单眼低度近视患儿佩戴角膜塑形镜及框架眼镜对屈光度的影响

李雪娇; 尹洁; 朱勤; 鲁发宾; 苏贤波; 胡敏

doi:10.16835/j.cnki.1000-9817.2021.01.026

单眼低度近视患儿佩戴角膜塑形镜及框架眼镜对屈光度的影响

doi: 10.16835/j.cnki.1000-9817.2021.01.026

云南大学附属医院儿童眼科，云南昆明 650021

基金项目:

国家自然科学基金项目 81560168

详细信息

作者简介:
李雪娇(1983-)，女，云南玉溪人，硕士，主治医师，主要研究方向为斜弱视、眼屈光

通讯作者:
胡敏，E-mail：fudanhumin123@sina.com

中图分类号: R 778.11 R 179
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- 被引次数: 0
出版历程
- 收稿日期: 2020-06-29
- 修回日期: 2020-09-10
- 网络出版日期: 2021-04-01
- 刊出日期: 2021-01-25

Effects of orthokeratology lenses and frame glasses on anisometropia in primary and middle school students with low myopia in one eye

Pediatric Ophthalmology, Affiliated Hospital of Yunnan University, Kunming(650021), China

摘要

摘要: 目的探讨单眼低度近视患儿佩戴角膜塑形镜及框架眼镜对近视发展的影响，为科学矫正和规范治疗近视提供科学参考。方法选取云南省第二人民医院2017年1月至2018年1月期间收治的中小学近视单眼患者120例，近视侧眼屈光度为(-1.00~-2.50)D，对侧眼屈光度为(-0.50~0.50)D。依据随机数字分组法分为试验组(单眼配戴角膜塑形镜)和对照组(配戴框架眼镜)，每组60例。采取前瞻性研究方法，于戴镜前、戴镜后6个月、戴镜后12个月及停戴1个月后测量患者的眼轴长度(AL)且戴镜前与停戴后1个月还需测量患者的等效球镜度(SE)，并进行统计学分析。结果两组患者的基线AL及SE差异均无统计学意义(P值均>0.05)；配戴12个月后，试验组戴镜眼AL[(24.91±0.11)mm]较对照组[(25.02±0.09)mm]短，对侧眼AL[(24.58±0.24)mm]较对照组[(24.20±0.13)mm]长。停戴塑形镜1月后，试验组戴镜眼SE[(-2.22±0.78)D]较对照组[(-2.64±0.21)D]高，对侧眼SE[(-0.96±0.84)D]较对照组[(-0.37±0.54)D]低，差异均有统计学意义(t值分别为4.02，-4.58，P值均 < 0.05)。结论与佩戴框架镜相比，配戴角膜塑形镜可有效抑制单眼近视患儿患眼AL延长、控制患眼近视进展，促进对侧健眼眼轴延长及屈光度增加，降低屈光参差值，在一定程度上解决双眼视轴发育不平衡的问题，促进双眼协调发展。
- 近视 /
- 屈光, 眼 /
- 眼镜 /
- 前瞻性研究 /
- 儿童
Abstract: Objective To investigate the effects of orthokeratology lenses and frame glasses on anisometropia in children with low myopia in one eye. Methods Between January 2017 and January 2018, 120 children of primary and secondary school age with myopic anisometropia low myopia in one eye presenting to the Second People's Hospital of Yunnan Province were selected as research objects, with average refractive error of(-1.00, -2.50)D in one eye and(-0.50, 0.50)D in another eye. Participants were divided into an experimental group and a control group (60 cases per group), according to a random number grouping method. The control group were given frame glasses, while the experimental group were given orthokeratology lenses. A prospective study was conducted to compare and analyze the lengths of the posterior eye axis (AL) and spherical equivalent (SE), measured at different time intervals between the two groups. Results There were some initial differences in AL and SE between the two groups before the experiment began; however, this difference was not statistically significant (P>0.05). After 12 months, participants myopic eyes given the orthokeratology lenses had shorter AL[(24.91±0.11)mm] compared to the control group[(25.02±0.09)mm], participants health eyes had longer AL[(24.58±0.24)mm] compared to the control group[(24.20±0.13)mm]. One month after the subjects stopped wearing plastic mirrors, participants myopic eyes had higher SE[(-2.22±0.78)D] compared to the control group[(-2.64±0.21)D], and had lower that in the control group[(-0.96±0.84)(-0.37±0.54)D](t=4.02, -4.58, P < 0.05). Conclusion In children with low myopia in one eye, compared with wearers of frame glasses, wearing corneal shape lenses can effectively restrain AL-extend and control the progression of eye myopia. At the same time, wearing corneal shape lenses can promote contralateral healthy-eye axial extension and an increase in diopter, reduce the anisometropia value, solve the problems of a binocular visual axis development imbalance, and promote coordinated eye development.
- Myopia /
- Refraction, ocular /
- Eyeglasses /
- Prospective studies /
- Child

