角膜塑形术治疗近视的研究进展

Advances in Study on OrthoKeratology in the Treatment of Myopia

目的探讨角膜塑形术治疗近视的规律。方法近视患者486例962眼,近视度数-1.25^-13.00D,散光度数0~2.00D,行角膜塑形治疗,在治疗前及治疗后第一日,第一、二周,第一、二、三月做常规检查,根据情况调整治疗方案。结果可以观察到理想治疗效果468眼(48.65%),偏位482眼(50.1%),中心岛12眼(l.25%),对于矫正效果不佳者,根据角膜地形图的提示重新制做角膜塑形镜片,取得良好效果。结论角膜塑形术是治疗近视的有效方法之一,但需要有良好的检测设备和熟练的专业技巧。角膜地形图仪在角膜塑形治疗过程中发挥着重要作用,是定制镜片和随访时不可缺少的重要工具。

Objective To discuss the rule of OrthoKeratology in the treatment of myopia.Methods 962 eyes of 486 myopic patients were treated by OrthoKeratology（myopia-1.25--13.00D,astigmatism 0-2.00D）,then were needed some routine examination before treatment and at 1 day,1,2 weeks,1,2,3 months after treatment,with adjustment of the treatment plan according to the situation.Results 468 eyes got optimal outcomes（48.65%）,decentration in 482 eyes（50.1%）,central corneal islands in 12 eyes（1.25%）,and remake OrthoKeratology lenses for patients with bad correction following the prompts of corneal topography.Conclusion OrthoKeratology is one of the effective methods in the treatment of myopia,but good checkout equipment and adept professional skills are needed.Corneal topography plays an important role in the treatment,and is an indispensable tool in customizing lenses and during follow-up.