离焦框架镜片防控青少年近视的临床效果.docx

离焦框架镜片防控青少年近视的临床效果

邓涛刘芳

[中图分类号]?R778.1??????[文献标识码]?A??????[DOI]?10.3969/j.issn.1673-9701.2024.08.010

Clinical?effect?of?defocusing?frame?lens?on?myopia?control?in?adolescents

DENG?Tao，?LIU?Fang

Ophthalmology?Department，?the?First?Affiliated?Hospital?of?Dali?University，?Dali?671000，?Yunnan，?China

[Abstract]?Objective?To?investigate?the?clinical?effect?of?highly?aspherical?lenslets?（HAL）?in?myopia?control?in?adolescents.?Methods?Totally?101?cases?（202?eyes）?of?adolescent?myopia?patients?treated?in?ophthalmology?outpatient?department?of?our?hospital?from?January?2021?to?February?2022?were?selected?as?the?study?objects.?Of?these，?43?cases?（86?eyes）?wore?HAL?lenses?as?an?observation?group?and?58?cases?（116?eyes）?wore?single-vision?spectacle?lenses?（SVL）?as?a?control?group.?After?12?months?of?follow-up，?the?equivalent?spherical?lens?degree?and?axial?length?were?recorded?in?6?months?and?12?months?respectively.?Results?The?change?of?equivalent?spherical?lens?in?the?HAL?group?was?（–0.18±0.22）?D?and?that?in?the?SVL?group?was?（–0.47±0.21）?D，?and?the?change?in?the?HAL?group?was?less?than?that?in?the?SVL?group，?the?difference?was?significant?（P0.001）.?The?equivalent?spherical?lens?degree?in?the?HAL?group?was?（–0.33±0.32）?D?and?the?HAL?group?was?（–0.82±0.20）?D?at?the?12th?month，?and?the?change?in?the?HAL?group?was?less?than?that?in?the?SVL?group，?the?difference?was?significant?（P0.001）.?The?axial?length?of?the?eye?in?the?HAL?group?was?（0.09±0.09）?mm?and?the?SVL?group?was?（0.20±0.07）?mm?in?June，?and?the?change?in?the?HAL?group?was?less?than?that?in?the?SVL?group，?and?the?difference?was?significant?（P0.001）.?The?axial?length?of?the?eye?in?the?HAL?group?was?（0.14±0.13）?mm?and?that?in?the?SVL?group?was?（0.37±0.08）?mm，?and?the?change?in?the?HAL?group?was?less?than?that?in?the?SVL?group，?and?the?difference?was?significant?（P0.001）.?Conclusion?Wearing?HAL?lens?for?12?months?can?effectively?slow?down?the?growth?of?myopia?degree?and?axial?length?in?adolescent?myopia?patients.

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