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[摘要]
目的:评价角膜塑形镜矫正青少年轻中度近视的临床效果及安全性。
方法:选取2016-01/2018-01在我院配戴角膜塑形镜的青少年轻中度近视患者63例126眼,分别于戴镜前、戴镜后1wk,1、6mo,1a时观察裸眼视力、角膜曲率、中央角膜厚度、屈光度、黄斑区视网膜厚度、眼轴长度、眼压、泪膜破裂时间、角膜染色情况及并发症发生情况。
结果:戴镜前后本组患者的裸眼视力、屈光度、角膜曲率、泪膜破裂时间有明显差异(P<0.001),而眼轴长度、中央角膜厚度、黄斑区视网膜厚度、眼压无差异(P>0.05)。
结论:对于正处在生长发育阶段的青少年近视患者,角膜塑形镜是一种安全、有效的非手术矫正近视的方法。
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[Abstract]
AIM: To evaluate the clinical effect and safety of orthokeratology for minor to moderate myopia in adolescents.
METHODS:Sixty-three adolescent patients with mild to moderate myopia were selected in our hospital from January 2016 to January 2018. Visual acuity, corneal curvature, central corneal thickness, diopter, macular retinal thickness, axial length, intraocular pressure, tear film rupture time, corneal staining and complications were observed before and after wearing glasses for 1wk, 1, 6mo and 1a respectively.
RESULTS: There were significant differences in naked vision, diopter, corneal curvature and tear film rupture time before and after wearing glasses in this group(P<0.001). And there were no differences in axial length, central corneal thickness, macular retinal thickness and intraocular pressure(P>0.05).
CONCLUSION: Corneal plastic lens is a safe and effective non-surgical method for myopia correction in adolescents at the stage of growth and development.
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