Volume 20 Issue 11
Nov.  2022
Turn off MathJax
Article Contents
WANG Ying, WU Xiao-lan, ZHOU Lei, JIN Xia, XIN Dan-li, ZHANG Xiao-jin. Effect of reducing paracentric defocusing soft lens on myopia in children and its effect on diopter and axial length[J]. Chinese Journal of General Practice, 2022, 20(11): 1863-1865. doi: 10.16766/j.cnki.issn.1674-4152.002721
Citation: WANG Ying, WU Xiao-lan, ZHOU Lei, JIN Xia, XIN Dan-li, ZHANG Xiao-jin. Effect of reducing paracentric defocusing soft lens on myopia in children and its effect on diopter and axial length[J]. Chinese Journal of General Practice, 2022, 20(11): 1863-1865. doi: 10.16766/j.cnki.issn.1674-4152.002721

Effect of reducing paracentric defocusing soft lens on myopia in children and its effect on diopter and axial length

doi: 10.16766/j.cnki.issn.1674-4152.002721
Funds:

 2019KY631

  • Received Date: 2022-07-07
    Available Online: 2022-12-30
  •   Objective  To explore the clinical effect of reducing paracentral defocusing soft lens on myopia in children, and analyze its influence on diopter and axial length in children.  Methods  A total of 100 children with myopia who were admitted to Optometry Clinic of Ningbo Eye Hospital from January 2020 to June 2021 were divided into control group and observation group by random humber table. There were 50 cases in the control group treated with ordinary frame glasses, and 50 cases in the observation group were treated with reduced paracentric defocusing soft lens. The diopter, axial length, naked eye vision, visual quality, clinical efficacy and adverse reactions were observed.  Results  After treatment, the diopter of the observation group [(-2.23±0.51) D] was lower than that of the control group [(-3.06±0.62) D, P < 0.05]; the axial length in the observation group [(24.14±0.38) mm] was shorter than that in the control group [(26.01±0.55) mm, P < 0.05]; the naked eye visual acuity of the observation group (1.03±0.18) was higher than that of the control group (0.82±0.13, P < 0.05); the objective scattering index of the observation group (0.67±0.11) was lower than that of the control group (0.81±0.14, P < 0.05); and the modulation transfer function and Strehl ratio of the observation group (37.81±5.20, 0.49±0.05) were higher than those of the control group (32.97±4.88, 0.42±0.07, all P < 0.05). The total effective rate of the observation group was 92.0% (46/50), which was higher than that of the control group [74.0% (37/50), P < 0.05]. The incidence of adverse reactions in the observation group was 6.0% (3/50), which was close to 10.0% (5/50) in the control group (P>0.05).  Conclusion  Reducing paracentric defocusing soft lens is effective in the treatment of myopia in children. It can improve the diopter, axial length, naked eye vision and visual quality of children with fewer adverse reactions, and it is worthy of application.

     

  • loading
  • [1]
    陈军, 何鲜桂, 王菁菁, 等. 2021至2030年我国6~18岁学生近视眼患病率预测分析[J]. 中华眼科杂志, 2021, 57(4): 261-267. doi: 10.3760/cma.j.cn112142-20201228-000851

    CHEN J, HE X G, WANG J J, et al. Forcasting the prevalence of myopia among students aged 6-18 years in China from 2021 to 2030[J]. Chinese Journal of Ophthalmology, 2021, 57(4): 261-267. doi: 10.3760/cma.j.cn112142-20201228-000851
    [2]
    吴泽勇, 陈哲, 杨亚新, 等. 新疆阿克苏地区6~11岁儿童近视状况及影响因素分析[J]. 中华全科医学, 2020, 18(8): 1320-1323. doi: 10.16766/j.cnki.issn.1674-4152.001497

    WU Z Y, CHEN Z, YANG Y X, et al. Analysis of myopia and influencing factors in children aged 6-11 in Aksu area of Xinjiang[J]. Chinese Journal of General Practice, 2020, 18(8): 1320-1323. doi: 10.16766/j.cnki.issn.1674-4152.001497
    [3]
    索丽娟, 王大龙, 何菲, 等. 低浓度阿托品滴眼液联合角膜塑形镜夜间佩戴治疗屈光度-0.50~-2.00D近视青少年的临床效果[J]. 临床医学研究与实践, 2020, 5(26): 109-111. https://www.cnki.com.cn/Article/CJFDTOTAL-YLYS202026043.htm

    SUO L J, WANG D L, HE F, et al. Clinical effect of low concentration atropine eye drops combined with orthokeratology lens wearing at night on myopia adolescents with diopter of-0.50 to -2.00 D[J]. Clinical Research and Practice, 2020, 5(26): 109-111. https://www.cnki.com.cn/Article/CJFDTOTAL-YLYS202026043.htm
    [4]
    王静怡, 谷天瀑, 李双成, 等. 0.01%阿托品联合角膜塑形镜对于延缓青少年近视进展的Meta分析[J]. 中华眼视光学与视觉科学杂志, 2022, 24(1): 58-63.

