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中高度近视青少年配戴角膜塑形镜联合框架眼镜的疗效和安全性
本文由 梦戴维官网 发布   发表日期:2015-10-20  已有 人关注

目前,我国药监局批准角膜塑形镜近视矫正度数大部分在4、500度,最高只能针对600度以下的近视人群,但是一些近视度数超过600度以上的孩子怎么办? 由广州军区武汉总医院眼科,常枫,沈政伟,陈云辉,魏润菁,李梅,章晨爽,叶银,周和政 等人发表在中华眼视光学与视觉科学杂志的论文或许可以帮助您解决次问题。

论文摘要

目的 观察夜晚配戴角膜塑形镜联合白天配戴框架眼镜矫治中高度青少年近视的临床疗效和安全性。

方法 前瞻性观察研究。收集中高度(-4.00 D以上)青少年近视患者38例(75眼),年龄11~19岁,平均等效球镜度(SE)(-6.76±1.45)D。夜晚配戴角膜塑形镜1个月后,白天采用框架眼镜矫正残余近视度。采用重复测量的方差分析比较戴镜前和戴镜后各参数变化。

结果 裸眼视力(UCVA):配戴角膜塑形镜前和戴镜后1 d、1周、1个月、1年分别为3.93±0.27、4.53±0.21、4.85±0.19、4.90±0.11、4.94±0.13;配戴角膜塑形镜前和戴镜1年后散瞳验光的SE差异无统计学意义;IOLMaster测量戴镜前和戴镜1年后眼轴长度分别为(26.88±1.03)mm、(26.91±1.10)mm,差异无统计学意义。随访期间未发生严重并发症。

结论 夜晚配戴角膜塑形镜联合白天配戴框架眼镜矫正残余近视度数的方法可以有效提高中高度青少年近视患者UCVA,短期内控制近视度数加深和眼轴增长,无明显的并发症发生。

论文详细请参考:中华眼视光学与视觉科学杂志 2015, Vol. 17 Issue (6): 360-363页,论文摘要链接:http://www.cjoovs.com/CN/Y2015/V17/I6/360,其实早在2013年美国就有相关的论文研究了,感兴趣的朋友可以参考:高度近视如何通过角膜塑形术控制近视发展

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