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表 1 不同组别近视儿童各配戴时间眼轴长度与等效球镜度比较(x±s)

Table 1. Comparison of axial length and spherical equivalent in different groups of myopic children(x±s)

眼位	组别	人数	统计值	眼轴长度/mm				等效球镜度/D
眼位	组别	人数	统计值	配戴前	配戴6个月后	佩戴12个月后	停戴1个月后	配戴前	停戴1个月后
患眼	试验组	60		24.66±0.05	24.77±0.07	24.91±0.11	24.91±0.20	-1.81±0.45	-2.22±0.78
	对照组	60		24.65±0.04	24.88±0.02	25.02±0.09	25.02±0.12	-1.72±0.52	-2.64±0.21
			t值	1.21	-11.70	-6.00	-3.65	-1.01	4.02
			P值	0.23	<0.01	<0.01	<0.01	0.31	<0.01
对侧眼	试验组	60		23.98±0.12	24.22±0.08	24.58±0.24	24.62±0.39	0.00±0.39	-0.96±0.84
	对照组	60		23.96±0.31	24.12±0.20	24.20±0.13	24.26±0.26	0.00±0.28	-0.37±0.54
			t值	0.46	3.60	10.78	5.95	0.00	-4.58
			P值	0.64	<0.01	<0.01	<0.01	0.99	<0.01

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参考文献(12)

[1]	CHEN M, WU A M, ZHANG L N, et al. The increasing prevalence of myopia and high myopia among high school students in Fenghua city, eastern China: a 15-year population-based survey[J]. BMC Ophthalmol, 2018, 18: 159. DOI: 10.1186/s12886-018-0829-8.
[2]	HOLDEN B A, FRICKE T R, WILSON D A, et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050[J]. Ophthalmology, 2016, 123(5): 1036-1042. DOI: 10.1016/j.ophtha.2016.01.006.
[3]	LV L, ZHANG Z. Pattern of myopia progression in Chinese medical students: a two-year follow-up study[J]. Graefes Arch Clin Exp Ophthalmol, 2013, 251(1): 163-168. DOI: 10.1007/s00417-012-2074-9.
[4]	SUN J, ZHOU J, ZHAO P, et al. High prevalence of myopia and high myopia in 5 060 Chinese university students in Shanghai[J]. Invest Ophthalmol Vis Sci, 2012, 53(12): 7504-7509. DOI: 10.1167/iovs.11-8343.
[5]	BRIEN A H, TIMOTHY R F, DAVID A W, et al. Global prevalence of myopia and hight myopia and temporal trends from 2000 through 2050[J]. Ophthalnology, 2016, 123(5). DOI: 10.1016/j.ophtha.2016.01.006.
[6]	CHO B J, SHIN J Y, YU H G. Complcations of pathologic myopia[J]. Eye Contact Lens, 2016, 42(1): 9-15. doi: 10.1097/ICL.0000000000000223
[7]	BARRETT B T, BRADLEY A, CANDY T R. The relationship between anisometropia and amblyopia[J]. Prog Retin Eye Res, 2013, 36: 120-158. DOI: 10.1016/j.preteyeres.2013.05.001.
[8]	YURDAKUL N S, UGURLU S. Analysis offisk factors for consecutiveexotropia and review of the literature[J]. J Pediatr Ophthalmol Strabismus, 2013, 50(5): 268-273. doi: 10.3928/01913913-20130430-01
[9]	LI S M, LIU L R, LI S Y, et al. Design, methodology and baseline data of a school-based cohort study in central China: the Anyang childhood eye study[J]. Ophthalm Epidemiol, 2013, 20(6): 348-359. DOI: 10.3109/09286586.2013.842596.
[10]	LIPSON M, BROOKS M M, KOFFLER B H. The role of orthokeratology in myopia control: a review[J]. Eye Contact Lens, 2018, 44(4): 224-230. doi: 10.1097/ICL.0000000000000520
[11]	金婉卿, 卢为为, 连燕, 等. 屈光参差儿童单眼配戴角膜塑形镜的临床效果[J]. 中华眼视光学与视觉科学杂志, 2018, 20(3): 139-144. JIN W Q, LU W W, LIAN Y, et al. Clinical observation on the effect of monocular orthokeratology in anisometropic children[J]. Chin J Optom Ophthalmol Visual Sci, 2018, 20(3): 139-144.
[12]	杨琳娟, 张小玲, 李文静, 等. 青少年近视配戴角膜塑形镜前后眼轴长度的变化[J]. 国际眼科杂志, 2019, 19(5): 830-833. YANG L J, ZHANG X L, LI W J, et al. Effect of orthokeratology on myopia control in adolescents[J]. Int Eye Sci, 2019, 19(5): 830-833.