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0.01%阿托品对近视儿童脉络膜厚度的影响:12 个月随访研究。

Changes in choroidal thickness in myopic children with 0.01% atropine: Evidence from a 12-month follow-up.

机构信息

Department of Ophthalmology, Inner Mongolia Chaoju Eye Hospital, 010050 Hohhot, China.

Department of Ophthalmology, Siziwang Banner People's Hospital, 011800 Ulanqab, China.

出版信息

Photodiagnosis Photodyn Ther. 2023 Jun;42:103528. doi: 10.1016/j.pdpdt.2023.103528. Epub 2023 Mar 24.

Abstract

PURPOSE

To investigate the changes of low-dose atropine (0.01%) on the choroidal thickness (ChT) of young children with low myopia.

METHODS

A total of 25 eyes of 25 low myopic children were included. All subjects were prescribed 0.01% atropine eye drops to be applied once per night before bedtime in involving eyes. The ChT and ocular biometry parameters were measured before and after 1 month, 3 months, 6 months and 12 months. The children were followed up for 12 months.

RESULTS

At 3 months, the ChT under the fovea significantly increased (309.96±70.82 μm) in comparison with the baseline (297.92±66.31 μm, P<0.0001) and was continuous thickening till 12 months after treatments with 0.01% atropine. Similarly, the changes of ChT under the fovea significantly increased from baseline to 3 months in comparison with the baseline to 1 month after treatments (P<0.0001). There was a significant relationship between changes in subfoveal ChT and central cornea thickness (CCT, beta=-1.76, 95% confidence intervals: -3.49 to -0.04, P = 0.045).

CONCLUSIONS

Using low dose atropine eye drops significantly increased subfoveal ChT after 3 months in eyes of myopic children. In addition, the changes in subfoveal ChT may be associated with the changes of CCT.

摘要

目的

探讨小剂量阿托品(0.01%)对低度近视儿童脉络膜厚度(ChT)的影响。

方法

共纳入 25 例(25 只眼)低度近视儿童。所有患者均予每晚睡前单眼滴用 0.01%阿托品眼液。分别于用药前、用药后 1 个月、3 个月、6 个月及 12 个月测量 ChT 及眼球生物学参数。随访 12 个月。

结果

治疗 3 个月时,黄斑下 ChT 明显增厚(309.96±70.82 μm),与治疗前(297.92±66.31 μm,P<0.0001)及治疗后 1 个月时比较差异均有统计学意义(P<0.0001),并持续增厚至治疗后 12 个月。同样,黄斑下 ChT 自治疗前至 3 个月的变化与自治疗前至 1 个月时的变化相比差异均有统计学意义(P<0.0001)。黄斑下 ChT 的变化与中央角膜厚度(CCT)呈显著负相关(β=-1.76,95%可信区间:-3.49 至 -0.04,P=0.045)。

结论

小剂量阿托品滴眼能显著增加近视儿童黄斑下 ChT,且黄斑下 ChT 的变化可能与 CCT 的变化有关。

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