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[1]何春芳,張春南.不同角膜曲率近視青少年配戴角膜塑形鏡療效對比[J].福建醫(yī)藥雜志,2022,44(06):34-37.
　HE Chunfang,ZHANG Chunnan.Comparison of therapeutic effects of wearing corneal shaping lens with different corneal curvature[J].FUJIAN MEDICAL JOURNAL,2022,44(06):34-37.
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不同角膜曲率近視青少年配戴角膜塑形鏡療效對比()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
44
期數(shù):
2022年06期
頁碼:
34-37
欄目:
臨床研究
出版日期:
2022-12-15

文章信息/Info

Title:
Comparison of therapeutic effects of wearing corneal shaping lens with different corneal curvature
文章編號:
1002-2600（2022）06-0034-04
作者:
何春芳; 張春南
福建省福州東南眼科醫(yī)院金山新院（福州 350028）
Author(s):
HE Chunfang;  ZHANG Chunnan
Jinshan New Hospital of Fuzhou Southeast Ophthalmic Hospital，F(xiàn)uzhou,Fujian 350001，F(xiàn)ujian
關(guān)鍵詞:
近視; 不同角膜曲率; 角膜塑形鏡; 屈光度; 眼軸; 療效對比
Keywords:
myopia;  different corneal curvature;  corneal shaping lens;  diopter;  eye axis;  efficacy comparison
分類號:
R778.11
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 對比不同角膜曲率患者配戴角膜塑形鏡控制近視，延緩眼軸增長的療效。方法 采用回顧性病例分組對比研究方法，選取2017年1月到2020年12月于我院配戴角膜塑形鏡2年的102例（204眼）青少年近視患者。按平坦角膜曲率分為平角膜曲率組和陡角膜曲率組兩組，分別對戴鏡前和戴鏡2年后停戴1個(gè)月的等效球鏡度、眼軸、角膜中央厚度、角膜內(nèi)皮細(xì)胞計(jì)數(shù)進(jìn)行測定。結(jié)果 配戴治療2年后比較，平角膜曲率組較陡角膜曲率組的等效球鏡度和眼軸均明顯增加（P<0.05）。兩組的角膜中央厚度和角膜內(nèi)皮細(xì)胞計(jì)數(shù)分別比較，差異均無統(tǒng)計(jì)學(xué)意義（P>0.05)。結(jié)論 陡角膜曲率患者配戴角膜塑形鏡控制近視和眼軸增長的療效優(yōu)于平角膜曲率患者，而角膜中央厚度和角膜內(nèi)皮細(xì)胞計(jì)數(shù)變化無明顯差異。及時(shí)配戴角膜塑形鏡可有效控制近視和眼軸增長，避免高度近視引起眼底并發(fā)癥。
Abstract:
Objective To compare the therapeutic effects of adolescents who suffered from different corneal curvatures by wearing a corneal shaping lens to control myopia and delay the growth of the ocular axis. Methods A retrospective case grouping comparative study was conducted. A total of 204 eyes of 102 adolescents with myopia admitted by our hospital were selected. These 102 adolescent patients had continuously worn corneal shaping lenses for two years from January 2017 to December 2020. The flat corneal curvature was categorized into two groups: the flat corneal membrane curvature group and the steep corneal curvature group. The equivalent sphericity, ocular axis, central corneal thickness, and corneal endothelial cell count were measured before wearing glasses. And the same tests were performed following by stopping wearing glasses for one month after two years of treatment. Results After two years of treatment, the equivalent sphericity and ocular axis in the flat angle membrane curvature group were significantly higher than those in the steep corneal curvature group (P<0. 05). Comparison of mean central corneal thickness and mean corneal endothelial cell count between the two groups was not statistically significant(P>0. 05). Conclusion The effectiveness of wearing a corneal shaping lens to control the progress of myopia and axial growth in the steep corneal curvature group was better compared with the flat angular membrane curvature group. However, there were no significant changes in central corneal thickness and corneal endothelial cell count. Wearing corneal shaping lenses in time can effectively control the progress of myopia and axial growth to avoid retinal complications caused by high myopia.

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更新日期/Last Update: 2022-12-15