Johnson & Johnson MedTech, Jacksonville, Florida.
Optom Vis Sci. 2024 Mar 1;101(3):134-142. doi: 10.1097/OPX.0000000000002119.
The availability of a range of effective myopia control modalities enables the clinician to exercise judgment when discussing the treatment plan with the patient and their parents. This article outlines important considerations beyond efficacy.Clinically meaningful myopia control may be attained with some spectacle lenses, select soft contact lenses, some concentrations of atropine, and overnight orthokeratology. Given that satisfactory efficacy can be achieved with a range of modalities, other factors should be considered when deciding upon the best intervention for a given child. Four key factors-compliance, quality of vision, quality of life, and safety-are discussed in this review. Compliance directly impacts efficacy regardless of the modality and is the most important consideration, as it is influenced by quality of vision and comfort. Daily disposal myopia control contact lenses and overnight orthokeratology are generally associated with high compliance, provide better vision-related quality of life than spectacles, and carry a very low risk when used appropriately. A further benefit of overnight orthokeratology is the elimination of a need for optical correction during the day.
一系列有效的近视控制手段的可用性使临床医生在与患者及其家长讨论治疗方案时能够进行判断。本文除了疗效之外，还概述了一些重要的考虑因素。一些眼镜镜片、某些软性隐形眼镜、某些浓度的阿托品和夜戴角膜塑形镜可以达到有临床意义的近视控制。鉴于可以通过多种方式获得令人满意的疗效，在为特定儿童选择最佳干预措施时，还应考虑其他因素。本文综述了四个关键因素——依从性、视觉质量、生活质量和安全性。无论采用何种方式，依从性都直接影响疗效，而且是最重要的考虑因素，因为它受到视觉质量和舒适度的影响。每日抛弃型近视控制隐形眼镜和夜戴角膜塑形镜通常具有较高的依从性，与眼镜相比，能提供更好的与视觉相关的生活质量，并且在适当使用时风险非常低。夜戴角膜塑形镜的另一个好处是消除了白天对光学矫正的需求。
