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角膜塑形镜对青少年眼表和泪膜的影响分析

Effect of Orthokeratology on Ocular Surface and Tear Film in Adolescents
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摘要 目的:探讨佩戴角膜塑形镜对青少年眼表、泪膜的影响。方法:选取2017年5月~2019年5月本院收治的青少年近视患者90例作为研究对象,其中45例患者佩戴普通框架眼镜,作为对照组,另45例患者佩戴角膜塑形镜,作为观察组。在患者佩戴前、佩戴3个月、佩戴6个月、佩戴12个月后进行眼科检查,其项目包括眼表疾病指数(OSDI)、眼表染色评分(Oxford法)。结果:两组患者佩戴6个月、佩戴12个月时检查结果显示眼表染色评分对比差异显著(P<0.05)。佩戴1个月、佩戴3个月、佩戴6个月、佩戴12个月观察组OSDI评分高于对照组(P<0.05)。结论:青少年佩戴角膜塑形镜对OSDI及眼表染色评分有一定负面影响,建议需要佩戴角膜塑形镜的患者应加强眼表及泪膜的检测保持良好的用眼习惯。 Objective:To investigate the effect of orthokeratology on ocular surface and tear film of adolescents.Methods:From May 2017 to May 2019,90 cases of juvenile myopic patients were selected as the research object.45 cases of them wore ordinary frame glasses as the control group,and the other 45 cases wore orthokeratology lenses as the observation group.Ophthalmic examination was performed before,3 months,6 months and 12 months after wearing.The items included OSDI and Oxford method.Results:There were significant differences in the scores of ocular surface staining between the two groups after wearing for 6 months and 12 months(P<0.05).The OSDI score of the observation group was higher than that of the control group after wearing for 1 month,3 months,6 months and 12 months(P<0.05).Conclusion:Adolescent wearing orthokeratology lens has a negative effect on OSDI and ocular surface staining score.It is suggested that patients who need to wear orthokeratology lens should strengthen the detection of ocular surface and tear film,and maintain good eye habits.
作者 欧建辉 OU Jian-hui(Department of Ophthalmology of Putian Hanjiang Hospital,Fujian Putian 351111)
出处 《中国医疗器械信息》 2021年第13期123-124,共2页 China Medical Device Information
关键词 角膜塑形镜 青少年 眼表评分 泪膜 近视 orthokeratology adolescents ocular surface score tear film myopia
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