7～18岁近视人群长期角膜塑形术对近视的控制效果及安全性  

Research on the control effect and safety of myopia with long-term orthokeratology in 7 ～ 18 years of myopia population

作　　者：白鹏[1] 许思思[2] 范建锋 

机构地区：[1]郑州市郑州爱尔眼科医院,河南郑州450000 [2]郑州大学附属郑州中心医院 [3]南阳市镇平县人民医院

出　　处：《包头医学院学报》2017年第1期36-37,共2页Journal of Baotou Medical College

摘　　要：目的:探讨长期角膜塑形术对青少年近视的控制效果及安全性。方法:选择7~18岁连续配戴角膜塑形镜≥3年160例(320眼)患者,观察戴镜前与戴镜后近视度、眼轴长度、角膜曲率(平均K值)、前房深度、晶状体厚度及角膜厚度变化,了解角膜并发症发生情况。结果:戴镜3年后近视度由(4.79±2.01)D减小到(2.19±1.10)D(P<0.05);平均K值由(43.75±0.24)D减小到(40.01±0.31)D(P<0.05);戴镜前后眼轴长度、前房深度、晶状体厚度、角膜厚度均无明显变化(P>0.05),未见严重角结膜并发症病例。结论:青少年近视人群长期配戴角膜塑形镜对近视具有较好的控制效果,且不会对角结膜产生明显影响,安全有效。Objective：To investigate the control effect and safety of long - term orthokeratology on adolescent myopia. Methods： 160 cases （ 320 eyes） of continuous orthokeratology for at least 3 years aged 7 to 18 years were collected as research data. The changes of the following factors： degree of myopia, axial length, corneal curvature （ mean K value）, anterior chamber depth, lens thickness and corneal thickness were observed find whether there were any corneal complications after 3 years of wearing glasses. Results ： The myopia degree of wearing glasses for 3 years was re- duced from （4.79 ± 2.01 ） D to （2.19 ± 1.10 ） D （ P 〈 0.05 ）, the mean K value was reduced from （43.75 ±0.24 ） D to （40.01 ±0.31 ） D （ P 〈 0.05 ）, there was no significant change in axial length, anterior chamber depth and lens thickness （ P 〉 0.05 ） and no significant change in corneal thickness before and after wearing glasses（ P 〉 0.05 ）. Serious complications were not found. Condusion：Long -term wearing orthokera- tology has a better control effect on adolescent myopia, which will not affect the cornea and conjunctiva, thus it is safe and effective.

关 键 词：角膜塑形术 青少年 近视 眼轴长度 角膜厚度 

分 类 号：R778.11[医药卫生—眼科]