The influence of further consultation adherence on myopia progression after children wear glasses

中国实用眼科杂志 Pub Date : 2017-05-10 DOI:10.3760/CMA.J.ISSN.1006-4443.2017.05.006

Chang-feng Guo

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Abstract

Objective To explore the influence of further consultation adherence on the increase of degree of myopia after myopia children wear glasses. Methods A total of 170 cases of myopia children were collected (spectacle lens power: 340) who had received treatment in our hospital and worn glasses during June 2013 to June 2015; and were divided into three groups according to regular further consultation period, among which there were 53 children in the group with three-month regular further consultation period, 60 children in the group with six-month regular further consultation period, 57 children in the group with one-year regular further consultation period; finally analyzed the changes of refractive status for patients after wearing glasses in 6 months and one year. Results Since there was no significant statistic difference (F=0.194, P=0.842) in ages when the patients in three groups were original diagnosed, and there was also no statistic difference (P >0.05) in diopter of spherical power, astigmatism degree, and spherical equivalent degree, the data collected had clinical comparability. In addition, there was no clear statistic difference in the increase of spherical equivalent degree for patients, with 3-month further consultation period and 6-month further consultation period, visiting the doctor in the sixth month. As for the three groups, the spherical equivalent degree increased respectively -0.79±0.37, -0.81±0.36 and -0.92±0.40 one year later. There were statistic differences in the comparison among three groups (F=4.066, P=0.018); for the comparison between 3-month group and 6-month group, there was no statistic differences (P >0.05); however there were statistic differences (P=0.009, P=0.022) between one-year group and 3-month group, one-year group and 6-month group. When the astigmatic degree was compared with the degree initially diagnosed one year ago, there was no statistic difference (P >0.05) for all three groups. Conclusions Regular further consultation and timely replacement lenses may slow progress myopia of school-age children in a certain degree. Key words: Myopia; Spherical equivalent; Further consultation adherence

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坚持会诊对儿童配戴眼镜后近视进展的影响

目的探讨近视儿童配戴眼镜后复诊依从性对近视度数增加的影响。方法收集2013年6月至2015年6月在我院就诊并配戴眼镜的近视儿童170例(眼镜度数340枚);并按定期会诊期分为三组，其中定期会诊期为3个月组53例，定期会诊期为6个月组60例，定期会诊期为1年组57例;最后分析患者配戴眼镜后6个月和1年的屈光状态变化。结果三组患者初诊年龄差异无统计学意义(F=0.194, P=0.842)，球度数屈光度、散光度、球等效度差异无统计学意义(P >0.05)，具有临床可比性。另外，患者球面等效度的增加在3个月的会诊期和6个月的会诊期上没有明显的统计学差异，在第6个月去看医生。三组1年后的球形等效度分别增加-0.79±0.37、-0.81±0.36和-0.92±0.40。三组间比较差异有统计学意义(F=4.066, P=0.018);3个月组与6个月组比较，差异无统计学意义(P >0.05);1年组与3个月组、1年组与6个月组比较，差异有统计学意义(P=0.009, P=0.022)。与1年前初诊散光程度比较，三组患者散光程度差异无统计学意义(P >0.05)。结论定期进一步就诊，及时更换镜片可在一定程度上减缓学龄儿童进行性近视。关键词:近视;球形等效;进一步的咨询坚持

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来源期刊

中国实用眼科杂志

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9101

期刊介绍： China Practical Ophthalmology was founded in May 1983. It is supervised by the National Health Commission of the People's Republic of China, sponsored by the Chinese Medical Association and China Medical University, and publicly distributed at home and abroad. It is a national-level excellent core academic journal of comprehensive ophthalmology and a series of journals of the Chinese Medical Association. China Practical Ophthalmology aims to guide and improve the theoretical level and actual clinical diagnosis and treatment ability of frontline ophthalmologists in my country. It is characterized by close integration with clinical practice, and timely publishes academic articles and scientific research results with high practical value to clinicians, so that readers can understand and use them, improve the theoretical level and diagnosis and treatment ability of ophthalmologists, help and support their innovative development, and is deeply welcomed and loved by ophthalmologists and readers.