角膜塑形术阻止近视进展的临床观察  

Clinical observation of orthokeratology controlling myopia progression

作　　者：顾敏[1] 祁勇军[1] 李斌辉[1] 胡文丽[1] 

机构地区：[1]中山大学附属第五医院眼科,广东省珠海市519000

出　　处：《实用诊断与治疗杂志》2005年第1期22-23,26,共3页Journal of Practical Diagnosis and Therapy

摘　　要：目的:评价和探讨角膜塑形术降低眼压、阻止近视进展的作用。方法:将375眼年龄在12-16岁,屈光度在-0.75--6.00D的近视患者分成两组,进行长达3年的临床观察。1组为配戴角膜塑形镜组,2组为配戴框架眼镜组。观察1组在配戴角膜塑形镜一夜后的眼压及3年治疗期满时,停戴角膜塑形镜2周后的屈光度,并与同期戴框架眼镜3年的2组相比较。结果:发现1组配戴角膜塑形镜一夜后,眼压由戴前的16.29±2.36 mmHg降至12.97±2.31 mmHg,平均减少3.65±1.87 mmHg,差别有统计学意义(P<0.001),3年治疗期满时,1组停戴角膜塑形镜2周后,测得的近视进展率仅为32.28％,而2组的近视进展率高达79.03％,两组有非常显著性差异(P<0.001)。结论:角膜塑形术能有效降低眼压,不失为治疗青少年进行性近视的一种安全可靠的方法。Objective To investigate the role that orthokeratology reduces IOP and controls myopia progression. Methods Three hundred and seventy-five eyes with mypia in 12-16 years old and from -0.5 to -6.00 D in refractive power, were studied and divided into two groups. Group one wore the orthokeratology lenses. Group two wore glasses. Results After one night of lens wearing, IOP was induced from 16.29±2.36 mmHg to 12.97±2.31 mmHg(P<0.01). After 3 years' treatment, mypia progression of group one was only 32. 28% , but was 79.03% (P<0.01) in group two. Conclusion It is showed that orthokeratology is effective on controlling the mypia progeression.

关 键 词：角膜塑形术 近视进展 眼压 

分 类 号：R778.11[医药卫生—眼科]