山东大学耳鼻喉眼学报 ›› 2011, Vol. 25 ›› Issue (4): 90-92.

• 论文 • 上一篇    下一篇

角膜塑形术治疗青少年近视中角膜上皮损伤调

查梅芳,陈志钧   

  1. 南京医科大学附属南京儿童医院眼科, 南京 210008
  • 收稿日期:2011-05-09 修回日期:2011-06-07 出版日期:2011-08-16 发布日期:2011-08-16
  • 通讯作者: 陈志钧。Email: jsxyczj@sina.com.cn
  • 作者简介:梅芳(1979- ),女,硕士,主治医师,主要从事儿童眼病及视光学研究。 Email: maggiemf@163.com

Corneal epithelium damage in teenagers undergoing  overnight orthokeratology

MEI Fang, CHEN Zhijun   

  1. Department of Ophthalmology, Nanjing Children Hospital Affiliated to  Nanjing Medical University, Nanjing 210008, China
  • Received:2011-05-09 Revised:2011-06-07 Online:2011-08-16 Published:2011-08-16

摘要:

目的      观察分析角膜塑形术治疗青少年近视中角膜上皮损伤情况。方法     收集配戴角膜塑形镜患儿201例(375眼)的病例资料,分析不同程度近视(-1.00~-2.00D、-2.25~-4.00D、-4.25~-6.00D)患儿配戴角膜塑形镜后角膜上皮损伤的发生率和发生时间。结果       随访4~20个月,3组角膜上皮损伤发生率分别为17.1%、31.4%、42.4%,差异有统计学意义(χ2=13.4394,P=0.001);3组角膜上皮损伤发生时间也有统计学差异(χ2=12.45,P=0.002)。结论      近视程度越重,配戴角膜塑形镜后发生角膜上皮损伤的可能性越大,发生时间越早,因此主张早期配镜,有效控制近视加深。

关键词: 角膜塑形术;青少年;近视;角膜上皮损伤

Abstract:

Objective      To evaluate corneal epithelium damage in teenagers undergoing overnight orthokeratology treatment. Methods      201 teenagers  (375 eyes) who accepted overnight orthokeratology treatment from September 2009 to December 2010 were observed. The relationship between the degree of myopia before treatment(-1.00~-2.00D, -2.25~-4.00D and -4.25~-6.00D), the occurrence time and the incidence rate of corneal epithelium damage after  orthokeratology treatment were statistically analyzed. Results      The incidence rate of corneal epithelium damage was 17.1%,31.4% and 42.4% in the three groups respectively, and the difference was significant(χ2=13.4394,P=0.001). The occurrence time of the corneal epithelium damage among the three groups was also statistically significant(χ2=12.45,P=0.002). Conclusion     Myopia degree is positively related with  incidence rate and  time of corneal epithelium damage. Therefore,  earlier orthokeratology treatment should be given in order to get better control of myopia.

Key words: Orthokeratology; Teenagers; Myopia; Corneal epithelium damage

中图分类号: 

  • R778.11
[1] 李凯军,高东鸿,张冬松,姜桂芳,路晖,尚惠芳,王荃. 眼前节处理系统个体化切削治疗复杂屈光不正[J]. 山东大学耳鼻喉眼学报, 2012, 26(5): 5-5.
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