连续动态随访对角膜塑形镜配戴患者临床疗效及随访依从性的影响

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (944 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the effect of continuous dynamic follow-up on clinical effect and compliance of Orthokeratology(Orhto-K, OK)wearers. Methods A total of 120 OK wearers from May 2021 to May 2022 in Beijing Tongren Hospital were included in this study, and were randomly divided into observation group and control group, with 60 cases in each group. Patients in the control group received conventional nursing care, while the observation group were performed continuous dynamic follow-up visit combined with conventional nursing care. The visual acuity, axial length, follow-up compliance rate, complications and patient satisfaction were compared between the two groups after one year. Results After one year of follow-up, the uncorrected visual acuity of the observation group and the control group were improved. The axial length of the observation group (0.28±0.18)mm was significantly lower than that of the control group(0.34±0.20)mm; P＜0.05). Lens protein deposition was significantly lower in the observation group than in the control group (3.33% vs. 13.33%) (P＜0.05). Follow-up compliance rate decreased gradually from 1 month after wearing OK, especially in the control group. At the 6-month visit, the compliance rate was 85.00% in the observation group and 76.67% in the control group, with statistically significant differences between the two groups(P＜0.05). The patient satisfaction rate in observation group was significantly higher than that of the control group (96.67% vs. 83.33%)(P＜0.05). Conclusions Continuous dynamic follow-up is worthy of clinical application, which can improve the follow-up compliance of OK wearer, reduce the incidence of complications, and improve the control effect of myopia progression.

Key words： orthokeratology compliance continuous dynamic follow-up

Received: 10 June 2023

ZTFLH:

R778.1

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WANG Kaijie
	MA Zhangfang

Cite this article:

WANG Kaijie,MA Zhangfang. Effect of continuous dynamic follow-up on clinical effect and compliance of orthokeratology wearers[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2024, 35(1): 6-9.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2024/V35/I1/6

