Title低中度近视青少年配戴角膜塑形镜5年的眼轴及角膜内皮变化
Other TitlesThe changes of axial length and corneal endothelial cell of overnight orthokeratology in adolescent with low to moderate myopia
Authors吕燕云
武晶晶
迟蕙
彭丽
王艳霞
谢培英
Affiliation首都医科大学附属北京同仁医院验光配镜中心, 100730
北京大学医学部视光学研究中心, 100083
Keywords角膜塑形术
近视控制
眼轴
角膜内皮细胞
orthokeratology
myopia control
axial length
corneal endothelial cell
Issue Date2018
Publisher眼科
Citation眼科. 2018, 27(2), 141-145.
Abstract目的探讨低中度青少年近视患者夜戴角膜塑形镜5年后眼轴(AL)及角膜内皮细胞密度(CD)、内皮六边形细胞比例(HEX)及内皮变异系数(CV)的变化 。设计回顾性病例系列。研究对象选取配戴角膜塑形镜且连续戴镜5年以上、依从性好的低中度青少年近视患者68例(135眼)。方法依近视等效球镜度数将患 眼分为低度近视组(-0.75~-3.00 D)及中度近视组(-3.25~-5.75 0),观察并比较戴镜前及戴镜1、2、3、4、5年后两组患者AL、CD、HEX及CV等参数的变化。主要指标AL、CD、HEX、CV。结果戴镜前及戴 镜后1~5年,两组AL均随时间增长(F = 16.863,6.780;P=0.000,0.000)。低度近视组1 ~5年AL增长量分别为(0.28 0.15)mm、(0.21 0.16)mm、(0.17 0.15)mm、(0.12 0.08)mm及(0.11 0.06) mm,中度近视组1 ~5年AL增长量分别为(0.25 0.14)mm、(0.16 0.10)mm、(0.15 0.09)mm、(0.10 0.07) mm及(0.08 0.05) mm,两组年AL增长量均随时间降低(F = 28.434,21.296;P =0.000,0.000),且5年后中度近视组AL增长较缓(t=6.577,P = 0.011)。戴镜前及戴镜1~5年后,低度近视组和中度近视组双眼CD(F = 1.239,1.421;P = 0.290,0.216)、HEX(F = 2.156,2.227;P = 0.058,0.051)及CV(F = 2.147,2.038; P=0.059,0.073)变化均无统计学意义,同期双眼间比较均无统计学差异(P均>0.05)。结论5年的随访结果显示角膜塑形镜对中度近视控制效 果优于低度近视。长期夜戴角膜塑形镜对角膜内皮细胞无明显影响。
Objective To evaluate the effects and safety of long-term overnight orthokeratology (ortho-k) in adolescent with low to moderate myopia. Design Retrospective study. Participants 68 myopic juvenile (135 eyes) with ortho-k lens wearing more than 5 years. Methods Subjects were divided into lowmyopia (SE-0.75 ~-3.00 D) and moderate-myopia (SE-3.25 ~-5.75 D) groups. Axial length (AL) was measured at baseline and every year after ortho-k lens wearing. The cell density (CD),hexagonal cell ratio (HEX),and coefficient of variation (CV) of the corneal endothelial cell layer were measured at each year. Data were analyzed using repeated one-way ANOVA and t-test analyses. Main Outcome Measures AL,CD,HEX,CV. Results During the five years of observation periods, the AL of both groups increased (F = 16.863,6.780; P = 0.000,0.000). The annual axial growth after ortho-k lens wearing for 1 to 5 years was (0.28 0.15)mm,(0.21 0.16)mm,(0.17 0.15)mm,(0.12 0.08)mm and (0.11 0.06) mm in low-myopia group; and the data of moderate-myopia group was (0.25 0.14) mm,(0.16 0.10)mm,(0.15 0.09) mm,(0.10 0.07) mm and (0.08 0.05) mm respectively. With time prolonged,the annual axial elongation of both groups decreased (F = 28.434,21. 296; both P<0.001),and the moderate-myopia group represented less axial elongation after 5 years (t = 6.577; P =0.01). After ortho-k lens wearing for 1 to 5 years, the CD (F= 1.239,1.421; P =0.290,0.216),HEX(F=2.156, 2.227; P=0.058, 0.051) and CV(F =2.147, 2.038; P=0.059,0.073) of the corneal endothelial cell layer remained stable,and there was no significant difference of corneal endothelial cell layer changes between two groups (all P > 0.05). Conclusions Five-year follow-up showed that ortho-k lens has a better effect on myopia control in moderate myopia than low myopia. Long term overnight wearing of ortho-k lens has no significant effect on corneal endothelial cells.
URIhttp://hdl.handle.net/20.500.11897/515719
ISSN1004-4469
Indexed中国科学引文数据库(CSCD)
Appears in Collections:医学部待认领

Files in This Work
There are no files associated with this item.

Web of Science®



Checked on Last Week

百度学术™



Checked on Current Time




License: See PKU IR operational policies.