Menicon Co., Ltd , Iglesia 9, Apartamento 106, Majadahonda, Madrid, Spain.
Eye Contact Lens. 2013 Mar;39(2):153-7. doi: 10.1097/ICL.0b013e31827a0241.
To compare vision-related quality-of-life measures between children wearing orthokeratology (OK) contact lenses and distance single-vision (SV) spectacles.
Subjects 6 to 12 years of age and with myopia of -0.75 to -4.00 diopters and astigmatism less than or equal to 1.00 diopters were prospectively assigned OK contact lens or SV spectacle correction. A pediatric refractive error profile questionnaire was administered at 12- and 24-month intervals to evaluate children's perceptions in terms of overall vision, near vision, far distance vision, symptoms, appearance, satisfaction, activities, academic performance, handling, and peer perceptions. The mean score of all items was calculated as the overall score. Additionally, parents/guardians were asked to rate their child's mode of visual correction and their intention to continue treatment after study completion.
Thirty-one children were fitted with OK contact lenses and 30 with SV spectacles. Children wearing OK contact lenses rated overall vision, far distance vision, symptoms, appearance, satisfaction, activities, academic performance, handling, peer perceptions, and the overall score significantly better than children wearing SV spectacles (all P<0.05). Near vision and handling were, respectively, rated better (P<0.001) and similar (P=0.44) for SV spectacles in comparison to OK contact lenses. No significant differences were found between 12 and 24 months for any of the subjective ratings assessed (all P>0.05). Parents/guardians of children wearing OK contact lenses rated visual correction method and intention to continue treatment higher than parents of children wearing SV spectacles (P≤0.01).
The results indicate that the significant improvement in vision-related quality of life and acceptability with OK contact lenses is an incentive to engage in its use for the control of myopia in children.
比较佩戴角膜塑形镜（OK）和单视远距（SV）眼镜的儿童的视觉相关生活质量测量结果。
6 至 12 岁的儿童，近视度数为-0.75 至-4.00 屈光度，散光小于或等于 1.00 屈光度，被前瞻性分配 OK 接触镜或 SV 眼镜矫正。每隔 12 个月和 24 个月使用小儿屈光不正问卷评估儿童的整体视力、近视力、远视力、症状、外观、满意度、活动、学业成绩、处理能力和同伴看法。所有项目的平均分数计算为总分。此外，家长/监护人被要求对孩子的视觉矫正方式及其在研究结束后继续治疗的意愿进行评分。
31 名儿童佩戴 OK 接触镜，30 名儿童佩戴 SV 眼镜。佩戴 OK 接触镜的儿童在整体视力、远视力、症状、外观、满意度、活动、学业成绩、处理能力、同伴看法和总分方面的评分均显著优于佩戴 SV 眼镜的儿童（均 P<0.05）。与 OK 接触镜相比，SV 眼镜的近视力和处理能力分别更好（P<0.001）和相似（P=0.44）。在任何主观评分中，12 个月和 24 个月之间均无显著差异（均 P>0.05）。佩戴 OK 接触镜的儿童的家长/监护人对视觉矫正方法和继续治疗的意愿评分高于佩戴 SV 眼镜的儿童（P≤0.01）。
结果表明，OK 接触镜在改善视觉相关生活质量和可接受性方面具有显著优势，这是鼓励儿童使用 OK 接触镜控制近视的一个激励因素。
