硬性透气性角膜接触镜对圆锥角膜进展的影响：一项综述
Effect of rigid gas permeable contact lens on keratoconus progression: a review.
作者信息
Zhang Xiao-Han, Li Xuan
机构信息
Clinical College of Ophthalmology, Tianjin Medical University; Tianjin Eye Hospital; Tianjin Eye Institute; Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin 300020, China.
出版信息
Int J Ophthalmol. 2020 Jul 18;13(7):1124-1131. doi: 10.18240/ijo.2020.07.17. eCollection 2020.
Abstract
The prevalence of keratoconus is 1/2000 in the general population and is high in adolescents. Keratoconus is a progressive disease, which has a great impact on patients' quality of life and mental health. It can be managed by surgical and non-surgical means, rigid gas permeable (RGP) contact lens as its main non-surgical method is widely used in clinic. The efficacy of wearing RGP contact lens has been confirmed to some extent, but some studies have found that wearing RGP contact lens has adverse effects, which may promote disease progression. In this paper, the advantages and disadvantages of RGP contact lens in controlling keratoconus were reviewed to provide more suggestions and references for the clinical application of RGP contact lens.
摘要
圆锥角膜在普通人群中的患病率为1/2000，在青少年中患病率较高。圆锥角膜是一种进行性疾病，对患者的生活质量和心理健康有很大影响。它可以通过手术和非手术方法进行治疗，硬性透气性（RGP）隐形眼镜作为主要的非手术方法在临床上被广泛应用。佩戴RGP隐形眼镜的疗效在一定程度上已得到证实，但一些研究发现，佩戴RGP隐形眼镜有不良影响，可能会促进疾病进展。本文综述了RGP隐形眼镜在控制圆锥角膜方面的优缺点，为RGP隐形眼镜的临床应用提供更多建议和参考。
相似文献
1
Effect of rigid gas permeable contact lens on keratoconus progression: a review.硬性透气性角膜接触镜对圆锥角膜进展的影响：一项综述
Int J Ophthalmol. 2020 Jul 18;13(7):1124-1131. doi: 10.18240/ijo.2020.07.17. eCollection 2020.
2
Progression of keratoconus in patients wearing pancorneal toric edge rigid gas-permeable contact lenses.佩戴全角膜环曲面硬性透气接触镜的圆锥角膜患者的病情进展。
Cont Lens Anterior Eye. 2014 Aug;37(4):251-6. doi: 10.1016/j.clae.2013.11.012. Epub 2013 Dec 17.
3
Patient-related barriers to Rigid Gas Permeable (RGP) lens wear among keratoconus patients in Jordan.约旦圆锥角膜患者使用硬性透气性隐形眼镜（RGP）的患者相关障碍。
Cont Lens Anterior Eye. 2018 Jun;41(3):267-272. doi: 10.1016/j.clae.2017.12.007. Epub 2017 Dec 6.
4
Contact lens impact on quality of life in keratoconus patients: rigid gas permeable versus soft silicone-hydrogel keratoconus lenses.角膜圆锥患者中隐形眼镜对生活质量的影响：硬性透气角膜接触镜与软性硅水凝胶角膜圆锥镜片的比较
Int J Ophthalmol. 2015 Oct 18;8(5):1074-7. doi: 10.3980/j.issn.2222-3959.2015.05.38. eCollection 2015.
5
The use of computerized videokeratography as an aid in fitting rigid gas permeable contact lenses.使用计算机化角膜地形图辅助验配硬性透气性角膜接触镜。
Trans Am Ophthalmol Soc. 1996;94:135-43; discussion 143-5. doi: 10.1016/s0002-9394(14)70162-x.
6
Effects of rigid gas permeable contact lens on morphological parameters and vision-related quality of life in keratoconus patients.硬性透气性角膜接触镜对圆锥角膜患者形态学参数及视力相关生活质量的影响。
Int J Ophthalmol. 2022 Nov 18;15(11):1772-1781. doi: 10.18240/ijo.2022.11.07. eCollection 2022.
