Guo X, Xie P Y
Beijing Internet Eyecare Optometry & Ophthalmology Clinic, Beijing 100027, China.
Zhonghua Yan Ke Za Zhi. 2023 Mar 11;59(3):237-241. doi: 10.3760/cma.j.cn112142-20221017-00517.
Orthokeratology (Ortho-K) is one of the effective methods to control the development of myopia in children and adolescents. The mechanical pressure of eyelids on the Ortho-K lens and the hydraulic effect of tears under the Ortho-K lens can alter the curvature or shape of the cornea, which can correct refractive error and control myopia development progress. The tear film is a thin layer of liquids evenly distributing in the conjunctival sac. Wearing an Ortho-K lens can decrease the tear film stability, which will influence the Ortho-K. In this article, the relevant domestic and overseas research results are summarized and analyzed, aiming to sort out and discuss the effection of tear film stability on the fitting, shaping, safety, and visual quality of the Ortho-K, as well as to provide suggestions for clinicians and researchers.
角膜塑形术(Ortho-K)是控制儿童和青少年近视发展的有效方法之一。眼睑对角膜塑形镜的机械压力以及角膜塑形镜下泪液的液压作用可改变角膜的曲率或形状,从而矫正屈光不正并控制近视发展进程。泪膜是均匀分布于结膜囊内的一层薄液体。佩戴角膜塑形镜会降低泪膜稳定性,这将对角膜塑形术产生影响。本文总结并分析了国内外相关研究成果,旨在梳理和探讨泪膜稳定性对角膜塑形术的验配、塑形、安全性和视觉质量的影响,并为临床医生和研究人员提供建议。