应用角膜塑形镜矫治青少年近视散光的价值评析

Evaluation of the Value of Orthokeratology in Correction of Myopic Astigmatism in Adolescents

目的观察应用角膜塑形镜矫治青少年近视散光的价值。方法选定在本院接受治疗的青少年近视散光患者78 例(140 眼),分组原则以治疗方式差异性为主,分对照组(39 例,70 眼,框架眼镜矫治)、试验组(39 例,70 眼,角膜塑形镜矫治),比较裸眼视力、屈光度、角膜内皮细胞密度和并发症发生率。结果治疗6 个月后两组上述指标改善,且试验组裸眼视力高于对照组,屈光度低于对照组(P < 0.05),符合统计学差异评估标准;试验组不良反应发生率(2.86%)显著较对照组(11.43%)低(P < 0.05)。结论角膜塑形镜矫治效果理想,利于患者视力恢复,且安全可靠,值得借鉴。

Objective To observe the value of Orthopaedic keratoscopy in the treatment of myopic astigmatism in adolescents. Methods 78 juvenile myopic astigmatism patients (140 eyes) were selected and divided into control group (39 cases, 70 eyes, frame glasses correction) and experimental group (39 cases, 70 eyes, orthokeratology correction). The visual acuity, diopter, corneal endothelial cell density and the incidence of complications were compared. Results After 6 months of treatment, the above indexes were improved in both groups, and the naked visual acuity of the experimental group was higher than that of the control group, and the diopter was lower than that of the control group (P < 0.05), which accorded with the evaluation standard of statistical difference. The incidence of adverse reactions in the experimental group (The control group (11.43%) was lower (P < 0.05), which accorded with the evaluation criteria of statistical difference. Conclusion Corneal plastic lenses are effective, safe and reliable, and can be used for reference.