You Position: Home > Paper
Influence of the orthokeratology on the ocular surface and tear film in adolescents
( views:240, downloads:490 )
- Author:
- No author available
- Journal Title:
- International Eye Science
- Issue:
- 12
- DOI:
- 10.3980/j.issn.1672-5123.2019.12.42
- Key Word:
- 角膜塑形镜;眼表;泪膜;基础泪液分泌量;泪膜破裂时间
Abstract： 目的:观察夜戴型角膜塑形镜矫正青少年近视对眼表和泪膜的影响及眼表不适症状.方法:前瞻性研究.选取12～18岁近视患者69例138眼,其中使用框架眼镜者31例,使用角膜塑形镜者38例.分别于戴镜1、3、6、12mo时进行眼表疾病指数(OSDI)和眼表染色评分(Oxford法),检测泪膜破裂时间(TBUT)、非接触性泪膜破裂时间(NIBUT)及基础泪液分泌量.结果:与框架眼镜组和戴镜前比较,戴镜后各时间点角膜塑形镜组患者OSDI评分升高,TBUT和NIBUT均降低,且戴镜6、12mo时角膜塑型镜组患者眼表染色评分均高于框架眼镜组(均P<0.05),但戴镜前后两组患者基础泪液分泌量无明显差异(P>0.05).结论:角膜塑形镜会导致OSDI和眼表染色评分轻度升高,影响泪膜稳定性,应加强眼表和泪膜情况的戴镜前检查和随访,重视患者的不适主诉.
- [1]刘兴亮,喻谦,杨建华,等.高度近视患者盲和低视力情况及相关因素分析[J].2016,(9).
- [2]钱晓文,戴国林,蒋伟.光学治疗区偏心与角膜塑形镜配戴后泪膜功能及角膜形态的相关性分析[J].2018,(11).
- [3]Anne,Gad,Algis Jonas,Vingrys,Chinn Yi,Wong,etc.Tear film inflammatory cytokine upregulation in contact lens discomfort.[J].2018.
- [4]Cooper, Jeffrey,Tkatchenko, Andrei V..A Review of Current Concepts of the Etiology and Treatment of Myopia[J].2018,44(4).
- [5]Liu, Yue M.,Xie, Peiying.The Safety of Orthokeratology-A Systematic Review[J].2016,42(1).
- [6]R M, Schiffman,M D, Christianson,G, Jacobsen,etc.Reliability and validity of the Ocular Surface Disease Index.[J].2000,118.
- [7]Smith JA,Bron AJ,Evans VE.Grading of corneal and conjunctival staining in the context of other dry eye tests.[J].2003,22(7).
- [8]Jian Li,Ping Dong,Hu Liu.Effect of Overnight Wear Orthokeratology Lenses on Corneal Shape and Tears.[J].2018,44(5).
- [9]Carracedo, Gonzalo,Martin-Gil, Alba,Fonseca, Begona,etc.Effect of overnight orthokeratology on conjunctival goblet cells[J].2016,39(4).
- [10]Dumbleton,K.,Woods,C.A.,Jones,L.W.,etc.The impact of contemporary contact lenses on contact lens discontinuation[J].2013,39(1).
- [11]Na, Kyung-Sun,Yoo, Young-Sik,Hwang, Ho Sik,etc.The Influence of Overnight Orthokeratology on Ocular Surface and Meibomian Glands in Children and Adolescents[J].2016,42(1).