不同光学离焦镜片控制儿童近视进展的临床效果分析  

Clinical effect analysis of different optical defocus lenses in controlling myopia progression in children

作　　者：陈琛 杨砚亭 刘光明 卞扬 李淑婷 CHEN Chen;YANG Yanting;LIU Guangming;BIAN Yang;LI Shuting(Department of Ophthalmology,the First People's Hospital of Changzhou,Jiangsu 213004)

机构地区：[1]常州市第一人民医院眼科,江苏213004

出　　处：《南通大学学报(医学版)》2024年第6期544-546,565,共4页Journal of Nantong University(Medical sciences)

基　　金：常州市卫生健康委员会科技项目(ZD202307);常州市科技项目(CJ20220104)。

摘　　要：目的:比较近视儿童配戴高非球微透镜(highly aspherical lenslet,HAL)离焦镜片、多区正向光学离焦(defocus incorporated multiple segments,DIMS)镜片与普通单焦点镜片(single focus frame glasses,SFFG)控制近视进展的效果。方法:收集2022年7月—2023年12月常州市第一人民医院眼科门诊就诊的7~15岁近视儿童186例(186眼)进行回顾性病例对照研究。根据其配戴镜片不同,分为HAL组58例(58眼)、DIMS组52例(52眼)、SFFG组76例(76眼)。分别测量3组儿童在戴镜前及戴镜后6、12个月的等效球镜度(spherical equivalent refraction,SER)、眼轴长度(axial length,AL),对比分析不同组间近视控制效果。结果:3组儿童戴镜后6个月及12个月,SER均有不同程度的增加,但3组儿童SER增加量差异无统计学意义(P=0.723、0.061)。3组儿童的AL均有不同程度的增长,且3组AL增长量差异有统计学意义(P<0.001);HAL组和DIMS组儿童戴镜后6、12个月AL增长量均小于SFFG组(均P<0.001);但戴镜后6、12个月,HAL组和DIMS组AL增长量差异无统计学意义(P=0.426、0.512)。结论:HAL离焦镜片、DIMS镜片均能延缓近视儿童的眼轴增长,控制近视的进展。Objective:To compare the effect of myopia control with highly aspherical lenslet(HAL)lens,defocus incorporated multiple segments(DIMS)lens,and single focus frame glasses(SFFG)on myopia progression in children.Methods:Retrospective case-control study were conducted.A total of 186 myopic children(186 eyes)aged 7 to 15 years old were collected from July 2022 to December 2023 in the Department of Ophthalmology at the First People's Hospital of Changzhou.Based on the type of lenses worn,the children were divided into HAL group(58 eyes),DIMS group(52 eyes)and SFFG group(76 eyes).The spherical equivalent refraction(SER)and axial length(AL)of the three groups were collected before and after 6 months and 12 months wearing glasses.The myopia control effect were compared among different groups.Results:There was no significant difference in SER change among the three groups(P=0.723,0.061)at 6 months and 12 months after wearing glasses.There were AL growth in three groups,and there were significant differences in AL growth among the three groups(P<0.001).At 6 months and 12 months after wearing glasses,the AL growth of HAL group and DIMS group were lower than those of SFFG group(all P<0.001).However,there was no significant difference in AL growth between HAL group and DIMS group(P=0.426,0.512).Conclusion:HAL lens and DIMS lens can delay the axial growth and control the progression of myopia in myopic children.

关 键 词：近视 高非球微透镜 多区正向光学离焦 等效球镜度 眼轴长度 儿童 

分 类 号：R778.11[医药卫生—眼科]