佩戴角膜塑形镜与框架眼镜治疗青少年近视的效果比较

Comparison of effects of wearing orthokeratology lens and frame glasses in treatment of juvenile myopia

目的:比较佩戴角膜塑形镜与框架眼镜治疗青少年近视的效果。方法:回顾性分析2021年1月至2023年1月该院收治的200例近视青少年的临床资料,按照治疗方式不同将其分为对照组和观察组各100例。对照组佩戴框架眼镜治疗,观察组佩戴角膜塑形镜治疗,比较两组治疗前后裸眼视力、屈光度、眼轴长度、中央角膜厚度、正相对调节力水平和生命质量[生活质量综合评定问卷(GQOLI-74)]评分。结果:治疗3、6个月后,观察组裸眼视力水平均高于对照组,差异有统计学意义(P<0.05);治疗后,观察组屈光度、中央角膜厚度、眼轴长度水平均低于对照组,差异有统计学意义(P<0.05);治疗后,观察组正相对调节力水平高于对照组,差异有统计学意义(P<0.05);治疗后,观察组GQOLI-74评分高于对照组,差异有统计学意义(P<0.05)。结论:佩戴角膜塑形镜治疗青少年近视可提高裸眼视力、正相对调节力水平和生命质量评分,降低屈光度、眼轴长度、中央角膜厚度水平,效果优于框架眼镜治疗。

Objective:To compare effects of wearing orthokeratology lens and frame glasses in treatment of juvenile myopia.Methods:The clinical data of 200 cases with juvenile myopia admitted to this hospital from January 2021 to January 2023 were retrospectively analyzed.According to different treatment methods,they were divided into control group and observation group,100 cases in each group.The control group was treated with frame glasses,while the observation group was treated with orthokeratology lens.The uncorrected visual acuity,the diopter,the axial length,the central corneal thickness,the positive relative accommodation level,and the quality of life[general quality of life inventory-74(GQOLI-74)]score were compared between the two groups before and after the treatment.Results:After 3 and 6 months of treatment,the uncorrected visual acuity of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After the treatment,the diopter,the central corneal thickness and the axial length of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After the treatment,the positive relative accommodation level of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Further,after the treatment,the GQOLI-74 score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions:Wearing orthokeratology lens in the treatment of juvenile myopia can improve the uncorrected visual acuity,the positive relative accommodation levels and the quality of life scores,and reduce the diopter,the axial length and the central corneal thickness.Moreover,it is superior to frame glasses treatment.