青少年近视患者戴镜对调节滞后及近距隐斜的影响  

The impact on the accommodative response and near phoria in adolescent myopic patients with different refractive corrections

作　　者：余琼武[1] 刘波[2] 

机构地区：[1]重庆医科大学附属大学城医院眼科,重庆401331 [2]第三军医大学附属西南医院眼科

出　　处：《中国实用眼科杂志》2013年第7期876-879,共4页Chinese Journal of Practical Ophthalmology

摘　　要：目的观察青少年近视患者配戴单光框架眼镜、渐变多焦镜、硬性透氧性角膜接触镜（RigidGasPermeableContactLens，RGPCL）调节滞后及近距隐斜的变化情况。方法选取75例9．14岁中低度近视患者，根据患者的屈光度数、角膜参数、近距隐斜及调节滞后将患者平均分为3组，单光眼镜组、渐变镜组、RGPCL组，分别测量配戴前、配戴1年后的调节滞后和近距隐斜量，比较三种矫正方式两参数的变化量。结果完成随访的患者61例。戴镜1年后，仅渐变多焦镜组调节滞后量的改变差异有统计学意义（t=2．208，P=0．040），各组近距隐斜变化量差异均无统计学意义（P〉0．05）。结论单光眼镜、渐变多焦镜和RGPCL延缓近视进展的机制可能与调节滞后和近距隐斜有关。Objective To observe the change of accommodative lag and near distance phoria in the adolescent myopia with three different refractive corrections （single focus glasses, progressive lens- es and rigid gas permeable contact lens）. Methods To choose 75 patients of 9-14 years old, accord- ing to the patients＇ refraction, corneal parameters, near distance phoria and accommodative lag, these patients were equally divided into three groups： respectively wore single focus glasses, progres- sive lenses and RGPCL. The accommodative lag and near distance phoria before and after 1 year were examined. The two parameters＇ change in three groups was compared. Results After 1 year, 6l patients finally were followed. The accommodative lag was statistically changed only in progres- sive lenses group （t =2.208, P =0.040）. The amount of near distance phoria in each group was not statistically changed （P 〉0.05）. Conclusions The mechanism of slowing down myopic progression with 3 different refractive corrections may be related to accommodative lag and near distance phoria.

关 键 词：调节滞后 隐斜 角膜接触镜 眼镜 渐变多焦镜 青少年近视 

分 类 号：R778.1[医药卫生—眼科]