佩戴角膜塑形镜、美德可儿眼镜或普通框架眼镜控制儿童近视发展的临床效果  

Efficacy of wearing orthokeratology lenses,medcall lenses and ordinary spectacle lenses in controlling the progression of childhood myopia

作　　者：韩晓霞[1] 许文辉[1] 戈伟中[1] 李小东[1] 王志[1] 

机构地区：[1]江苏大学附属宜兴医院眼科,214200

出　　处：《江苏医药》2015年第18期2167-2169,共3页Jiangsu Medical Journal

摘　　要：目的观察角膜塑形镜、美德可儿眼镜或普通框架眼镜控制儿童近视发展的效果。方法 150例近视眼患儿分为普通框架眼镜组(A组,60例)、角膜塑形镜组(B组,60例)及美德可儿眼镜组(C组,30例),检查戴镜前和戴镜后1年屈光度、眼轴长度和玻璃体腔深度变化。结果三组戴镜前的屈光度、眼轴长度和玻璃体腔深度差异无统计学意义(P>0.05)。戴镜1年后,A组较B、C组屈光度和眼轴长度增加最多[(-1.13±0.38)D vs.(-0.21±0.05)D、(-0.41±0.11)D和(0.79±0.09)mm vs.(0.23±0.04)mm、(0.40±0.08)mm],C组增加多于B组(P<0.05);B组较A、C组玻璃体腔深度延长最少[(0.13±0.05)mm vs.(0.51±0.09)mm、(0.39±0.08)mm](P<0.05)。结论角膜塑形镜、美德可儿眼镜可有效控制儿童近视进展,降低眼轴增长,角膜塑形镜组效果更明显。Objective To observe the efficacy of wearing orthokeratology lenses ,medcall lenses and ordinary spectacle lenses in controlling the development of childhood myopia .Methods A total of 150 myopia children was divided into three groups of A（wearing ordinary spectacle lenses ,60 cases） , B（wearing orthokeratology lenses ,60 cases） and C （wearing medcall lenses ,30 cases） .The diopter , axial length and vitreous depth were recorded before and one year later .Results The diopter ,axial length and vitreous depth before wearing glasses were not significant different among three groups （P〉0 .05） .After wearing glasses for one year ,the increases of diopter and axial length were more in group A than those in groups of B and C[（-1.13 ＆#177; 0.38） D vs .（-0.21 ＆#177; 0.05） D and （-0.41 ＆#177; 0.11）D and （0.79 ＆#177; 0.09）mm vs .（0.23 ＆#177; 0.04）mm and （0.40 ＆#177; 0.08）mm]（P〈0 .05） ,which were more in group C than those in group B（P〈0 .05） .The extended length of vitreous depth was less in group B than that in groups of A and C[（0.13 ＆#177; 0.05） mm vs .（0.51 ＆#177; 0.09） mm and （0.39 ＆#177; 0.08） mm]（P〈0 .05） .Conclusion Wearing orthokeratology and medcall lenses can effectively attenuate the progression of childhood myopia and reduce the growth of axial length ,in which orthokeratology lenses is better than medcall lenses .

关 键 词：近视 角膜塑形镜 美德可儿眼镜 普通框架眼镜 儿童 

分 类 号：R778[医药卫生—眼科]