高透氧硬性角膜接触材料制作的透气性硬性角膜接触镜临床验配应用  

Clinical wearing of rid gas permeable contact lens

作　　者：刘维锋[1] 石浔[1] 胡爱梅[1] 曾瑛[1] 朱璇[1] 李颖洁[1] 梅艳[1] 

机构地区：[1]南昌大学第三附属医院眼科,江西省南昌市330008

出　　处：《中国组织工程研究与临床康复》2010年第25期4685-4688,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：背景:透气性硬性角膜接触镜控制、延缓近视发展得到证实,使得佩戴者日益增多。对临床佩戴情况进行分析,为开展该项新技术医疗机构提供临床资料。目的:探讨透气性硬性角膜接触镜佩戴的有效性、安全性、依从性和佩戴情况。方法:透气性硬性角膜接触镜为高透氧硬性角膜接触材料制作,佩带者27例48眼,男14例、女13例,年龄6～42岁、平均(13.3±4.3)岁。筛选佩戴者、选择适应证、眼部情况检查、数据获取、镜片试戴、镜片订制、戴镜宣教、定期复查。结果与结论:夜戴型(角膜塑形镜)17例29眼(68.9%)佩戴后7d达到矫正视力,日戴型10例19眼佩戴后的矫正视力均达到佩戴之前矫正视力、47.3%提高1行以上;11.4%只眼出现角膜染色;应到复诊的次数111例次、未按时复诊次数15例次(占13%);83.3%一次成功佩戴;出现更换镜片14眼次、其中技术需要更换镜片8眼次、佩戴者损害镜片6眼次;佩戴者主要以18岁以下的学生为主;29.1%的学生能自行摘戴和护理、平均年龄为(12.4±2.1)岁。结果提示在医疗机构的监控下,透气性硬性角膜接触镜佩戴安全、有效、依从性好,佩戴人群以学生为主。BACKGROUND：Rid gas permeable contact lens（RGPCL） can control the development of myopia,and the number of RGPCL wearers is increased.The data of RGPCL wearer are analyzed to provide clinical data for the medical institution.OBJECTIVE：To evaluate the efficacy,safety,compliance and lens nursing for RGPCL wearer.METHODS：A total of 48 eyes of 27 myopia people（14 males,13 females）,aged（13.3±4.3） years（range,6 to 42 years old） were selected,and subjected to suitable candidate selection,eye check,data acquisition,lens wear,lens order,wearer teaching,and recheck at regular intervals.RESULTS AND CONCLUSION：68.9% of naked visual acuity of cases（17 cases,29 eyes） with overnight wearer reached corrected visual acuity（CVA） of wearing glasses.100% of RGPCL wearers reached CVA of wearing glasses,and 47.3% of increased 1 line.There was 11.4% cornea dying in the 96 follow-up times.13% wearers were not followed-up on schedule,and 83.3% of wearers fitted successfully with one len and changed 14 lens,including technical requirements in 8 eyes and lens damage in 6 eyes.The majority of wearers were students 18 years old.29.1% of wearers aged averagely（12.4±2.1） years could self-wear and self-clean lens.Results showed that RGPCL was safe,effective,with a good compliance under the strict medical control.The majority of wearers are students.

关 键 词：透气性硬性角膜接触镜 有效性 安全性 依从性 生物材料 

分 类 号：R318[医药卫生—生物医学工程]