角膜塑形术矫治儿童屈光不正的临床效果分析  

Analysis on Clinical Effect of Orthokeratology in Correction of Pediatric Refractive Error

作　　者：章青[1] Zhang Qing(Department of Ophthalmology,Nanjing Hospital of Traditional Chinese Medicine,Nanjing 210000,Jiangsu Province,China)

机构地区：[1]南京市中医院眼科,江苏南京210000

出　　处：《中国社区医师》2024年第26期22-24,共3页Chinese Community Doctors

摘　　要：目的:探究角膜塑形术矫治儿童屈光不正的临床效果。方法:选取2022年6月—2023年6月南京市中医院收治的92例(110眼)屈光不正患儿作为观察对象,随机分为参照组、试验组,每组46例(55眼)。参照组通过佩戴框架眼镜矫治视力,试验组应用角膜塑形术矫治视力。对比两组患儿矫治效果。结果:矫治前,两组裸眼视力比较,差异无统计学意义(P>0.05);矫治6个月后,两组裸眼视力升高,且试验组高于参照组(P<0.05)。矫治前,两组屈光度比较,差异无统计学意义(P>0.05);矫治6个月后,两组屈光度降低,且试验组低于参照组(P<0.05)。矫治前,两组眼轴长度比较,差异无统计学意义(P>0.05);矫治6个月后,两组眼轴长度延长,但试验组短于参照组(P<0.05)。矫治前,两组眼表疾病指数(OSDI)、角膜荧光素染色检查(CFS)评分比较,差异无统计学意义(P>0.05);矫治6个月后,两组OSDI、CFS评分降低,且试验组低于参照组(P<0.05)。矫治前,两组泪膜破裂时间(BUT)比较,差异无统计学意义(P>0.05);矫治6个月后,两组BUT延长,且试验组长于参照组(P<0.05)。结论:角膜塑形术矫治儿童屈光不正的临床效果显著,可提高患儿视力,改善屈光度,延缓眼轴增长,改善眼表症状。Objective:To explore the clinical effect of orthokeratology in the correction of pediatric refractive error.Methods:A total of 92 patients(110 eyes)with refractive error admitted to Nanjing Hospital of Traditional Chinese Medicine from June 2022 to June 2023 were selected as the observation subjects.They were randomly divided into reference group and test group,with 46 patients(55 eyes)in each group.The reference group used frame glasses for visual acuity correction,and the test group applied orthokeratology for visual acuity correction.The correction effect of children in two groups was compared.Results:Before correction treatment,there was no significant difference in naked visual acuity between the two groups(P>0.05).After 6 months of correction treatment,the naked visual acuity in the two groups increased,and the naked visual acuity in test group was higher than that in reference group(P<0.05).Before correction treatment,there was no significant difference in diopter between the two groups(P>0.05).After 6 months of correction treatment,the diopter in the two groups decreased,and the diopter in test group was lower than that in reference group(P<0.05).Before correction treatment,there was no significant difference in ocular axial length between the two groups(P>0.05).After 6 months of correction treatment,the ocular axial length in the two groups extended,but ocular axial length in test group was shorter than that in reference group(P<0.05).Before correction treatment,there was no significant difference in ocular surface disease index(OSDI)and corneal fluorescein staining(CFS)scores between the two groups(P>0.05).After 6 months of correction treatment,the scores of OSDI and CFS in the two groups decreased,and the scores in test group were lower than those in reference group(P<0.05).Before correction treatment,there was no significant difference in tear film breakup time(BUT)between the two groups(P>0.05).After 6 months of correction treatment,the BUT in the two groups prolonged,and the time in test group was l

关 键 词：角膜塑形术 屈光不正 框架眼镜 

分 类 号：R778.1[医药卫生—眼科]