7
Rigid gas-permeable contact lens related life quality in keratoconic patients with different grades of severity.不同严重程度圆锥角膜患者中与硬性透气性角膜接触镜相关的生活质量
Clin Exp Optom. 2015 Mar;98(2):150-4. doi: 10.1111/cxo.12237. Epub 2014 Dec 29.
8
A Modified Customized Rigid Gas Permeable Contact Lens to Improve Visualization During Phacoemulsification in Ectatic Corneas.一种改良的定制硬性透气性角膜接触镜，用于改善圆锥角膜白内障超声乳化手术中的可视化效果。
Med Hypothesis Discov Innov Ophthalmol. 2020;9(1):1-6. Epub 2019 Nov 30.
9
Semi-automatic measurement of rigid gas-permeable contact lens movement in keratoconus patients using blinking images.利用眨眼图像半自动测量圆锥角膜患者硬性透气性角膜接触镜的移动。
Cont Lens Anterior Eye. 2018 Dec;41(6):489-495. doi: 10.1016/j.clae.2018.07.002. Epub 2018 Jul 18.
10
Effects of contact lens wearing on keratoconus: a confocal microscopy observation.佩戴隐形眼镜对圆锥角膜的影响：共聚焦显微镜观察
Int J Ophthalmol. 2017 Feb 18;10(2):228-234. doi: 10.18240/ijo.2017.02.08. eCollection 2017.
引用本文的文献
1
Keratoconus and quality of life: an updated comprehensive review.圆锥角膜与生活质量：最新综合综述
BMC Ophthalmol. 2025 Aug 28;25(1):489. doi: 10.1186/s12886-025-04320-4.
2
Capacity of health facilities to diagnose and manage keratoconus: a Kilimanjaro region case study.卫生设施诊断和管理圆锥角膜的能力：乞力马扎罗地区案例研究
Int Ophthalmol. 2025 Aug 4;45(1):322. doi: 10.1007/s10792-025-03653-9.
3
Relationship between objective and subjective refraction measurements in patients with mild keratoconus.轻度圆锥角膜患者客观与主观验光测量结果之间的关系。
Int J Ophthalmol. 2025 Mar 18;18(3):398-403. doi: 10.18240/ijo.2025.03.04. eCollection 2025.
4
Advancing keratoconus treatment: the impact of bioengineered porcine constructs on corneal reshaping and visual acuity.圆锥角膜治疗进展：生物工程猪角膜构建物对角膜重塑和视力的影响。
Eye (Lond). 2025 Mar;39(4):616. doi: 10.1038/s41433-024-03496-1. Epub 2024 Nov 30.
5
Prevalence and clinical profile of keratoconus in patients presenting at a provincial hospital in KwaZulu, Natal, South Africa: A case study.南非夸祖鲁-纳塔尔省一家省级医院圆锥角膜患者的患病率及临床特征：一项病例研究
J Public Health Afr. 2023 Oct 1;14(9):2356. doi: 10.4081/jphia.2023.2356.
6
The Lifetime Expenditure in People with Keratoconus in Saudi Arabia.沙特阿拉伯圆锥角膜患者的终生花费
Vision (Basel). 2023 Aug 3;7(3):52. doi: 10.3390/vision7030052.
7
Long-term effect of using hard contact lenses on corneal endothelial cell density and morphology in ophthalmologically healthy individuals in Japan.在日本，眼健康个体中使用硬性透气性角膜接触镜对角膜内皮细胞密度和形态的长期影响。
Sci Rep. 2023 May 11;13(1):7649. doi: 10.1038/s41598-023-34756-x.
8
Effects of rigid gas permeable contact lens on morphological parameters and vision-related quality of life in keratoconus patients.硬性透气性角膜接触镜对圆锥角膜患者形态学参数及视力相关生活质量的影响。
Int J Ophthalmol. 2022 Nov 18;15(11):1772-1781. doi: 10.18240/ijo.2022.11.07. eCollection 2022.
