摘要
目的通过应用角膜塑形镜对父母高度近视的青少年中低度近视患者进行矫治,观察其眼轴的变化,评估角膜塑形镜对高度近视高危患者近视发展的防控效果。方法随机对照临床研究。选取8-14岁中低度青少年近视患者124例(124眼),根据其父母是否为高度近视及所采取的矫正方式分为高度框镜组、高度角塑组及非高角塑组。观察其戴镜1年的眼轴变化。采用配对t检验,独立样本t检验及单因素方差分析对数据进行分析。结果戴镜1年后的高度框镜组、高度角塑组及非高角塑组眼轴长度分别为(24.92±0.73)mm、(24.90±0.74)mm和(24.89±0.68)mm,分别较各组基础眼轴(24.58±0.79)mm、(24.66±0.73)mm和(24.66±0.66)mm均明显增加,差异具有统计学意义(t=-8.926,-8.707,-8.605,P<0.05)。高度框镜组和高度角塑组两组间戴镜后一年的眼轴长度差异无统计学意义(t=0.083,P=0.934)。两组戴镜后一年眼轴长度增长量分别为(0.34±0.21)mm和(0.23±0.15)mm,差异具有统计学意义(t=2.596,P=0.011)。高度角塑组和非高角塑组两组戴镜后1年眼轴长度增长量分别为(0.23±0.15)mm和(0.21±0.14)mm,差异不具有统计学意义(t=0.614,P=0.541)。两组间戴镜后1年后的眼轴长度差异无统计学意义(t=0.065,P=0.948)。父母高度近视青少年和父母非高度近视青少年戴镜后1年眼轴长度增长量分别为(0.28±0.15)mm和(0.21±0.14)mm,差异具有统计学意义(t=2.110,P=0.037)。结论配戴角膜塑形镜能够有效延缓父母为高度近视的中低度近视青少年眼轴的增长速度,其效果与在父母非高度近视的中低度近视青少年中控制效果相似,作为高度近视高危人群的父母高度近视的中低度近视青少年患者可以通过佩戴角膜塑形镜来控制眼轴增长速度,从而延缓近视进展,降低高度近视的发生率。
Objective To observe the changes of axial lengths and evaluate the prevention and control effect of orthokeratology on high-risk groups of high myopia by application of orthokeratology on low and moderate myopia adolescent whose parents with high myopia.Methods A randomized-controlled clinical study.124 cases(124 eyes)of low and moderate myopia adolescents between 8-14 years old were selected.The subjects were divided into high myopia spectacle group,high myopia orthokeratology group and non high myopia orthokeratology group according to whether their parents were highly myopic or not and the correction methods.The changes of axial lengths were observed after wearing lens for one year.Data were analyzed by paired t-test,independent sample t-test and Single factor ANOVAs.Results One year after wearing lens,the axial lengths of the high myopia spectacle group,the high myopia orthokeratology group and the non high myopia orthokeratology group were(24.92±0.73)mm,(24.90±0.74)mm and(24.89±0.68)mm respectively,which were significantly increased compared with the basic axial lengths(24.58±0.79)mm,(24.66±0.73)mm and(24.66±0.66)mm(t=-8.926,-8.707,-8.605,P<0.05).There was no significant difference in the axial length of the high myopia spectacle group and the high myopia orthokeratology group at one year after wearing the lens(t=0.083,P=0.934).But,the axial length in the two groups increased by(0.34±0.21)mm and(0.23±0.15)mm,with a statistically significant difference(t=2.596,P=0.011).The axial length of the high myopia orthokeratology group and the non high myopia orthokeratology group increased by(0.23±0.15)mm and(0.21±0.14)mm respectively one year after wearing glasses,with no significant difference(t=0.614,P=0.541)and with no significant difference between the two groups in the axial length also(t=0.065,P=0.948).One year after wearing the lens,the axial length of adolescents with highly myopic parents and without highly myopic parents increased by(0.28±0.15)mm and(0.21±0.14)mm respectively,with statistical si
作者
门洁
张晓辉
周睿
陈月
张治平
MEN Jie;ZHANG Xiaohui;ZHOU Rui(Heilongjiang Eye Disease Prevention and Treatment Institute(Heilongjiang Eye Hospital),Harbin 150000,China)
出处
《航空航天医学杂志》
2023年第5期513-517,共5页
Journal of Aerospace medicine
基金
黑龙江省省属科研院所科研业务费项目(CZKYF2020C020)。
关键词
父母高度近视
中低度近视青少年
角膜塑形镜
眼轴
parents with high myopia
low and moderate myopia adolescent
orthokeratology
axial length
