儿童青少年使用DIMS镜片联合视觉训练控制近视效果研究  

Study on the Effect of Children and Adolescents Using DIMS Lens Combinated with Visual Therapy to Myopia Control

作　　者：刘亚丽[1] 陈艺欣 潘文清 陈历良 LIU Yali;CHEN Yixin;PAN Wenqing;CHEN Liliang(Hoya Lens Shanghai Co.,Ltd.,Shanghai 200063,China;Chen Liliang Glasses Co.,Ltd.,Changsha 414000,China)

机构地区：[1]豪雅(上海)光学有限公司,上海200063 [2]陈历良眼镜有限公司,长沙414000

出　　处：《玻璃搪瓷与眼镜》2024年第7期21-26,共6页Glass Enamel & Ophthalmic Optics

摘　　要：以5~18岁的近视儿童为研究对象,结合接受视觉训练意愿,非随机地分为多区正向光学离焦(DIMS)镜片组和DIMS镜片联合视觉训练组(联合组)观察近视控制的临床效果。对入组儿童的230只眼6个月随访的近视进展数据进行回顾性分析研究,发现所有入组儿童呈现缓慢的近视进展,平均屈光度进展量为(-0.07±0.18)D/半年,平均眼轴增长为(0.04±0.15)mm/半年;2个治疗组儿童的等效球镜度进展程度的分布没有统计学差异(X^(2)=3.200,P>0.05),眼轴进展程度的分布有统计学差异(X^(2)=10.667,P<0.05)。通过6个月的临床随访发现,近视儿童配戴DIMS镜片可以获得良好的屈光度和眼轴进展的控制效果,若同时联合进行视觉训练,对控制眼轴进展有更大帮助。The study focused on observing the clinical effects of myopia control in children aged 5 to 18.The participants were non-randomly assigned to two groups based on their willingness to undergo visual therapy:Defocus Incorporated Multiple Segments lens group(DIMS group)and the combined group of DIMS lenses and visual therapy(combined group).A retrospective observational study was conducted on the data from 230 eyes of enrolled children after a 6-month follow-up,revealing that all enrolled children exhibited slow myopia progression,with an average spherical equivalent(SE)progression of(-0.07±0.18)D/half year and an average axial elongation of(0.04±0.15)mm/half year.There was no statistical difference in the degree of spherical equivalent progression between the two treatment groups(X^(2)=3.200,P>0.05),but there was a statistical difference in the degree of axial elongation progression(X^(2)=10.667,P<0.05).In conclusion,through 6-month clinical follow-up,it was found that myopic children wearing DIMS lenses can achieve effective control over myopia(SE)progression and axial elongation;furthermore,simultaneous visual therapy may provide additional benefits for controlling axial elongation.

关 键 词：近视 眼轴 屈光度 DIMS 视觉训练 

分 类 号：R778.11[医药卫生—眼科]