[5]	Hiraoka T. Myopia control with orthokeratology: a review [J]. Eye Contact Lens, 2022, 48(3):100-104.
[1]	Baird P N, Saw S M, Lanca C, et al. Myopia [J]. Nat Rev Dis Primers, 2020, 6(1):99.
[6]	Lipson M J. The role of orthokeratology in myopia management [J]. Eye Contact Lens, 2022, 48(5):189-193.
[7]	李梦涵,张晶,李辰,等. 角膜塑形镜控制青少年近视的影响因素分析[J]. 武警医学, 2023, 34(3):202-205.
[2]	徐鑫令,林潇,赵良慧,等. 小矫正区角膜塑形镜对儿童青少年近视眼长期防控效果分析[J]. 中华眼科杂志, 2023, 59(6):444-451.
[8]	Jiang J, Bian Z, Wang F, et al. Level of Compliance in Orthokeratology [J]. Eye Contact Lens, 2018, 44(5):330-334.
[3]	Morgan I G, Jan C L. China turns to school reform to control the myopia epidemic: a narrative review [J]. Asia Pac J Ophthalmol (Phila), 2022, 11(1):27-35.
[4]	余文琳,曾丽,牛悦,等. 球面与环曲面光学设计的角膜塑形镜改善青少年近视眼患者视力的比较[J]. 武警医学, 2023,34(6):490-493.
[9]	陈跃国,张钰,瞿小妹,等. NOR型非球面角膜塑形镜临床有效性和安全性的多中心研究[J]. 眼科, 2023, 32(1):33-38.
[5]	Hiraoka T. Myopia control with orthokeratology: a review [J]. Eye Contact Lens, 2022, 48(3):100-104.
[10]	Vincent S J, Cho P, Chan K Y, et al. CLEAR-Orthokeratology [J]. Cont Lens Anterior Eye, 2021, 44(2):240-269.
[6]	Lipson M J. The role of orthokeratology in myopia management [J]. Eye Contact Lens, 2022, 48(5):189-193.
[7]	李梦涵,张晶,李辰,等. 角膜塑形镜控制青少年近视的影响因素分析[J]. 武警医学, 2023, 34(3):202-205.
[11]	Bian Z, Xu X, Chen D, et al. Assessment of patient compliance in orthokeratology and analysis of influencing factors: a cross-sectional study [J]. BMC Ophthalmol, 2021, 21(1):396.
[8]	Jiang J, Bian Z, Wang F, et al. Level of Compliance in Orthokeratology [J]. Eye Contact Lens, 2018, 44(5):330-334.
[12]	Szczotka L B, Shovlin J P, Schnider C M, et al. American academy of optometry microbial keratitis think tank [J]. Optom Vis Sci, 2021, 98(3):182-198.
[9]	陈跃国,张钰,瞿小妹,等. NOR型非球面角膜塑形镜临床有效性和安全性的多中心研究[J]. 眼科, 2023, 32(1):33-38.
[13]	Chang L C, Sun C C, Liao L L. Compliance with orthokeratology care among parents of young children in Taiwan [J]. Cont Lens Anterior Eye, 2021, 44(5):101427.
[10]	Vincent S J, Cho P, Chan K Y, et al. CLEAR-Orthokeratology [J]. Cont Lens Anterior Eye, 2021, 44(2):240-269.
[14]	Chang L C, Li F J, Sun C C, et al. Trajectories of myopia control and orthokeratology compliance among parents with myopic children [J]. Cont Lens Anterior Eye, 2021, 44(4):101360.
[11]	Bian Z, Xu X, Chen D, et al. Assessment of patient compliance in orthokeratology and analysis of influencing factors: a cross-sectional study [J]. BMC Ophthalmol, 2021, 21(1):396.
[15]	Rueff E M, Wolfe J, Bailey M D. A study of contact lens compliance in a non-clinical setting [J]. Cont Lens Anterior Eye, 2019, 42(5):557-561.
[12]	Szczotka L B, Shovlin J P, Schnider C M, et al. American academy of optometry microbial keratitis think tank [J]. Optom Vis Sci, 2021, 98(3):182-198.
[16]	Cho P, Boost M, Cheng R. Non-compliance and microbial contamination in orthokeratology [J]. Optom Vis Sci, 2009, 86:1227-1234.
[13]	Chang L C, Sun C C, Liao L L. Compliance with orthokeratology care among parents of young children in Taiwan [J]. Cont Lens Anterior Eye, 2021, 44(5):101427.
[17]	Chang L C, Liao L L. Vision improvement and compliance with the use of orthokeratology lenses in school children: a sample from five primary schools in northern Taiwan [J]. Eye Contact Lens, 2018, 44(5):299-303.
[14]	Chang L C, Li F J, Sun C C, et al. Trajectories of myopia control and orthokeratology compliance among parents with myopic children [J]. Cont Lens Anterior Eye, 2021, 44(4):101360.
[18]	Sauer A, Meyer N, Bourcier T. Risk factors for contact lens-related microbial keratitis: a case-control multicenter study [J]. Eye Contact Lens, 2016, 42:158-162.
[15]	Rueff E M, Wolfe J, Bailey M D. A study of contact lens compliance in a non-clinical setting [J]. Cont Lens Anterior Eye, 2019, 42(5):557-561.
[19]	Gammoh Y, Asfour W. Compliance to contact lens wear and care among Jordanian adults [J]. PLoS One, 2023, 18(1):e0280409.
[16]	Cho P, Boost M, Cheng R. Non-compliance and microbial contamination in orthokeratology [J]. Optom Vis Sci, 2009, 86:1227-1234.
[20]	Watt K G, Boneham G C, Swarbrick H A. Microbial keratitis in orthokeratology: the Australian experience [J]. Clin Exp Optom, 2007, 90(3):182-187.
[17]	Chang L C, Liao L L. Vision improvement and compliance with the use of orthokeratology lenses in school children: a sample from five primary schools in northern Taiwan [J]. Eye Contact Lens, 2018, 44(5):299-303.
[21]	Gaiser H, Ho C, Janier N, et al. Practitioner perceptions of patients wearing decorative contact lenses purchased through unauthorized sellers [J]. Eye contact lens, 2017, 43(2):135-139.
[18]	Sauer A, Meyer N, Bourcier T. Risk factors for contact lens-related microbial keratitis: a case-control multicenter study [J]. Eye Contact Lens, 2016, 42:158-162.
[22]	Cope J R, Collier S A, Schein O D, et al. Acanthamoeba keratitis among rigid gas permeable contact lens wearers in the united states, 2005 through 2011 [J]. Ophthalmology, 2016, 123(7):1435-1441.
[19]	Gammoh Y, Asfour W. Compliance to contact lens wear and care among Jordanian adults [J]. PLoS One, 2023, 18(1):e0280409.
[23]	Jun J, Zhiwen B, Feifu W, et al. Level of compliance in orthokeratology [J]. Eye Contact Lens, 2018, 44(5):330-334.
[20]	Watt K G, Boneham G C, Swarbrick H A. Microbial keratitis in orthokeratology: the Australian experience [J]. Clin Exp Optom, 2007, 90(3):182-187.
[24]	Rajabi M T, Hosseini S S, Ghorbani Z, et al. Utility of orthokeratology contact lenses; efficacy of myopia correction and level of patient satisfaction in Iranian myopic/myope-astigmatic patients [J]. J Curr Ophthalmol, 2016, 27(3-4):99-102.
[21]	Gaiser H, Ho C, Janier N, et al. Practitioner perceptions of patients wearing decorative contact lenses purchased through unauthorized sellers [J]. Eye contact lens, 2017, 43(2):135-139.
[25]	Wu S Y, Wang J H, Chiu C J. Assessment of satisfaction, compliance and side effects among long-term orthokeratology wearers [J]. J Clin Med, 2022, 11(14):4126.
[22]	Cope J R, Collier S A, Schein O D, et al. Acanthamoeba keratitis among rigid gas permeable contact lens wearers in the united states, 2005 through 2011 [J]. Ophthalmology, 2016, 123(7):1435-1441.
[23]	Jun J, Zhiwen B, Feifu W, et al. Level of compliance in orthokeratology [J]. Eye Contact Lens, 2018, 44(5):330-334.
[24]	Rajabi M T, Hosseini S S, Ghorbani Z, et al. Utility of orthokeratology contact lenses; efficacy of myopia correction and level of patient satisfaction in Iranian myopic/myope-astigmatic patients [J]. J Curr Ophthalmol, 2016, 27(3-4):99-102.
[25]	Wu S Y, Wang J H, Chiu C J. Assessment of satisfaction, compliance and side effects among long-term orthokeratology wearers [J]. J Clin Med, 2022, 11(14):4126.