近视防控措施干预下的脉络膜厚度与血流变化的研究进展  

Advances in the changes of choroidal thickness and blood flow under the intervention of myopia prevention and control measures

作　　者：隋金沅 李昊儒 林芳 魏瑞华 SUI Jinyuan;LI Haoru;LIN Fang;WEI Ruihua(Tianjin Key Laboratory of Retinal Functions and Diseases,Tianjin Branch of National Clinical Research Center for Ocular Disease,Eye Institute and School of Optometry,Tianjin Medical University Eye Hospital,Tianjin 300384,China;Tianjin Medical University Eye Hospital Tianyi Jixian Branch,Tianjin 301999,China)

机构地区：[1]天津医科大学眼科医院、眼视光学院、眼科研究所,国家眼耳鼻喉疾病临床医学研究中心天津市分中心,天津市视网膜功能与疾病重点实验室,天津市300384 [2]天津蓟州区天医远景眼科医院,天津市301999

出　　处：《眼科新进展》2024年第11期903-907,共5页Recent Advances in Ophthalmology

基　　金：国家自然科学基金资助(编号:82070929);天津市医学重点学科(专科)建设项目资助(编号:TJYXZDXK-037A)。

摘　　要：近视呈现高发性、低龄化趋势,高度近视人数逐年上升,安全有效的近视干预措施是近视防控的重中之重。研究发现,低浓度阿托品、角膜塑形镜、重复低强度红光等治疗方法具有相对可靠的疗效,能够为近视儿童提供多种防控方案的选择。脉络膜作为眼底重要的解剖结构,与近视的发生发展机制息息相关,脉络膜相关参数可能成为衡量近视防控效果和监测近视进展的重要指标。随着医学影像技术的不断发展,脉络膜厚度和微循环参数得到了精准量化。探索各类近视干预措施下脉络膜的变化,有助于临床医师对不同患者进行个性化治疗方案的设计,对近视防控的管理具有重要临床意义。现就不同近视防控措施干预下的脉络膜厚度与血流变化的研究进展作一综述。Myopia shows a trend of high incidence and low age,and the number of high myopia patients is increasing year by year.Safe and effective myopia intervention measures are the top priority of myopia prevention and control.It has been found that low-dose atropine,orthokeratology,repeated low-level red light and other treatment methods have reliable efficacy,which can provide a variety of options for myopia prevention and control in children.The choroid,as an important anatomical structure of the fundus,is closely related to the mechanism of myopia.Choroidal parameters may become markers for evaluating the effect of myopia prevention and control and monitoring the progression of myopia.With the continuous development of medical imaging technology,choroidal thickness and microcirculatory parameters have been accurately quantified.Further exploration of the changes of choroid under various myopia intervention measures will help clinicians design personalized treatment plans for different patients,which is of great clinical significance for the management of myopia prevention and control.In this article,the research progress on choroidal thickness and blood flow changes under different myopia prevention and control measures are reviewed.

关 键 词：近视防控 脉络膜 阿托品 重复低强度红光 角膜塑形镜 

分 类 号：R778.1[医药卫生—眼科]