角膜塑形镜对不同屈光度青少年儿童近视的控制效果及安全性分析.docx

角膜塑形镜对不同屈光度青少年儿童近视的控制效果及安全性分析

周如侠王洁

[中图分类号]?R778??????[文献标识码]?A??????[DOI]?10.3969/j.issn.1673-9701.2024.01.011

Analysis?of?the?effect?and?safety?of?orthokeratology?lens?on?myopia?control?in?adolescents?and?children?with?different?diopters

ZHOU?Ruxia，?WANG?Jie

Department?of?Ophthalmology，?the?Affiliated?Jiangning?Hospital?of?Nanjing?Medical?University，?Nanjing?211100，?Jiangsu，?China

[Abstract]?Objective?To?investigate?the?effect?and?safety?of?orthokeratology?lens?on?myopia?control?in?adolescents?and?children?with?different?diopters.?Methods?Ninety-three?patients?（171?eyes）?with?myopia?who?received?orthokeratology?lens?treatment?in?the?Affiliated?Jiangning?Hospital?of?Nanjing?Medical?University?from?February?to?August?2021?were?selected?for?the?study.?They?were?divided?into?a?low?degree?group?（88?eyes，?–0.5D?to?–3.0D）?and?medium?degree?group?（83?eyes，?–3.0D?to?–6.0D）?according?to?the?equivalent?spherical?lens?degree.?The?naked?eye?distant?vision，?diopter，?optic?axis，?breakup?time?of?tear?film?（BUT），?corneal?endothelial?cell?count?and?complications?were?compared?between?two?groups.?Results?After?1?year?of?lens?wear，?growth?of?optic?axis?in?low?degree?group?was?significantly?greater?than?that?in?medium?degree?group?（Z=–2.035，?P=0.042）.?After?1?year?of?lens?wear，?naked?eye?distant?vision?of?both?groups?was?significantly?higher?than?that?before?lens?wear?（P0.05），?and?increase?of?visual?acuity?in?medium?degree?group?was?significantly?greater?than?that?in?low?degree?group?（P0.05）.?The?equivalent?spherical?degree?of?two?groups?was?significantly?lower?than?that?before?lens?wear?（P0.05），?and?reduction?of?equivalent?spherical?lens?degree?in?medium?degree?group?was?significantly?greater?than?that?in?low?degree?group?（P0.05）.?After?1?year?of?lens?wear，?BUT?in?both?groups?was?significantly?shorter?than?that?before?lens?wear，?and?corneal?endothelial?cell?count?was?lower?than?that?before?lens?wear?（P0.05），?but?there?were?no?significant?differences?in?BUT?and?corneal?endothelial?ce