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一项单中心、随机、对照试验的方案,评估眼镜或角膜塑形术对儿童和青少年干眼参数的影响。

A protocol for a single center, randomized, controlled trial assessing the effects of spectacles or orthokeratology on dry eye parameters in children and adolescents.

作者信息

Song Yilin, Chen Jiayan, Qin Guanghao, Xu Ling, He Wei, Yu Sile, Pazo Emmanuel Eric, He Xingru

机构信息

He Eye Specialist Hospital, Shenyang, China.

Dalian Medical University, Dalian, China.

出版信息

Heliyon. 2024 Sep 12;10(18):e37779. doi: 10.1016/j.heliyon.2024.e37779. eCollection 2024 Sep 30.

DOI:10.1016/j.heliyon.2024.e37779
PMID:39323780
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11422608/
Abstract

BACKGROUND

The prevalence of myopia among adolescents is increasing precipitously in China, and the popularity of orthokeratology (OK) lenses as an effective treatment for controlling myopia progression is rising. This protocol assessed and compared the clinical dry eye parameters in children and adolescents with myopia treated with spectacles or OK lenses.

METHODS AND ANALYSIS

This single-masked randomized control trial will include 300 participants (aged 8-17 years) with myopia treated with OK lens (study group) or spectacles (control group). We will record the ocular surface disease index, visual analog scale score, noninvasive tear breakup time, tear meniscus height, meibomian gland score, ocular redness score, visual acuity, tear Matrix Metalloproteinase-9 concentration, tear Lymphotoxin alpha levels at baseline, and after 1-, 3-, 6-, and 12-month.

DISCUSSION

This study will be a standardized, scientific, clinical trial designed to evaluate the dry eye parameters in children and adolescents with myopia treated with OK lenses for myopia control.

ETHICS AND DISSEMINATION

This study has been approved by the Ethics Committee of He Eye Specialist Hospital [ethics approval number: IRB(2023)K024.01]. Before participating in the trial, written informed consent will be obtained from all patient's parents or guardians. The findings of this study will be showcased at both local and international conferences and will also be submitted for publication in reputable peer-reviewed journals.

TRIAL REGISTRATION NUMBER

Clinicaltrials.gov: NCT06023108 {2a, 2b}.

摘要

背景

在中国,青少年近视患病率急剧上升,角膜塑形术(OK)镜片作为控制近视进展的有效治疗方法越来越受欢迎。本方案评估并比较了佩戴眼镜或OK镜片治疗的近视儿童和青少年的临床干眼参数。

方法与分析

这项单盲随机对照试验将纳入300名8至17岁的近视参与者,他们分别接受OK镜片治疗(研究组)或眼镜治疗(对照组)。我们将记录眼表疾病指数、视觉模拟量表评分、非侵入性泪膜破裂时间、泪河高度、睑板腺评分、眼红评分、视力、泪液基质金属蛋白酶-9浓度、泪液淋巴毒素α水平,记录时间点为基线时以及1个月、3个月、6个月和12个月后。

讨论

本研究将是一项标准化、科学性的临床试验,旨在评估使用OK镜片控制近视的儿童和青少年的干眼参数。

伦理与传播

本研究已获得何氏眼科专科医院伦理委员会的批准[伦理批准号:IRB(2023)K024.01]。在参与试验前,将从所有患者的父母或监护人处获得书面知情同意书。本研究的结果将在国内和国际会议上展示,并将提交至知名同行评审期刊发表。

试验注册号

Clinicaltrials.gov:NCT06023108 {2a, 2b}

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f95a/11422608/23a638fcc9d9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f95a/11422608/23a638fcc9d9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f95a/11422608/23a638fcc9d9/gr1.jpg

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本文引用的文献

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Influence of overnight orthokeratology on tear film and meibomian glands in myopic children: a prospective study.角膜塑形术对近视儿童泪膜和睑板腺的影响:一项前瞻性研究。
BMC Ophthalmol. 2023 Apr 3;23(1):136. doi: 10.1186/s12886-023-02883-8.
2
Application of orthokeratology on myopia control and its effect on ocular surface and meibomian gland function in Chinese myopic adolescents.角膜塑形术在中国近视青少年中的近视控制应用及其对眼表和睑板腺功能的影响
Front Med (Lausanne). 2022 Dec 8;9:979334. doi: 10.3389/fmed.2022.979334. eCollection 2022.
3
Impact of Overnight Wear of Orthokeratology Lens on Thickness of Tear Film Lipid Layer in Children with Myopia.
角膜塑形镜过夜佩戴对近视儿童泪膜脂质层厚度的影响。
Klin Monbl Augenheilkd. 2023 Oct;240(10):1151-1157. doi: 10.1055/a-1905-1998. Epub 2022 Jul 20.
4
Evaluation of the meibomian glands using the tear interferometer wearing orthokeratology lenses.使用角膜塑形镜评估泪膜干涉仪的麦氏腺。
BMC Ophthalmol. 2022 Mar 24;22(1):133. doi: 10.1186/s12886-022-02365-3.
5
Orthokeratology Lens Wear for 2 Years in Children Did Not Alter Tear Film Lipid Thickness by Non-Invasive Interferometry.儿童佩戴角膜塑形镜2年未通过无创干涉测量法改变泪膜脂质层厚度。
Front Med (Lausanne). 2022 Feb 10;9:821106. doi: 10.3389/fmed.2022.821106. eCollection 2022.
6
Does Orthokeratology Wearing Affect the Tear Quality of Children?角膜塑形镜佩戴会影响儿童的泪液质量吗?
Front Pediatr. 2022 Jan 18;9:773484. doi: 10.3389/fped.2021.773484. eCollection 2021.
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Ophthalmic manifestations are associated with reduced tear lymphotoxin-α levels in chronic ocular graft-versus-host disease.眼部表现与慢性眼移植物抗宿主病中泪液淋巴毒素-α水平降低有关。
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