两种小后视区直径角膜塑形镜设计在近视控制中的比较。

IF 2.4
Sili Jing, Hong Yan, Yaqun Wan
{"title":"两种小后视区直径角膜塑形镜设计在近视控制中的比较。","authors":"Sili Jing, Hong Yan, Yaqun Wan","doi":"10.1111/opo.13551","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to compare and evaluate the efficacy and safety of corneal refractive therapy (CRT) and vision shaping treatment (VST) orthokeratology lenses with smaller back optical zone diameters (BOZD) in controlling myopia progression.</p><p><strong>Methods: </strong>This retrospective study was completed from June 2019 to June 2024. A total of 1612 right eyes of myopic patients aged 8-16 years were included for analysis, and samples were categorised into four groups based on the orthokeratology lenses and their BOZD: CRT (BOZD = 6.0 mm), small BOZD CRT (CRT-S; BOZD = 5.0 mm), VST (BOZD = 6.2 mm) and small BOZD VST (VST-S, BOZD = 5.2 mm). Uncorrected visual acuity (UCVA), flat keratometry (Kf), axial length (AL) horizontal treatment zone diameter (TZD), refractive sphere (DS), refractive cylinder (DC), spherical equivalent (SE) and incidence of corneal injury were measured.</p><p><strong>Results: </strong>Follow-up assessments were conducted until the end of the second year. The TZD of the VST-S group (1.93 ± 0.27) was significantly smaller than the CRT-S group (2.14 ± 0.21) (p < 0.001). The increase in AL in the VST-S group (0.33 ± 0.40) was significantly lower than the CRT-S group (0.44 ± 0.21) (p < 0.001). The changes in DS (-1.47 ± 0.33 vs. -1.39 ± 0.48, p = 0.01) and SE (-1.06 ± 0.77 vs. -1.62 ± 0.52, p < 0.001) in the VST-S group were significantly smaller than for the CRT-S group. No significant differences were identified in DC, UCVA and Kf changes across groups. Only a few participants exhibited corneal staining or erosion, with no significant difference between groups.</p><p><strong>Conclusions: </strong>The myopia control effect of the VST-S lenses was significantly superior to the CRT-S lenses. Clinicians should interpret these findings cautiously when choosing smaller BOZD lenses for myopia control.</p>","PeriodicalId":520731,"journal":{"name":"Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists)","volume":" ","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparison of two designs of orthokeratology lenses with smaller back optic zone diameters in myopia control.\",\"authors\":\"Sili Jing, Hong Yan, Yaqun Wan\",\"doi\":\"10.1111/opo.13551\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>The aim of this study was to compare and evaluate the efficacy and safety of corneal refractive therapy (CRT) and vision shaping treatment (VST) orthokeratology lenses with smaller back optical zone diameters (BOZD) in controlling myopia progression.</p><p><strong>Methods: </strong>This retrospective study was completed from June 2019 to June 2024. A total of 1612 right eyes of myopic patients aged 8-16 years were included for analysis, and samples were categorised into four groups based on the orthokeratology lenses and their BOZD: CRT (BOZD = 6.0 mm), small BOZD CRT (CRT-S; BOZD = 5.0 mm), VST (BOZD = 6.2 mm) and small BOZD VST (VST-S, BOZD = 5.2 mm). Uncorrected visual acuity (UCVA), flat keratometry (Kf), axial length (AL) horizontal treatment zone diameter (TZD), refractive sphere (DS), refractive cylinder (DC), spherical equivalent (SE) and incidence of corneal injury were measured.</p><p><strong>Results: </strong>Follow-up assessments were conducted until the end of the second year. The TZD of the VST-S group (1.93 ± 0.27) was significantly smaller than the CRT-S group (2.14 ± 0.21) (p < 0.001). The increase in AL in the VST-S group (0.33 ± 0.40) was significantly lower than the CRT-S group (0.44 ± 0.21) (p < 0.001). The changes in DS (-1.47 ± 0.33 vs. -1.39 ± 0.48, p = 0.01) and SE (-1.06 ± 0.77 vs. -1.62 ± 0.52, p < 0.001) in the VST-S group were significantly smaller than for the CRT-S group. No significant differences were identified in DC, UCVA and Kf changes across groups. Only a few participants exhibited corneal staining or erosion, with no significant difference between groups.</p><p><strong>Conclusions: </strong>The myopia control effect of the VST-S lenses was significantly superior to the CRT-S lenses. Clinicians should interpret these findings cautiously when choosing smaller BOZD lenses for myopia control.</p>\",\"PeriodicalId\":520731,\"journal\":{\"name\":\"Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists)\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-06-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1111/opo.13551\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1111/opo.13551","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

