Park Si Yoon, Choi Young Joon, Jung Ji Won, Choi Moonjung, Kim Eung Kweon, Seo Kyoung Yul, Kim Tae-Im
a The Institute of Vision Research, Department of Ophthalmology , Yonsei University College of Medicine , Seoul , Republic of Korea.
b Eyereum Eye Clinic , Seoul , Republic of Korea.
Semin Ophthalmol. 2019;34(2):106-114. doi: 10.1080/08820538.2019.1586966. Epub 2019 Mar 13.
We investigated the clinical efficacy of pinhole soft contact lenses for presbyopia correction. Twenty participants with presbyopia wore pinhole soft contact lenses in the non-dominant eye for 2 weeks. Manifest refraction, Goldmann binocular visual field tests, contrast sensitivity tests, and biomicroscopic examinations were performed along with evaluations of questionnaire responses and the binocular corrected distance visual acuity (CDVA), distance-corrected near visual acuity (DCNVA), distance-corrected intermediate visual acuity (DCIVA), and depth of focus, both before and after 2 weeks of lens wear. DCNVA at 33 and 40 cm and DCIVA at 50 and 70 cm showed significant improvements after pinhole lens wear (P-value: <0.001, <0.001, <0.001, and 0.046, respectively), with no changes in the binocular visual field and binocular CDVA. Contrast sensitivities under photopic and mesopic conditions decreased at some frequencies; however, visual function questionnaire scores significantly improved (all P-values <0.001). These findings suggest that pinhole contact lenses effectively correct presbyopia.
我们研究了针孔软性隐形眼镜矫正老花眼的临床疗效。20名老花眼参与者在非优势眼佩戴针孔软性隐形眼镜2周。在佩戴镜片2周前后，进行了显验光、戈德曼双眼视野测试、对比敏感度测试和生物显微镜检查，并对问卷回答以及双眼矫正远视力（CDVA）、远矫正近视力（DCNVA）、远矫正中视力（DCIVA）和焦深进行了评估。佩戴针孔镜片后，33厘米和40厘米处的DCNVA以及50厘米和70厘米处的DCIVA均有显著改善（P值分别为<0.001、<0.001、<0.001和0.046），双眼视野和双眼CDVA无变化。明视觉和中间视觉条件下的某些频率对比敏感度有所下降；然而，视觉功能问卷得分显著提高（所有P值<0.001）。这些发现表明针孔隐形眼镜可有效矫正老花眼。
