近视儿童戴具有非球面小透镜的眼镜镜片与非近视儿童的眼球生长模式比较。

Eye growth pattern of myopic children wearing spectacle lenses with aspherical lenslets compared with non-myopic children.

机构信息

R&D Singapore, Essilor International, Singapore, Singapore.

Wenzhou Medical University-Essilor International Research Centre (WEIRC), Wenzhou Medical University, Wenzhou, China.

出版信息

Ophthalmic Physiol Opt. 2024 Jan;44(1):206-213. doi: 10.1111/opo.13232. Epub 2023 Sep 15.

DOI:10.1111/opo.13232

PMID:37712499

Abstract

INTRODUCTION

To evaluate eye growth of children wearing spectacle lenses with highly aspherical lenslets (HAL), slightly aspherical lenslets (SAL) and single-vision lenses (SVL) compared to eye growth patterns in non-myopes in Wenzhou, China.

METHODS

The randomised trial had 170 myopic children (aged 8-13 years) randomly assigned to the HAL, SAL or SVL group. Normal eye growth was examined using 700 non-myopic schoolchildren (aged 7-9 years) in the Wenzhou Medical University-Essilor Progression and Onset of Myopia (WEPrOM) cohort study using logistic function models. Slow, normal and fast eye growth was defined as range of values <25th, 25th-75th and >75th percentiles, respectively.

RESULTS

The predicted upper limits of slow eye growth (25th percentile) among non-myopes aged 7-10 years and 11-13 years were 0.20-0.13 and 0.08-0.01 mm (after 2-year period; 0.37-0.33 and 0.29-0.14 mm), respectively, while the upper limits of normal eye growth (75th percentile) were 0.32-0.31 and 0.28-0.10 mm (after 2-year period; 0.58-0.55 and 0.50-0.24 mm), respectively. The 2-year trial had 157 children, 96 of whom wore their lenses full time (everyday ≥12 h/day). The mean 2-year axial length change for HAL, SAL and SVL was 0.34, 0.51 and 0.69 mm (0.28, 0.46 and 0.69 mm in full-time wear), respectively. Slow eye growth was found in 35%, 17% and 2% (44%, 29% and 3% in full-time wear); normal eye growth in 35%, 26% and 12% (44%, 32% and 9% in full-time wear) and fast eye growth in 30%, 57% and 86% (12%, 39% and 88% in full-time wear), respectively (p < 0.001).

CONCLUSIONS

The eye growth pattern in approximately 90% wearing HAL full time (compared with about 10% wearing SVL full time) was similar or slower than that of non-myopic children both after 1- and 2-year periods.

摘要

简介

为了评估中国温州的儿童在佩戴高度非球面透镜（HAL）、轻度非球面透镜（SAL）和单焦点镜片（SVL）的眼镜后的眼生长情况，与非近视者的眼生长模式进行比较。

方法

本随机试验纳入了 170 名近视儿童（年龄 8-13 岁），并将其随机分配至 HAL、SAL 或 SVL 组。使用温州医科大学-依视路近视进展与发病机制（WEPrOM）队列研究中的 700 名非近视学龄儿童（年龄 7-9 岁），使用逻辑函数模型来评估正常眼生长情况。将慢、正常和快眼生长分别定义为<25 百分位、25-75 百分位和>75 百分位的范围值。

结果

在 7-10 岁和 11-13 岁的非近视儿童中，预测的 2 年期间（0.37-0.33 和 0.29-0.14mm）的慢眼生长（25 百分位）上限值分别为 0.20-0.13 和 0.08-0.01mm，而正常眼生长（75 百分位）上限值分别为 0.32-0.31 和 0.28-0.10mm（0.58-0.55 和 0.50-0.24mm）。在 2 年的试验中，共有 157 名儿童，其中 96 名全天（每天≥12 小时）佩戴其镜片。HAL、SAL 和 SVL 的 2 年轴向长度变化均值分别为 0.34、0.51 和 0.69mm（全天佩戴时分别为 0.28、0.46 和 0.69mm）。发现 35%、17%和 2%（全天佩戴时为 44%、29%和 3%）的儿童出现慢眼生长；35%、26%和 12%（全天佩戴时为 44%、32%和 9%）的儿童出现正常眼生长；30%、57%和 86%（全天佩戴时为 12%、39%和 88%）的儿童出现快眼生长（p<0.001）。