关键词: aspherical lenslets eye growth myopia myopia control spectacles

Mesh : Child Humans China Cohort Studies Disease Progression Eyeglasses Myopia / therapy Refraction, Ocular Adolescent

来  源:   DOI:10.1111/opo.13232

Abstract:
BACKGROUND: To evaluate eye growth of children wearing spectacle lenses with highly aspherical lenslets (HAL), slightly aspherical lenslets (SAL) and single-vision lenses (SVL) compared to eye growth patterns in non-myopes in Wenzhou, China.
METHODS: The randomised trial had 170 myopic children (aged 8-13 years) randomly assigned to the HAL, SAL or SVL group. Normal eye growth was examined using 700 non-myopic schoolchildren (aged 7-9 years) in the Wenzhou Medical University-Essilor Progression and Onset of Myopia (WEPrOM) cohort study using logistic function models. Slow, normal and fast eye growth was defined as range of values <25th, 25th-75th and >75th percentiles, respectively.
RESULTS: The predicted upper limits of slow eye growth (25th percentile) among non-myopes aged 7-10 years and 11-13 years were 0.20-0.13 and 0.08-0.01 mm (after 2-year period; 0.37-0.33 and 0.29-0.14 mm), respectively, while the upper limits of normal eye growth (75th percentile) were 0.32-0.31 and 0.28-0.10 mm (after 2-year period; 0.58-0.55 and 0.50-0.24 mm), respectively. The 2-year trial had 157 children, 96 of whom wore their lenses full time (everyday ≥12 h/day). The mean 2-year axial length change for HAL, SAL and SVL was 0.34, 0.51 and 0.69 mm (0.28, 0.46 and 0.69 mm in full-time wear), respectively. Slow eye growth was found in 35%, 17% and 2% (44%, 29% and 3% in full-time wear); normal eye growth in 35%, 26% and 12% (44%, 32% and 9% in full-time wear) and fast eye growth in 30%, 57% and 86% (12%, 39% and 88% in full-time wear), respectively (p < 0.001).
CONCLUSIONS: The eye growth pattern in approximately 90% wearing HAL full time (compared with about 10% wearing SVL full time) was similar or slower than that of non-myopic children both after 1- and 2-year periods.
摘要:
背景:为了评估佩戴高度非球面透镜(HAL)的眼镜片的儿童的眼睛生长,与温州非近视眼的眼睛生长模式相比,微非球面透镜(SAL)和单视透镜(SVL),中国。
方法:该随机试验将170名近视儿童(8-13岁)随机分配到HAL,SAL或SVL组。在温州医科大学-Essilor进展和近视发作(WEProM)队列研究中,使用逻辑功能模型检查了700名非近视学童(7-9岁)的正常眼睛生长。慢,正常和快速的眼睛生长被定义为<25,25-75和>75百分位数,分别。
结果:在7-10岁和11-13岁的非近视患者中,眼睛缓慢生长的预测上限(第25百分位数)为0.20-0.13和0.08-0.01mm(在2年之后;0.37-0.33和0.29-0.14mm),分别,而正常眼生长的上限(第75百分位数)为0.32-0.31和0.28-0.10mm(2年后;0.58-0.55和0.50-0.24mm),分别。这项为期两年的试验有157名儿童,其中96人全职佩戴镜片(每天≥12小时/天)。HAL的平均2年轴向长度变化,SAL和SVL分别为0.34、0.51和0.69mm(全时磨损为0.28、0.46和0.69mm),分别。35%的人发现眼睛生长缓慢,17%和2%(44%,全时佩戴的29%和3%);正常的眼睛增长35%,26%和12%(44%,全时佩戴的32%和9%)和30%的快速眼睛增长,57%和86%(12%,39%和88%的全职穿着),分别(p<0.001)。
结论:在1年和2年后,大约90%的全时佩戴HAL(约10%的全时佩戴SVL)的眼睛生长模式与非近视儿童相似或更慢。
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