摘要
目的探讨不同环境下瞳孔直径与角膜塑形镜近视控制效果的相关性分析。方法回顾性分析80例(80眼)低中度近视患儿的临床资料,根据光线环境及瞳孔直径不同分为A组(暗室环境下,瞳孔直径>5.48 mm)、B组(暗室环境下,瞳孔直径≤5.48 mm)、C组(自然光线下,瞳孔直径>4.23 mm)、D组(自然光线下,瞳孔直径≤4.23 mm),各20例(20眼)。观察比较不同初始瞳孔直径患儿暗室环境下及自然光线下的眼轴增长量,并分析暗室环境下及自然光线下瞳孔直径与眼轴增长量的相关性。结果治疗6个月后,A组患儿眼轴增长量(0.25±0.13)mm高于B组的(0.11±0.11)mm,差异具有统计学意义(t=3.677,P=0.001<0.05);治疗12个月后,A组患儿眼轴增长量(0.38±0.16)mm高于B组的(0.22±0.14)mm,差异具有统计学意义(t=3.366,P=0.002<0.05);治疗24个月后,A组患儿眼轴增长量(0.67±0.31)mm高于B组的(0.32±0.25)mm,差异具有统计学意义(t=3.930,P=0.000<0.05)。暗室环境下初始瞳孔直径与角膜塑形镜配戴24个月的眼轴增长量呈负相关(r=-0.4257,P<0.05)。治疗6个月后,C组患儿眼轴增长量(0.26±0.17)mm高于D组的(0.08±0.06)mm,差异具有统计学意义(t=4.465,P=0.000<0.05);治疗12个月后,C组患儿眼轴增长量(0.37±0.16)mm高于D组的(0.19±0.17)mm,差异具有统计学意义(t=3.448,P=0.001<0.05);治疗24个月后,C组患儿眼轴增长量(0.69±0.34)mm高于D组的(0.31±0.22)mm,差异具有统计学意义(t=4.196,P=0.000<0.05)。自然光线下初始瞳孔直径与角膜塑形镜配戴24个月的眼轴增长量呈负相关(r=-0.4928,P<0.05)。结论光线环境不同的情况下,瞳孔直径越大角膜塑形镜的干预作用越强,初始瞳孔直径同眼轴增长量呈负相关。
Objective To discuss the correlation of pupil diameter and myopia control effect of orthokeratology in different light environments.Methods The clinical data of 80 children(80 eyes)with low to moderate myopia were retrospectively analyzed.According to the light environment and pupil diameter,they were divided into group A(under darkroom environment,pupil diameter>5.48 mm),group B(under darkroom environment,pupil diameter≤5.48 mm),group C(under natural light,pupil diameter>4.23 mm),group D(under natural light,pupil diameter≤4.23 mm),with 20 cases(20 eyes)in each group.The axial growth of children with different initial pupil diameter under dark room environment and natural light was observed and compared,and the correlation between pupil diameter and axial growth under dark room environment and natural light.Results After 6 months of treatment,the axial growth(0.25±0.13)mm of group A was higher than(0.11±0.11)mm of group B,and the difference was statistically significant(t=3.677,P=0.001<0.05).After 12 months of treatment,the axial growth(0.38±0.16)mm of group A was higher than(0.22±0.14)mm of group B,and the difference was statistically significant(t=3.366,P=0.002<0.05).After 24 months of treatment,the axial growth(0.67±0.31)mm of group A was higher than(0.32±0.25)mm of group B,and the difference was statistically significant(t=3.930,P=0.000<0.05).Under darkroom environment,the initial pupil diameter was negatively correlated with the axial growth of orthokeratology wearing for 24 months(r=-0.4257,P<0.05).After 6 months of treatment,the axial growth(0.26±0.17)mm of group C was higher than(0.08±0.06)mm of group D,and the difference was statistically significant(t=4.465,P=0.000<0.05).After 12 months of treatment,the axial growth(0.37±0.16)mm of group C was higher than(0.19±0.17)mm of group D,and the difference was statistically significant(t=3.448,P=0.001<0.05).After 24 months of treatment,the axial growth(0.69±0.34)mm of group C was higher than(0.31±0.22)mm of group D,and the difference was statisti
作者
钟瑞佳
ZHONG Rui-jia(Optometry Department,Shenyang Aier Eye Hospital(Co.Ltd.),Shenyang 110041,China)
出处
《中国实用医药》
2021年第23期93-95,共3页
China Practical Medicine
关键词
不同环境
瞳孔直径
角膜塑形镜
近视控制效果
相关性
Different environments
Pupil diameter
Orthokeratology
Myopia control effect
Correlation
