角膜塑形镜控制青少年近视的影响因素分析

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Abstract Objective To explore the influencing factors of orthokeratology on adolescents with myopia. Methods In this retrospective clinical case-control study,408 myopia participants (408 eyes) who wore Orthokeratology lens more than 2 years from December 2015 to November 2021 in Beijing Ming Vision and Ophthalmology were enrolled. The axial length increment of the two groups was compared before and after wearing glasses for 6 M, 1Y and 2 Y. The participants who the increase of ocular axis length after wearing Orthokeratology lens for 2 year is less than or equal to 0.60 mm from the baseline, were divided into experimental group, and the participants who the increase of ocular axis length is more than 0.60 mm from the baseline were divided into a control group. The effects of gender, age, diopter, intraocular pressure, corneal curvature, corneal mean e, corneal astigmatism, basic axial length, central corneal thickness, anterior chamber depth, corneal transverse diameter, pupil diameter, and the relationship between defocus ring and pupil position on axial length growth were analyzed. Results Univariate comparison showed that there were significant differences in pre-treatment age years, pre-treatment diopter,average corneal e, central corneal thickness,basic axial length and relationship between defocus ring and pupil position between the well-controlled group and poor-controlled group (P<0.05). According to multivariate logistic regression analysis, age(OR=1.875), diopter(OR=0.740),and the relationship between defocus ring and pupil position(cross OR=5.887)were independent factors affecting the effect of orthokeratology on myopia control (P<0.05). Conclusions Long-term wearing orthokeratology can control the progression of myopia. Orthokeratology has better control effect on adolescents with myopia who have smaller pre-treatment diopter,the older pre-treatment age and crossed defocusing ring and pupil position.

Key words： orthokeratology len myopia control juvenile regression analysis

Received: 02 September 2022

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	Articles by authors
	LI Menghan
	ZHANG Jing
	LI Chen
	GAI Shanshan
	YU Jia
	YANG Yu
	ZHOU Yuehua

Cite this article:

LI Menghan,ZHANG Jing,LI Chen等. Analysis of influencing factors of orthokeratology on adolescents with myopia[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2023, 34(3): 202-205.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2023/V34/I3/202

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