    WANG J Y, GU T B, LI S C, et al. The efficacy of using 0.01% atropine combined with orthokeratology in slowing the progression of myopia in adolescents: A meta-analysis[J]. Chinese Journal Of Optometry Ophthalmology And Visual Science, 2022, 24(1): 58-63.
    [5]
    丁香英, 鲁元媛, 赵芳坤, 等. 青少年低中度近视患者配戴角膜塑形镜前后黄斑部脉络膜厚度的变化[J]. 中国医科大学学报, 2019, 48(9): 822-827. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYK201909012.htm

    DING X Y, LU Y Y, ZHAO F K, et al. Changes in macular choroidal thickness before and after orthokeratology in adolescents with low and moderate myopia[J]. Journal of China Medical University, 2019, 48(9): 822-827. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYK201909012.htm
    [6]
    张莹, 荆丽丽, 杜显丽. 近视儿童配戴周边离焦软镜后眼客观视觉质量变化[J]. 中国斜视与小儿眼科杂志, 2021, 29(1): 8-12. doi: 10.3969/J.ISSN.1005-328X.2021.01.003

    ZHANG Y, JING L L, DU X L. Objective visual quality changes of myopic children after wearing peripheral defocus soft lens[J]. Chinese Journal of Strabismus & Pediatric Ophthalmology, 2021, 29(1): 8-12. doi: 10.3969/J.ISSN.1005-328X.2021.01.003
    [7]
    郑树锋, 李国杰, 杨亚妮, 等. 角膜塑形镜矫治对近视儿童角膜形态及视觉质量的影响[J]. 西部医学, 2019, 31(5): 766-769. doi: 10.3969/j.issn.1672-3511.2019.05.025

    ZHENG S F, LI G J, YANG Y N, et al. Impact of orthokeratology lens corrective therapy on corneal surface shape and visual quality of children with myopia[J]. Medical Journal of West China, 2019, 31(5): 766-769. doi: 10.3969/j.issn.1672-3511.2019.05.025
    [8]
    朱爱斌, 吕银月, 姜宇栋. 观察角膜塑形镜与框架眼镜在改善青少年近视眼屈光度及其降低AC/A值的比对作用[J]. 吉林医学, 2021, 42(2): 424-425. https://www.cnki.com.cn/Article/CJFDTOTAL-JLYX202102066.htm

    ZHU A B, LYU Y Y, JIANG Y D. To observe the comparative effect of corneal plastic lens and frame glasses in improving the diopter and reducing ac/a value of juvenile myopia[J]. Jilin Medical Journal, 2021, 42(2): 424-425. https://www.cnki.com.cn/Article/CJFDTOTAL-JLYX202102066.htm
    [9]
    郭寅, 田飞飞, 吴敏, 等. 周边离焦设计框架眼镜对学龄儿童近视进展的影响: 四年回顾分析[J]. 中华眼视光学与视觉科学杂志, 2021, 23(4): 267-271. https://www.cnki.com.cn/Article/CJFDTOTAL-DFBT503.015.htm

    GUO Y, TIAN F F, WU M, et al. Myopia progression in children wearing peripheral defocus modifying lenses: Four years of retrospective analysis[J]. Chinese Journal Of Optometry Ophthalmology And Visual Science, 2021, 23(4): 267-271. https://www.cnki.com.cn/Article/CJFDTOTAL-DFBT503.015.htm
    [10]
    潘青, 刘庆淮. 角膜塑形镜和减少旁中心离焦眼镜矫治儿童近视早期效果观察[J]. 现代仪器与医疗, 2018, 24(5): 96-98. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYI201805039.htm

    PAN Q, LIU Q H. Observation on the early effect of orthokeratology and paracentric defocus reduction glasses in the correction of myopia in children[J]. Modern Instruments & Medical Treatment, 2018, 24(5): 96-98. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYI201805039.htm
    [11]
    卢江华. 针灸治疗青少年近视疗效及对屈光度、眼轴长度的影响[J]. 黑龙江中医药, 2021, 50(4): 170-171. https://www.cnki.com.cn/Article/CJFDTOTAL-HLZY202104129.htm

    LU J H. Effect of acupuncture and moxibustion on juvenile myopia and its effect on diopter and axial length[J]. Heilongjiang Journal of Traditional Chinese Medicine, 2021, 50(4): 170-171. https://www.cnki.com.cn/Article/CJFDTOTAL-HLZY202104129.htm
    [12]
    陈晓航, 熊燕, 王将栏, 等. 中低度近视儿童/青少年长期配戴角膜塑形镜后角膜安全性的前瞻性研究[J]. 四川大学学报(医学版), 2021, 52(6): 1006-1010. https://www.cnki.com.cn/Article/CJFDTOTAL-HXYK202106021.htm

    CHEN X H, XIONG Y, WANG J L, et al. Prospective Study on Corneal Safety Evaluation of Children/Adolescents with Low and Moderate Myopia after Long-Term Orthokeratology[J]. Journal of Sichuan University (Medical Science), 2021, 52(6): 1006-1010. https://www.cnki.com.cn/Article/CJFDTOTAL-HXYK202106021.htm
    [13]
    刘莉, 邝国平, 彭婧利. 低浓度阿托品联合角膜塑形镜对青少年低中度近视患者治疗效果、泪膜功能及SF-36量表评分的影响[J]. 眼科新进展, 2021, 41(6): 575-578. https://www.cnki.com.cn/Article/CJFDTOTAL-XKJZ202106017.htm

