配戴角膜塑形镜青少年的干眼症状调查

Investigation of Dry Eye Symptoms in Adolescents Wearing Orthokeratology Lenses

目的 调查分析不同角膜塑形镜配戴时长对青少年干眼症状的影响,为提升患儿戴镜依从性提供参考。方法 选择2019年7月至2020年12月就诊于上海市眼病防治中心拟配戴角膜塑形镜治疗近视的60例青少年患儿作为调查对象。于角膜塑形镜配戴前,戴镜后1个月、3个月及12个月,评价患儿眼表疾病指数(OSDI)及泪膜破裂时间(BUT),以判断其干眼症状及严重程度。结果配戴角膜塑形镜后1个月、3个月和1年时,患儿的OSDI评分均高于戴镜前(P<0.05);而不同时间点的BUT较戴镜前无明显变化(P>0.05)。结论 配戴角膜塑形镜可使青少年患者在一定程度上出现主观干眼症状,临床护理工作中应给予重视及针对性指导。

ObjectiveTo investigate and analyze the effect of different time of orthokeratology lens wearing on dry eye symptoms in adolescents, providing a reference for improving compliance of adolescents to wear the orthokeratology lenses.MethodsA total of 60 adolescents who were scheduled to wear orthokeratology lenses to correct myopia in Shanghai Eye Hospital from July 2019 to December 2020 were selected. They were evaluated for ocular surface disease index(OSDI) and tear break-up time(BUT) before wearing orthokeratology lenses and 1 month, 3 months and 12 months after wearing to determine their dry eye symptoms and severity.ResultsThe OSDI score of the adolescents 1 month, 3 months and 1 year after wearing was higher than that before wearing(P<0.05), while the BUT at different time points did not change significantly compared with that before wearing(P>0.05).ConclusionWearing orthokeratology lenses can cause subjective dry eye symptoms in adolescents to a certain extent. Attention should be paid to and targeted guidance should be given in clinical nursing.