9
Investigating the role of inflammation in keratoconus: A retrospective analysis of 551 eyes.探讨炎症在圆锥角膜中的作用：对 551 只眼的回顾性分析。
Eur J Ophthalmol. 2023 Jan;33(1):35-43. doi: 10.1177/11206721221125013. Epub 2022 Sep 26.
10
Impact of rigid gas-permeable contact lens on keratometric indices and corneal thickness of keratoconus eyes examined with anterior segment optical coherence tomography.眼前节光学相干断层扫描评估硬性透气性角膜接触镜对圆锥角膜角膜曲率计指数和角膜厚度的影响。
PLoS One. 2022 Jul 8;17(7):e0270519. doi: 10.1371/journal.pone.0270519. eCollection 2022.
本文引用的文献
1
Effects of Soft Toric, Rigid Gas-Permeable, and Mini-Scleral Lenses on Corneal Microstructure Using Confocal Microscopy.软性散光隐形眼镜、透气性硬性隐形眼镜和巩膜迷你镜对角膜微观结构影响的共焦显微镜评估。
Eye Contact Lens. 2020 Mar;46(2):74-81. doi: 10.1097/ICL.0000000000000612.
2
Intraepithelial corneal haemorrhage in a rigid contact lens wearer.佩戴硬性角膜接触镜者的角膜上皮内出血。
Cont Lens Anterior Eye. 2018 Oct;41(5):455-457. doi: 10.1016/j.clae.2018.03.003. Epub 2018 Mar 24.
3
Nonsurgical Procedures for Keratoconus Management.圆锥角膜治疗的非手术方法
J Ophthalmol. 2017;2017:9707650. doi: 10.1155/2017/9707650. Epub 2017 Dec 21.
4
Effect of the Rigid Gas-Permeable Contact Lens Use on the Endothelial Cells in Patients With Keratoconus.硬性透气性角膜接触镜对圆锥角膜患者内皮细胞的影响。
Eye Contact Lens. 2018 Nov;44 Suppl 2:S314-S317. doi: 10.1097/ICL.0000000000000483.
5
Effects of the rigid gas permeable contact lense use on tear and ocular surface among keratoconus patients.硬性透气性角膜接触镜的使用对圆锥角膜患者泪液和眼表面的影响。
Cont Lens Anterior Eye. 2018 Jun;41(3):273-276. doi: 10.1016/j.clae.2017.12.013. Epub 2017 Dec 7.
6
Inflammation in Dry Eye Disease: How Do We Break the Cycle?干眼症中的炎症：我们如何打破这个循环？
Ophthalmology. 2017 Nov;124(11S):S14-S19. doi: 10.1016/j.ophtha.2017.08.029.
7
Risk Behaviors for Contact Lens-Related Eye Infections Among Adults and Adolescents - United States, 2016.2016年美国成人及青少年中与隐形眼镜相关眼部感染的风险行为
MMWR Morb Mortal Wkly Rep. 2017 Aug 18;66(32):841-845. doi: 10.15585/mmwr.mm6632a2.
8
Characteristics and survey of keratoconic contact lens wearers who are lost to follow up.圆锥角膜隐形眼镜佩戴者失访的特征及调查
Clin Exp Optom. 2017 Nov;100(6):616-622. doi: 10.1111/cxo.12558. Epub 2017 Jul 12.
9
Endothelial alterations in 712 keratoconus patients.712 例圆锥角膜患者的血管内皮改变。
Acta Ophthalmol. 2018 Mar;96(2):e134-e139. doi: 10.1111/aos.13471. Epub 2017 Jun 9.
10
Acute hypoxia influences collagen and matrix metalloproteinase expression by human keratoconus cells in vitro.急性缺氧对体外培养的圆锥角膜细胞中胶原蛋白和基质金属蛋白酶表达的影响。
PLoS One. 2017 Apr 20;12(4):e0176017. doi: 10.1371/journal.pone.0176017. eCollection 2017.
Zotero 插件