目的:比较和评价较小后视带直径(BOZD)角膜屈光治疗(CRT)和视力整形治疗(VST)角膜塑形镜控制近视进展的疗效和安全性。方法:本研究于2019年6月至2024年6月完成。选取1612例8 ~ 16岁近视患者的右眼进行分析,并根据角膜塑形镜镜片及其BOZD分为4组:CRT (BOZD = 6.0 mm)、小BOZD CRT (CRT- s;BOZD = 5.0毫米),威仕特(BOZD = 6.2毫米)和小BOZD威仕特(VST-S BOZD = 5.2毫米)。测量未矫正视力(UCVA)、平面角膜度数(Kf)、轴长(AL)、水平处理区直径(TZD)、屈光球(DS)、屈光柱(DC)、球面等效(SE)和角膜损伤发生率。结果:随访至第二年年底。VST-S组的TZD(1.93±0.27)明显小于CRT-S组(2.14±0.21)(p)。结论:VST-S隐形眼镜控制近视的效果明显优于CRT-S隐形眼镜。临床医生在选择较小的BOZD镜片控制近视时应谨慎解释这些发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of two designs of orthokeratology lenses with smaller back optic zone diameters in myopia control.

Purpose: The aim of this study was to compare and evaluate the efficacy and safety of corneal refractive therapy (CRT) and vision shaping treatment (VST) orthokeratology lenses with smaller back optical zone diameters (BOZD) in controlling myopia progression.

Methods: This retrospective study was completed from June 2019 to June 2024. A total of 1612 right eyes of myopic patients aged 8-16 years were included for analysis, and samples were categorised into four groups based on the orthokeratology lenses and their BOZD: CRT (BOZD = 6.0 mm), small BOZD CRT (CRT-S; BOZD = 5.0 mm), VST (BOZD = 6.2 mm) and small BOZD VST (VST-S, BOZD = 5.2 mm). Uncorrected visual acuity (UCVA), flat keratometry (Kf), axial length (AL) horizontal treatment zone diameter (TZD), refractive sphere (DS), refractive cylinder (DC), spherical equivalent (SE) and incidence of corneal injury were measured.

Results: Follow-up assessments were conducted until the end of the second year. The TZD of the VST-S group (1.93 ± 0.27) was significantly smaller than the CRT-S group (2.14 ± 0.21) (p < 0.001). The increase in AL in the VST-S group (0.33 ± 0.40) was significantly lower than the CRT-S group (0.44 ± 0.21) (p < 0.001). The changes in DS (-1.47 ± 0.33 vs. -1.39 ± 0.48, p = 0.01) and SE (-1.06 ± 0.77 vs. -1.62 ± 0.52, p < 0.001) in the VST-S group were significantly smaller than for the CRT-S group. No significant differences were identified in DC, UCVA and Kf changes across groups. Only a few participants exhibited corneal staining or erosion, with no significant difference between groups.

Conclusions: The myopia control effect of the VST-S lenses was significantly superior to the CRT-S lenses. Clinicians should interpret these findings cautiously when choosing smaller BOZD lenses for myopia control.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信