婴儿先天性白内障术后硬性透气性接触镜与框架眼镜效果对比  

Comparision on the efficacy between rigid gas permeable contact lens and frame glasses for infants aphakia after congenital cataract surgery

作　　者：吕勇[1] 吴鹏伟 杨琳[1] 高莎莎[1] 谭凤玲[1] Lv Yong;Wu Pengwei;Yang Lin;Gao Shasha;Tan Fengling(Department of Ophthalmology,The First Affiliated Hospital of Zhengzhou University,Henan Provincial Ophthalmic Hospital,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院眼科河南省眼科医院,郑州450052

出　　处：《中华眼外伤职业眼病杂志》2019年第5期321-326,共6页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：2018年度河南省高等学校重点科研项目资助计划(18A320035).

摘　　要：目的比较硬性透气性角膜接触镜(RGPCL)与框架眼镜对婴儿先天性白内障术后无晶状体眼的矫正效果。方法本研究为前瞻性研究。收集3~12月龄婴儿先天性白内障术后无晶状体眼46例(72只眼)随机分为两组,A组为佩戴RGPCL者,20例(31只眼);B组为佩戴框架眼镜者,26例(41只眼)。术后进行视功能训练,随访12个月。比较两组效果。结果两组患儿术后12个月视力较术后1个月视力明显提高(A组:Z=-6.791,P=0.000;B组:Z=-7.427,P=0.000),术后12个月视力A组较B组提高更显著,差异具有统计学意义(Z=-3.496,P=0.000)。A组的眼球震颤缓解率为54.55%高于B组的25.00%,但两者之间差异无统计学意义(χ^2=2.135,P=0.144)。A组建立的双眼同时视者占55.56%高于B组的21.43%,但两者之间差异无统计学意义(χ^2=2.807,P=0.094)。术后屈光度和眼轴长度两组之间的差异均无统计学意义(P>0.05)。两组均未见因佩戴而出现与视力相关的眼部并发症。结论RGPCL用于矫正婴儿先天性白内障术后无晶状体眼效果优于框架眼镜,能更好地改善患儿视力,有助于视功能的重建。Objective To compare the correction efficacy between wearing rigid gas permeable contact lens (RGPCL) and frame glasses in the infants with aphakia after congenital cataract surgery. Methods A prospective study. There were 72 eyes of 3 to 12-month-old 46 infants with aphakia after congenital cataract surgery. They were randomly divided into two groups. Group A, 31 eyes of 20 infants, wore RGPCL, and group B, 41 eyes of 26 infants, wore frame glasses. Visual function training was performed in all cases after surgery. The follow-up time was 12 months. The efficacy were compared between the two groups. Results The visual acuity of the two groups were significantly improved at 12 months after surgery compared with that at 1 month after surgery (Group A, Z=-6.791, P=0.000;Group B, Z=-7.427, P=0.000), and the visual acuity in group A was better than that in group B at 12 months after surgery (Z=-3.496, P=0.000). The remission rate of nystagmus in group A(54.55%)was higher than that in group B(25.00%), but the difference was not statistically significant(χ^2=2.135, P=0.144). The rate of established binocular simultaneous vision in group A (55.56%) were higher than that in group B(21.43%), but the difference was not statistically significant(χ^2=2.807, P=0.094). The differences in diopter and axial length changes were not statistically significant between the two groups (P>0.05). No ocular complications related to visual acuity occurred in both groups. Conclusion The correction efficacy of wearing RGPCL in infants with aphakia after congenital cataract surgery is better than that of frame glasses. RGPCL could effectively improve the visual acuity and facilitate reestablishment of visual function.

关 键 词：接触镜 角膜 硬性 透气性 眼镜 框架式 白内障 先天性 婴儿 无晶状体眼 

分 类 号：R779.66[医药卫生—眼科]