角膜塑形镜对近视性屈光参差儿童双眼视功能的影响  

Effect of orthokeratology lens on binocular vision of children with myopic anisometropia

作　　者：孙笑笑 张钰[2,3] 陈跃国 SUN Xiaoxiao;ZHANG Yu;CHEN Yueguo(Institute of Medical Technology,Peking University Health Science Center,Beijing 100191,China;Department of Ophthalmology,Peking University Third Hospital,Beijing 100191,China;Beijing Key Laboratory of Restoration of Damaged Ocular Nerve,Beijing 100191,China)

机构地区：[1]北京大学医学部医学技术研究院,北京市100191 [2]北京大学第三医院眼科,北京市100191 [3]眼部神经损伤的重建保护与康复北京市重点实验室,北京市100191

出　　处：《眼科新进展》2021年第11期1052-1056,共5页Recent Advances in Ophthalmology

基　　金：首都卫生发展科研专项基金(编号首发2018-2-4092)。

摘　　要：目的探究角膜塑形镜(OK镜)对近视性屈光参差儿童双眼视功能的影响。方法收集2018年至2019年于北京大学第三医院眼科视光中心就诊的60例近视性屈光参差儿童资料,随机分为OK组(配戴OK镜)和SP组(配戴普通框架眼镜),每组各30例。基线时(配戴OK镜或框架眼镜前)和戴镜后6个月、12个月时,分别对受试儿童进行远距斜视度、远距融合范围、远近距立体视的检查。比较OK组和SP组儿童双眼视功能参数的差异,以及两组儿童双眼视功能参数随戴镜时间的变化情况。结果与基线时相比,戴镜后6个月、12个月时,OK组儿童的远距融合范围、远距集合范围显著减小,近距立体视显著提高(均为P<0.05),而远距斜视度、远距融合点、远距散开范围、远距立体视差异均无统计学意义(均为P>0.05)。与基线时相比,戴镜后6个月、12个月时,SP组儿童的近距立体视均显著提高(均为P<0.05),而远距斜视度、远距融合点、远距融合范围、远距集合范围、远距散开范围、远距立体视差异均无统计学意义(均为P>0.05)。OK组和SP组儿童基线时和戴镜后6个月时的远距斜视度、远距融合范围、远距融合点、远距集合范围、远近距立体视差异均无统计学意义(均为P>0.05)。戴镜后12个月时,OK组儿童的远近距立体视均优于SP组(均为P<0.05),而两组儿童其余指标差异均无统计学意义(均为P>0.05)。结论近视性屈光参差儿童配戴OK镜后,远距融合范围减小,近距立体视提高。与框架眼镜相比,OK镜改善近视性屈光参差儿童远近距立体视的作用更好。Objective To explore the effect of orthokeratology(OK)lens on binocular vision of children with myopic anisometropia.Methods Sixty children diagnosed with myopic anisometropia in the Optometry Center of Peking University Third Hospital from 2018 to 2019 were randomly and equally assigned to the OK group(wearing OK lens)and SP group(wearing single-vision spectacles).Distance heterophoria and fusional vergence ranges,as well as distance and near stereopsis of each child were measured at baseline(before wearing OK lens or single-vision spectacles)and 6 months,12 months after treatment.The changes of binocular vision of children in both OK group and SP group with the time of wearing glasses were compared and analyzed.Results In the OK group,compared with the baseline,the distance fusional vergence range and the distance convergence range significantly reduced,and the near stereopsis significantly improved at 6 and 12 months after treatment(all P<0.05),but no significant changes were found in the distance heterophoria,distance vergence point,distance divergence range,and distance stereopsis(all P>0.05).In the SP group,compared with the baseline,the near stereopsis of children significantly improved at 6 and 12 months after treatment(both P<0.05),but no significant changes were found in the distance heterophoria,distance vergence point,distance fusional vergence range,distance convergence range,distance divergence range,distance and near stereopsis(all P>0.05).Children in the OK group and SP group showed no significant differences in the distance heterophoria,distance fusional vergence range,distance vergence point,distance convergence range,and distance stereopsis at both baseline and 6 months after treatment(all P>0.05).At 12 months after treatment,the distance and near stereopsis of children in the OK group were better than those in the SP group(both P<0.05),but other indexes had no significant differences(all P>0.05).Conclusion For children with myopic anisometropia will have reduced distance fusional vergence rang

关 键 词：近视性屈光参差 角膜塑形镜 双眼视功能 

分 类 号：R778.11[医药卫生—眼科]