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定制软性接触镜对圆锥角膜患者不规则散光矫正的效果。

Effects of Custom-Designed Soft Contact Lenses on Irregular Astigmatism Correction in Patients with Keratoconus.

作者信息

Nishida Tomoya, Kojima Takashi, Ogi Saaya, Kataoka Takahiro, Isogai Naoki, Yoshida Yoko, Nakamura Tomoaki

机构信息

Nagoya Eye Clinic, Nagoya, Japan.

出版信息

Clin Ophthalmol. 2023 Jul 27;17:2149-2162. doi: 10.2147/OPTH.S420940. eCollection 2023.

DOI:10.2147/OPTH.S420940
PMID:37529756
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10389083/
Abstract

PURPOSE

To evaluate the efficacy of YOUSOFT soft contact lenses in correcting irregular astigmatism and prescription results of patients with keratoconus.

PATIENTS AND METHODS

The retrospective observational study included 55 eyes (mean age, 32.2 ± 10.6 years; 36 men and 6 women) of 42 patients with keratoconus who tried YOUSOFT for rigid gas permeable (RGP) lens intolerance. Average keratometry, corneal astigmatism, and maximum keratometry were 49.4 ± 5.2 diopters (D), 3.7 ± 2.1 D, and 57.3 ± 8.2 D, respectively. Patients were divided into YOUSOFT prescription and non-prescription cases, wherein the prescription rates were calculated. YOUSOFT visual acuity was compared with spectacle-corrected distance visual acuity (CDVA) and RGP lens-CDVA.

RESULTS

YOUSOFT was prescribed to 28 out of 42 patients (prescription rate 67%). In the YOUSOFT prescription cases, YOUSOFT-CDVA (logMAR -0.04; 95% confidence interval [CI]: -0.08 to 0.00) was significantly better than spectacle-CDVA (logMAR 0.23; 95% CI: 0.08 to 0.38; P < 0.0001), whereas YOUSOFT-CDVA (logMAR -0.03; 95% CI: -0.08 to 0.03) did not significantly differ from the RGP lens-CDVA (logMAR -0.02; 95% CI: -0.08 to 0.04; P = 0.856).

CONCLUSION

YOUSOFT was effective in correcting irregular corneal astigmatism, suggesting that it is highly effective in patients with RGP lens intolerance.

摘要

目的

评估优适柔（YOUSOFT）软性接触镜矫正圆锥角膜患者不规则散光的疗效及验光结果。

患者与方法

这项回顾性观察研究纳入了42例因对硬性透气性（RGP）镜片不耐受而试用优适柔的圆锥角膜患者的55只眼（平均年龄32.2±10.6岁；男性36例，女性6例）。平均角膜曲率、角膜散光和最大角膜曲率分别为49.4±5.2屈光度（D）、3.7±2.1 D和57.3±8.2 D。将患者分为优适柔验光配镜组和非验光配镜组，并计算配镜率。比较优适柔视力与框架眼镜矫正的远视力（CDVA）以及RGP镜片矫正的CDVA。

结果

42例患者中有28例开具了优适柔处方（配镜率67%）。在优适柔验光配镜组中，优适柔矫正视力（logMAR -0.04；95%置信区间[CI]：-0.08至0.00）显著优于框架眼镜矫正视力（logMAR 0.23；95% CI：0.08至0.38；P<0.0001），而优适柔矫正视力（logMAR -0.03；95% CI：-0.08至0.03）与RGP镜片矫正视力（logMAR -0.02；95% CI：-0.08至0.04；P = 0.856）无显著差异。

结论

优适柔在矫正不规则角膜散光方面有效，提示其对RGP镜片不耐受的患者非常有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/10389083/3c762fcda85f/OPTH-17-2149-g0008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/10389083/b54cc9f07532/OPTH-17-2149-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/10389083/e0a0132a1b30/OPTH-17-2149-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/10389083/e888aae6b12e/OPTH-17-2149-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/10389083/3502b88a000a/OPTH-17-2149-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/10389083/097351f4c81d/OPTH-17-2149-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/10389083/8a73fe2660fe/OPTH-17-2149-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/10389083/0e404916b385/OPTH-17-2149-g0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/10389083/3c762fcda85f/OPTH-17-2149-g0008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/10389083/b54cc9f07532/OPTH-17-2149-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/10389083/e0a0132a1b30/OPTH-17-2149-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/10389083/e888aae6b12e/OPTH-17-2149-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/10389083/3502b88a000a/OPTH-17-2149-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/10389083/097351f4c81d/OPTH-17-2149-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/10389083/8a73fe2660fe/OPTH-17-2149-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/10389083/0e404916b385/OPTH-17-2149-g0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc4e/10389083/3c762fcda85f/OPTH-17-2149-g0008.jpg

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Arq Bras Oftalmol. 2023 Jan-Feb;86(1):7-12. doi: 10.5935/0004-2749.20230001.
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Br J Ophthalmol. 2022 Feb;106(2):197-202. doi: 10.1136/bjophthalmol-2020-317057. Epub 2020 Nov 10.
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