硬性透氧性角膜接触镜治疗单眼屈光参差性弱视的临床效果  

Effect of rigid oxygen permeable contact lens in the treatment of children with anisometropic amblyopia

作　　者：徐雅萍 吴定勇 袁子蘊 刘猛 XU Yaping;WU Dingyong;YUAN Ziyun;LIU Meng(Department of Ophthaimology,Jiangxi Shangrao Aier Eye Hospital,Jiangxi Province,Shangrao334200,China)

机构地区：[1]江西省上饶市爱尔眼科医院眼科,江西上饶334200

出　　处：《中国当代医药》2022年第5期124-127,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202140942)。

摘　　要：目的探讨分析硬性透氧性角膜接触镜(RGP)在单眼屈光参差性弱视患儿治疗中的应用效果。方法选取2019年4月至2020年4月在上饶市爱尔眼科医院就诊的30例单眼屈光参差性弱视患儿作为研究对象,按照随机数字表法将其分为RGP组(n=15)与常规组(n=15)。RGP组患者使用RGP进行视力矫正;常规组患者佩戴框架眼镜进行视力矫正。在配镜前、治疗1、6、12个月后使用标准的对数视力表评估患儿视力矫正情况。记录并比较RGP组与常规组配镜前、治疗1、6、12个月后视力水平、治疗疗效及并发症发生情况。结果RGP组治疗总有效率高于常规组,差异有统计学意义(P<0.05);两组治疗前视力水平比较,差异无统计学意义(P>0.05),两组治疗1、6、12个月后的视力水平均低于治疗前,且RGP组治疗1、6、12个月后的视力水平高于常规组,差异有统计学意义(P<0.05);两组的并发症发生率比较,差异无统计学意义(P>0.05)。结论在单眼屈光参差性弱视患儿中应用RGP进行治疗可以明显提升治疗效果,提高患儿视力水平,且其安全性较高,具有较高应用价值,值得临床应用推广。Objective To investigate and analyze the application effect of rigid oxygen permeable contact lens(RGP)in the treatment of children with anisometropic amblyopia.Methods From April 2019 to April 2020,30 children with anisometropic amblyopia were randomly divided into RGP group(n=15)and conventional group(n=15).The RGP group used RGP for vision correction.The patients in the conventional group wore frame glasses for vision correction.The standard logarithmic visual acuity chart was used to evaluate the visual acuity correction before glasses,1,6,12 months after treatment.The visual acuity and therapeutic effect of RGP group and conventional group were recorded and compared before glasses,1,6,12 months after treatment.Results The total effective rate of RGP group was significantly higher than that of conventional group,the difference was statistically significant(P<0.05).There was no significant difference of the visual,acuity between the two groups before treatment(P>0.05),but the visual acuity of the two groups after 1,6 and 12 months after treatment was lower than before treatment,and the visual acuity of the RGP group after 1,6 and 12 months after treatment was higher than that of the conventional group,the difference was statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Compared with the use of frame glasses,the application of rigid oxygen permeable contact lenses can improve the treatment effect of children with anisometropic amblyopia,improve the visual acuity of children,with good safety,which is worthy of clinical application and promotion.

关 键 词：硬性透氧性角膜接触镜 单眼 屈光参差性弱视 儿童 临床效果 

分 类 号：R779.7[医药卫生—眼科]