的变化。观察配戴框架眼镜6年后球镜度及散光度的变化情况。比较框架及RGPCL配戴者球镜度及柱镜度变化。主要指标中央角膜曲率半径、球镜度、柱镜度、角膜散光度。结果与戴镜前基线数据相比,连续配戴RGPCL 8年后,与戴镜前比患者平均角膜曲率半径增加(0.10±0.17)mm,球镜度增加(-1.88±0.32)D,柱镜度降低(-0.28±0.21)D,角膜散光度减少(-0.40±0.20)D(t=-3.285,-29.536,12.803,10.025;P均0.001)。框架眼镜配戴者与戴镜前比球镜度增加(-2.73±0.37)D,柱镜度增加(-0.32±0.34)D(t=-35.063,-5.457;P均0.001)。RGPCL配戴者球镜度及柱镜度增长均低于框架眼镜配戴者(t=-14.036,-14.955;P均0.001)。结论近视散光青少年长期配戴RGPCL对近视发展具有一定的控制作用,镜片对角膜有轻度塑形作用。
[Abstract]:Objective to investigate the clinical effect of rigid breathable contact lens (RGPCL) on juvenile myopic astigmatism. Design retrospective case series. Participants 51 (102 eyes) juvenile myopic astigmatism patients (102 eyes) with RGPCL in Beijing Tongren optometry Center and 50 cases (100 eyes) of juvenile myopic astigmatism patients who wore frame glasses for more than 6 years were tested with RGPCL and continuous wearing glasses for more than 8 years. Methods the changes of central corneal curvature radius, spherical lens degree, column lens degree and corneal astigmatism in RGPCL wearer during 8 years were observed, and the changes of parameters before and after 8 years were compared. To observe the change of spherical lens and astigmatism after wearing frame glasses for 6 years. The changes of spherical and columnar endoscopy of frame and RGPCL wearer were compared. Main outcome measures: radius of curvature of central cornea, degree of spherical lens, degree of column lens, degree of corneal astigmatism. Results compared with baseline data before and after continuous wear of RGPCL for 8 years, the mean radius of corneal curvature increased (0.10 卤0.17) mm, the degree of spherical lens increased (-1.88 卤0.32) D, the degree of column lens decreased (-0.28 卤0.21) D, and the astigmatism of cornea decreased (-0.40 卤0.20) D (t = 3.285U -29.536U 12.80310.025D, 0.001) compared with that before continuous wear of RGPCL (0.10 卤0.17) mm, (-1.88 卤0.32) D, (-0.28 卤0.21) D, (-0.40 卤0.20) D, respectively. Compared with those wearing glasses, the degree of spherical lens increased (-2.73 卤0.37) Dand the degree of column endoscopy increased (-0.32 卤0.34) D (tng-35.063- 5.457 P = 0.001) .RGPCL wearer's degree of ball mirror and column mirror were lower than those of framing glasses (t _ (-14.036) -14.955 (P = 0.001). Conclusion Long-term wear of RGPCL in myopic astigmatism can control the development of myopia, and lens has a slight role in shaping the cornea.
【作者单位】：首都医科大学附属北京同仁医院验光配镜中心;首都医科大学附属北京同仁医院北京同仁眼科中心眼科学与视觉科学北京市重点实验室;
【分类号】：R778.11

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