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动物模型如何增进了我们对人类近视的理解?

How Have Animal Models Increased our Understanding of Human Myopia?

作者信息

Bullimore Mark A

机构信息

University of Houston, College of Optometry, Houston, Texas, United States.

https://orcid.org/0000-0002-6315-3720.

出版信息

Invest Ophthalmol Vis Sci. 2025 Jun 5;66(7):2. doi: 10.1167/iovs.66.7.2.

DOI:10.1167/iovs.66.7.2
PMID:40471574
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12151250/
Abstract

The extent to which animal models of refractive development have increased our understanding of human myopia is reviewed. During postnatal development refractive errors converge on emmetropia in young animals but form deprivation disrupts this process. Their eyes compensate for optically imposed myopic or hyperopic defocus and recover from the induced refractive error when form deprivation or optical defocus is removed. All of these features have, to some extent, been observed in young children. The lens paradigm has been further leveraged in animals to investigate the influence of competing optical signals on refractive error. These, in turn, have informed and validated certain myopia control technologies. Short-term choroidal thickening and thinning can be induced by positive and negative lenses, respectively, in both animals and humans, although these changes are much smaller and more variable in the latter. Finally, inconsistencies among animal models, inconsistencies between animal models and human myopia, and knowledge gaps and opportunities are discussed.

摘要

本文综述了屈光发育动物模型在多大程度上增进了我们对人类近视的理解。在出生后发育过程中,幼小动物的屈光不正会趋向于正视,但形觉剥夺会干扰这一过程。它们的眼睛会补偿光学性近视或远视性离焦,并在形觉剥夺或光学离焦消除后从诱导的屈光不正中恢复。所有这些特征在幼儿中都在一定程度上被观察到。晶状体范式在动物中得到了进一步利用,以研究竞争性光信号对屈光不正的影响。这些反过来又为某些近视控制技术提供了信息并进行了验证。在动物和人类中,正透镜和负透镜分别可引起短期脉络膜增厚和变薄,尽管后者的这些变化要小得多且更具可变性。最后,讨论了动物模型之间的不一致性、动物模型与人类近视之间的不一致性以及知识差距和机遇。

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1
How Have Animal Models Increased our Understanding of Human Myopia?动物模型如何增进了我们对人类近视的理解?
Invest Ophthalmol Vis Sci. 2025 Jun 5;66(7):2. doi: 10.1167/iovs.66.7.2.
2
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Myopic defocus in the evening is more effective at inhibiting eye growth than defocus in the morning: Effects on rhythms in axial length and choroid thickness in chicks.晚上的近视性离焦在抑制眼球生长方面比早上的离焦更有效:对雏鸡眼轴长度和脉络膜厚度节律的影响。
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Axial eye growth and refractive error development can be modified by exposing the peripheral retina to relative myopic or hyperopic defocus.通过使周边视网膜暴露于相对近视或远视性离焦状态,可改变眼轴生长和屈光不正的发展。
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本文引用的文献

1
Mechanism of optical treatments for myopia: Are lenslets joining the DOTs?近视光学治疗的机制:微透镜与衍射光学元件相结合?
Ophthalmic Physiol Opt. 2025 Mar;45(2):337-339. doi: 10.1111/opo.13426. Epub 2024 Nov 27.
2
Novel Lenslet-ARray-Integrated Spectacle Lenses for Myopia Control: A 1-Year Randomized, Double-Masked, Controlled Trial.用于近视控制的新型透镜-AR 阵列集成眼镜:一项为期 1 年的随机、双盲、对照试验。
Ophthalmology. 2024 Dec;131(12):1389-1397. doi: 10.1016/j.ophtha.2024.07.002. Epub 2024 Jul 6.
3
Mechanisms of emmetropization and what might go wrong in myopia.
正视化的机制以及近视可能出现的问题。
Vision Res. 2024 Jul;220:108402. doi: 10.1016/j.visres.2024.108402. Epub 2024 May 4.
4
Red light therapy for myopia: Merits, risks and questions.红光疗法治疗近视:优点、风险与问题
Ophthalmic Physiol Opt. 2024 Jul;44(5):801-807. doi: 10.1111/opo.13306. Epub 2024 Apr 2.
5
Red light instruments for myopia exceed safety limits.红光仪治疗近视,超出安全范围。
Ophthalmic Physiol Opt. 2024 Mar;44(2):241-248. doi: 10.1111/opo.13272. Epub 2024 Jan 5.
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Topical Atropine for Childhood Myopia Control: The Atropine Treatment Long-Term Assessment Study.阿托品治疗儿童近视控制的长期评估研究。
JAMA Ophthalmol. 2024 Jan 1;142(1):15-23. doi: 10.1001/jamaophthalmol.2023.5467.
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Peripheral Defocus, Pupil Size, and Axial Eye Growth in Children Wearing Soft Multifocal Contact Lenses in the BLINK Study.BLINK 研究中佩戴软性多焦点接触镜的儿童的周边离焦、瞳孔大小与眼轴增长
Invest Ophthalmol Vis Sci. 2023 Nov 1;64(14):3. doi: 10.1167/iovs.64.14.3.
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The role of the serotonergic system in atropine's anti-myopic effects.5-羟色胺能系统在阿托品抗近视中的作用。
Biomed Pharmacother. 2023 Nov;167:115542. doi: 10.1016/j.biopha.2023.115542. Epub 2023 Sep 22.
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Optical interventions for myopia control.光学干预控制近视。
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10
Low concentration atropine and myopia: a narrative review of the evidence for United Kingdom based practitioners.低浓度阿托品与近视:基于英国从业者证据的叙述性综述。
Eye (Lond). 2024 Feb;38(3):434-441. doi: 10.1038/s41433-023-02718-2. Epub 2023 Sep 16.