首页|期刊导航|中国斜视与小儿眼科杂志|对比不同设计离焦镜对青少年近视及散光影响

对比不同设计离焦镜对青少年近视及散光影响OA

The control effects of different designs aspheric lenses on myopia and their influence on astigmatism in adoles-cents

中文摘要英文摘要

目的 对比多区正向离焦镜片(defocus incorporated multiple segments,DIMS)、高度非球面微透镜(highly aspherical lenslets,HAL)与集成网阵离焦(Hexagon Optimized Reticular Integration,HORI)三类不同设计离焦镜片对青少年近视及散光变化的影响.方法 选取207例近视青少年,按配镜类型分为DIMS组68例、HAL组60例、HORI组28例及单焦镜片对照组51例.随访12个月,监测SER、AL、DC、AST的变化.结果 3个月后,三类离焦镜片AL增长量均低于SVL组;AST增长量DIMS组高于其他三组.6个月后,HAL组的SER增长量低于DIMS组和SVL组;AL增长量HAL组、HORI组低于DIMS组和SVL组,而DIMS组与SVL组无明显差异;DC增长量四组之间无差异;AST增长量DIMS组高于HAL组、HORI组.12个月后,三类离焦镜片SER增长量均低于SVL组;AL增长量HAL组、HORI组低于DIMS组和SVL组,DIMS组与SVL组无明显差异;DC增长量DIMS组高于HAL组和HORI组;AST增长量DIMS组高于HAL组.结论 三类离焦镜片在近视控制方面均优于单焦镜片,HAL和HORI的近视控制效果更显著,对散光的影响更小.

Objective Comp are the effects of three different types of design aspheric lenses(DIMS,HAL,and HORI)on the changes of myopia and astigmatism in adolescents.Methods A total of 207 adolescent myopic patients were selected and divided into the DIMS group(68 cases),HAL group(60 cases),HORI group(28 cases),and single-vision spectacle lenses control group(51 cases)based on the type of spectacle lenses.The patients were followed up for 12 months to monitor the changes in SER,AL,DC,and AST.Results After 3 months,the AL growth amounts of the three types of aspheric lenses were all lower than those of the SVL group;the AST growth amount of the DIMS group was higher than that of the other three groups.After 6 months,the SER growth amplitude of the HAL group was lower than that of the DIMS group and the SVL group;the AL growth amounts of the HAL group and the HORI group were lower than those of the DIMS group and the SVL group,while there was no significant difference between the DIMS group and the SVL group;there was no difference in DC growth amounts among the four groups;the AST growth amount of the DIMS group was high-er than that of the HAL group and the HORI group.After 12 months,the SER growth amplitudes of the three types of aspheric lenses were all lower than those of the SVL group;the AL growth amounts of the HAL group and the HORI group were lower than those of the DIMS group and the SVL group,while there was no significant difference between the DIMS group and the SVL group;the DC growth amount of the DIMS group was higher than that of the HAL group and the HORI group;the AST growth amount of the DIMS group was higher than that of the HAL group.Conclusions The three types of aspheric lenses outperform the single-vision lenses in terms of myopia control.Among them,HAL and HORI have more significant myopia control effects and have less impact on astigmatism.

李茜;王红星;白伶伶;王立春;陈君语;徐新杨;吴葆健;赵芳;刘彦铄;傅强

100022 清华大学附属垂杨柳医院眼科100022 清华大学附属垂杨柳医院眼科100022 清华大学附属垂杨柳医院眼科100022 清华大学附属垂杨柳医院眼科100022 清华大学附属垂杨柳医院眼科100022 清华大学附属垂杨柳医院眼科100022 清华大学附属垂杨柳医院眼科100022 清华大学附属垂杨柳医院眼科100022 清华大学附属垂杨柳医院眼科100022 清华大学附属垂杨柳医院眼科

视网膜周边离焦近视等效球镜度眼轴长度散光

Peripheral retinal defocusMyopiaSpherical equivalent refractionAxial lengthAstigmatism

《中国斜视与小儿眼科杂志》 2026 (2)

6-9,4

首都临床特色应用研究基金(Z181100001718133)

10.3969/J.ISSN.1005-328X.2026.02.002

评论