多焦点软性角膜接触镜控制青少年近视的有效性及安全性  

The effectiveness and safety of multifocal soft corneal contact lenses in controlling myopia in adolescents

作　　者：巫紫妍 颜智鹏[2] Wu Ziyan;Yan Zhipeng(Nanjing Medical University,Nanjing 210029,China;Nanjing Medical University Eye Hospital,Nanjing 210029,China)

机构地区：[1]南京医科大学,南京210029 [2]南京医科大学附属眼科医院,南京210029

出　　处：《国际眼科纵览》2024年第4期283-289,共7页International Review of Ophthalmology

摘　　要：多焦点软性角膜接触镜(多焦点软镜)是青少年近视防控的一种有效手段。同心环设计和周边渐进式设计的多焦点软镜有良好的近视控制效果,相比单光框架眼镜、单焦点软性角膜接触镜具有明显的优越性,能提供清晰的远距离视力,同时减缓眼轴延长,延缓近视进展。但由于其直接贴附于眼表,可能造成泪膜不稳定、结膜炎以及缺氧所致的角膜各层细胞慢性损伤等问题,因此需要规范验配、护理及定期随访监测。Multifocal soft contact lenses(MFSCL)is an effective methods of preventing and controlling myopia in adolescents.The concentric ring design and progressive peripheral design of MFSCL have been proven to have good effects for myopia control.Compared to single-vision spectacles and single-vision soft contact lenses,MFSCL has obvious advantages,providing clear long-distance vision,slowing down axial elongation,and delaying myopia progression.However,due to direct attachment to the surface of the eye,it may cause instability of the tear film,conjunctivitis,and chronic damage to various layers of corneal cells caused by hypoxia.Therefore,standardized fitting,nursing,and regular follow-up monitoring are necessary.

关 键 词：多焦点软性角膜接触镜 近视 青少年 

分 类 号：R778.11[医药卫生—眼科]