框架眼镜与角膜塑形镜治疗青少年近视性屈光参差患者疗效比较  

Comparison of the efficacy in adolescents with myopic anisometropia corrected by spectacles versus orthokeratology

作　　者：陈彦[1] 潘建 陈浙一 郑志斌[1] 姚春晓 Yan Chen;Jian Pan;Zhe-Yi Chen;Zhi-Bin Zheng;Chun-Xiao Yao(Department of Ophthalmology,Yuyao People's Hospital,Yuyao 315400,Zhejiang Province,China;Department of Ophthalmology,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,Zhejiang Province,China;Myopia Prevention and Control Specialist,Eye Hospital of Wenzhou Medical University,Wenzhou 325000,Zhejiang Province,China)

机构地区：[1]中国浙江省余姚市人民医院眼科,315400 [2]温州医科大学附属第一医院眼科,中国浙江省温州市325000 [3]温州医科大学附属眼视光医院近视防控专科,中国浙江省温州市325000

出　　处：《国际眼科杂志》2022年第4期690-692,共3页International Eye Science

基　　金：余姚市医疗卫生科技项目(No.2017YYB01)。

摘　　要：目的:观察不同程度的青少年近视性屈光参差者予框架眼镜与角膜塑形镜矫正后的近立体视功能。方法:前瞻性临床研究。选取2017-03/2018-12于我院眼科确诊的年龄在10~20岁的近视患者220例,其中双眼屈光参差度数的差值<1.00D为无屈光参差组76例;1.00~<1.75D为轻度屈光参差组60例;2.00~<2.75D为中度屈光参差组51例;≥3.00D为重度屈光参差组33例。根据近视矫正方式分为角膜塑形镜组88例与框架镜组132例,比较两组患者在近视矫正3mo后近立体视功能。结果:框架镜组中,不同程度屈光参差组间的近立体视功能有差异(P<0.001)。角膜塑形镜组中,不同程度屈光参差组间的近立体视功能无差异(P=0.765)。在无屈光参差组与轻度屈光参差组中,角膜塑形镜组与框架镜组之间的近立体视功能无差异(P=0.109、0.052);在中度与高度屈光参差组中,角膜塑形镜组的近立体视功能好于框架镜组(P<0.001)。结论:青少年近视性屈光参差患者配戴角膜塑形镜在近立体视功能方面优于框架眼镜,特别在中度与重度屈光参差组。AIM:To observe the near stereoscopic visual function of adolescents with different degrees of myopic anisometropia after being corrected by spectacles and orthokeratology.METHODS:In this prospective clinical research,220 patients aged 10-20 years old with myopic anisometropia were recruited between March 2017 and December 2018.All the patients were divided into four groups according to the difference of cycloplegic spherical equivalent refractive(SER)error between the two eyes:group of 76 cases without anisometropia(SER error difference less than 1.00D),group of 60 cases with mild anisometropia(SER error difference of 1.00-<1.75D),group of 51 cases with moderate anisometropia(SER error difference of 2.00-<2.75D),and group of 33 cases with severe anisometropia(SER error difference of 3.00D or more).With regards the different optical correction approaches for myopia,88 cases were categorized into the orthokeratology group and 132 cases into the spectacle group,the stereoacuity values at 3mo after correction were compared between the orthokeratology group and the spectacle group to see whether statistically significant difference existed.RESULTS:In the group of spectacle correction,there was significant statistical difference existed between the four sub-groups for the near stereoscopic visual function(P<0.001).In the group of orthokeratology correction,there was no statistical difference existed between the four sub-groups for the near stereoscopic visual function(P=0.765).In both non-anisometropia and mild anisometropia groups,there was no statistical difference between the orthokeratology correction and spectacle correction sub-groups for the near stereoacuity values(P=0.109,P=0.052).However,in the moderate and severe anisometropia groups,orthokeratology group had better near stereoscopic vision than spectacle group(P<0.001).CONCLUSION:Adolescents with myopic anisometropia corrected by orthokeratology lens were better at near stereoscopic visual function than corrected by spectacles,especially in the moderate and

关 键 词：近视性屈光参差 立体视 角膜塑形镜 

分 类 号：R778.11[医药卫生—眼科]