硬性透气性角膜接触镜矫治成人弱视有效性及安全性观察

Clinical study of using rigid gas permeable contact lens on adult amblyopia

目的 观察硬性透气性角膜接触镜（RGP）应用于成人弱视眼的安全性及有效性.方法 选取在四川省人民医院眼科于2013年8月至2014年8月就诊的16～24岁弱视者16例共23只眼,予以验配框架眼镜并进行弱视治疗2个月后,再分别对弱视眼进行RGP的验配,每日配戴RGP 10～12 h,于配戴后1d、1周、1、2、3个月复查镜片配适、裂隙灯、矫正视力,并与配戴框架眼镜时的矫正视力进行比较.结果 对比配戴框架眼镜,23只眼在配戴RGP后的矫正视力明显提高,差异具有统计学意义（t =6.103,P=0.00）,并且未发现严重眼部并发症.结论 配戴RGP能提高成人弱视眼的矫正视力,安全有效,值得推广。

Objective To study the effect of rigid gas permeable contact lens （RGP） on eyes with adult amblyopia.Methods Collected 23 eyes with adult amblyopia.Performed optometry and recorded the corrected visual acuity.Then performed RGP fitting on each eye, recording the corrected visual acuity as well.After that we let all the eyes wore RGP and observed them regularly for 3 months.Results The corrected visual acuity had been statistically significant improved when wearing RGP （t =6.103, P =0.00）.There was no serious ocular complications.Conclusions Wearing RGP could obviously improve the corrected visual acuity eyes with adult amblyopia.