    LIU L, KUANG G P, PENG J L. Effects of low-dose Atropine combined with orthokeratology on vision correction, tear film function and SF-36 score in adolescents with low to moderate myopia[J]. Recent Advances in Ophthalmology, 2021, 41(6): 575-578. https://www.cnki.com.cn/Article/CJFDTOTAL-XKJZ202106017.htm
    [14]
    李发标, 孔祥斌, 麦雪燏, 等. 0.01%阿托品滴眼液联合角膜塑形镜在控制青少年近视进展中的效果[J]. 广西医科大学学报, 2019, 36(11): 1743-1746. https://www.cnki.com.cn/Article/CJFDTOTAL-GXYD201911010.htm

    LI F B, KONG X B, MAI X Y, et al. Effect of 0.01% atropine eye drops combined with cornea shaping mirror on juvenile myopia[J]. Journal of Guangxi Medical University, 2019, 36(11): 1743-1746. https://www.cnki.com.cn/Article/CJFDTOTAL-GXYD201911010.htm
    [15]
    尚丹, 张庆生. 多焦点软镜与角膜塑形镜联合单光框架镜对延缓青少年高度近视的疗效观察[J]. 中医眼耳鼻喉杂志, 2022, 12(1): 14-17. https://www.cnki.com.cn/Article/CJFDTOTAL-YEBH202201005.htm

    SHANG D, ZHANG Q S. Clinical curative effect of SMCLs and OK+SVLs on delaying the progression of high myopia in adolescence[J]. Journal of Chinese Ophthalmology and Otorhinolaryngology, 2022, 12(1): 14-17. https://www.cnki.com.cn/Article/CJFDTOTAL-YEBH202201005.htm
    [16]
    吕佳, 赵爱华, 王彩云, 等. 视觉训练联合防周边远视性光学离焦镜片控制青少年近视的疗效观察[J]. 中国中医眼科杂志, 2021, 31(8): 566-569. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKZ202108007.htm

    LYU J, ZHAO A H, WANG C Y, et al. Efficacy analysis of visual training combined with anti-peripheral hyperopia optical defocus lens for the control of teenager myopia[J]. China Journal of Chinese Ophthalmology, 2021, 31(8): 566-569. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKZ202108007.htm
    [17]
    刘长辉, 魏栋栋, 梁玲. 配戴减少周边远视离焦眼镜对近视儿童眼部参数的影响[J]. 国际眼科杂志, 2019, 19(5): 878-880. https://www.cnki.com.cn/Article/CJFDTOTAL-GJYK201905049.htm

    LIU C H, WEI D D, LIANG L. Effect on visual parameters in myopic children wearing spectacle lens designed to reduce peripheral hyperopic defocus[J]. International Eye Science, 2019, 19(5): 878-880. https://www.cnki.com.cn/Article/CJFDTOTAL-GJYK201905049.htm
    [18]
    田春慧, 华丽, 雷秀丽. 多焦点近视离焦眼镜对近视儿童对比敏感度的影响[J]. 中国斜视与小儿眼科杂志, 2022, 30(1): 25-27. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXS202201008.htm

    TIAN C H, HUA L, LEI X L. The effect of defocus incorporated multiple segments spectacle lenses on contrast sensitivity of myopic children[J]. Chinese Journal of Strabismus & Pediatric Ophthalmology, 2022, 30(1): 25-27. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXS202201008.htm
    [19]
    褚慧慧, 余继锋, 李莉. 多焦点软镜在儿童高度近视中应用的疗效观察[J]. 中国斜视与小儿眼科杂志, 2021, 29(3): 1-3, 13. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXS202103001.htm

    CHU H H, YU J F, LI L. Effect of multifocal soft lens in children with high myopia[J]. Chinese Journal of Strabismus & Pediatric Ophthalmology, 2021, 29(3): 1-3, 13. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXS202103001.htm
    [20]
    戴徐昕, 胡安琪, 马高恩. 不同年龄阶段近视儿童佩戴多区近视离焦镜片的控制效果[J]. 河南医学研究, 2022, 31(9): 1570-1573. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYX202209008.htm

    DAI X X, HU A Q, MA G E. Control effect of defocus incorporated multiple segments lens in children with myopia at different ages[J]. Henan Medical Research, 2022, 31(9): 1570-1573. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYX202209008.htm
    [21]
    侯跃双, 谭军伟, 马玉双. 角膜塑形镜对青少年近视患者眼轴及屈光度的影响[J]. 中国斜视与小儿眼科杂志, 2021, 29(3): 25. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXS202103009.htm

    HOU Y S, TAN J W, MA Y S. Effect of orthokeratology lens on ocular axis and diopter in juvenile myopia[J]. Chinese Journal of Strabismus & Pediatric Ophthalmology, 2021, 29(3): 25. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXS202103009.htm
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Article Metrics

    Article views (187) PDF downloads(7) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return