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在动态Scheimpflug分析仪上测量软性接触镜佩戴后角膜的生物力学特性:一项前后对照研究。

Corneal biomechanical properties after soft contact lens wear measured on a dynamic Scheimpflug analyzer: A before and after study.

作者信息

Peyman A, Ghoreishi M, Hashemi-Estabragh S-S, Mirmohammadkhani M, Mohammadinia M, Pourazizi M

机构信息

Isfahan Eye Research Center, Department of Ophthalmology, Isfahan University of Medical Sciences, Feiz Hospital, Modares St., Isfahan, Iran.

Parsian Vision Research Institute, Department of Ophthalmology, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Fr Ophtalmol. 2021 Mar;44(3):391-396. doi: 10.1016/j.jfo.2020.06.050. Epub 2021 Feb 19.

Abstract

OBJECTIVES

To evaluate the corneal biomechanics before and after daily use of contact lenses (CLs), measured by Scheimpflug-based devices.

METHODS

This prospective clinical study includes participants who were scheduled to use CLs daily for refractive error. The biomechanical parameters were measured by the Corneal Visualization Scheimpflug Technology (Corvis ST) before and one month after using the soft CLs.

RESULTS

Twenty-three subjects (46 eyes), including 16 female (76.2%) with a mean age of 28±7.29 years, were enrolled. There was no significant difference among biomechanical factors measured before and after contact lens wear (P>0.05). Using regression analysis of the biomechanical markers, we found a statistically significant association between second applanation length (A2 length) (P=0.001), highest concavity radius (HCR) (P=0.05), deflection amplitude ratio (DA_ratio) (P=0.05) and integrated radius (P<0.001) with age. Regarding spherical equivalent, we found a statistically significant association between central corneal thickness (CCT) (P=0.05), A2 length (P=0.03) and stiffness parameter at first applanation (SPA) (P=0.02).

CONCLUSIONS

We did not find a significant difference in terms of corneal biomechanical parameters between baseline and month 1; but regression analyses showed a statistically significant association between A2 length, HCR, DA_ratio, integrated radius, CCT and SPA and certain subject characteristics.

摘要

目的

通过基于Scheimpflug原理的设备评估每日佩戴隐形眼镜(CL)前后的角膜生物力学。

方法

这项前瞻性临床研究纳入了计划每日佩戴CL以矫正屈光不正的参与者。在佩戴软性CL之前和之后1个月,使用角膜可视化Scheimpflug技术(Corvis ST)测量生物力学参数。

结果

共纳入23名受试者(46只眼),其中16名女性(76.2%),平均年龄28±7.29岁。佩戴隐形眼镜前后测量的生物力学因素之间无显著差异(P>0.05)。通过对生物力学指标进行回归分析,我们发现二次压平长度(A2长度)(P=0.001)、最大凹陷半径(HCR)(P=0.05)、偏转幅度比(DA_ratio)(P=0.05)和综合半径(P<0.001)与年龄之间存在统计学上的显著关联。关于等效球镜度,我们发现中央角膜厚度(CCT)(P=0.05)、A2长度(P=0.03)和首次压平刚度参数(SPA)(P=0.02)之间存在统计学上的显著关联。

结论

我们未发现基线和第1个月之间角膜生物力学参数存在显著差异;但回归分析显示,A2长度、HCR、DA_ratio、综合半径、CCT和SPA与某些受试者特征之间存在统计学上的显著关联。

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