目的:近视眼隐性内斜视(隐内斜)患者,在戴镜后仍会加速进展。通过随访各种不同方法配镜后近视度的变化,指导配镜选择。方法:对2004/2009年视光门诊收集完整的50例近视眼隐内斜患者的配镜资料及门诊病历,逐年统计。对不同时期、戴不同种类的眼镜后,近视度变化的值,按球镜、柱镜换算成每年屈光度变化的均值,再作均值之间的配对t检验。戴镜分普通眼镜、降-1.50DS近用镜、学生渐变多焦镜(MC镜)和阅读附加镜。结果:MC镜较普通镜在控制球镜度的进展方面,已有非常显著的统计学意义(P<0.01);阅读附加镜较MC镜在控制球镜、柱镜的屈光度变化方面均有非常显著的统计学差异(P<0.01);MC镜长期戴镜后有柱镜度增加、最佳矫正视力下降的现象;改用阅读附加镜后,最佳矫正视力提高。结论:近视眼隐内斜患者带普通眼镜后近视度增加较快,戴近用镜(降-1.50DS)和MC镜后次之,戴阅读附加镜效果理想。

AIM:To determine the impact of wearing several kinds of spectacles on progression of 50 myopia cases with esophoria.METHODS:Fifty myopia with esophoria were collected from 2004-2009,and whose refraction data and medical records were analyzed yearly.Wearing spectacles were ordinary glasses,reading glasses(reducing-1.50D),multifocal lens(MC),and reading additional lens,respectively.The refraction change of the four groups were analyzed by paired sample t-test.RESULTS:There were 50 patients,aged 9 to 17 years(12.04±2.53),26 males and 24 females.MC was better than ordinary glasses in controlling the increase of degree of sphere in myopia(P<0.01).Reading additional lens were more effective in controlling the increase of degree of sphere and cylinder than MC(P<0.01).The degree of cylinder could increase and the best-corrected visual acuity could decrease because of long-time wearing of MC,while wearing reading additional lens could improve the best-corrected visual acuity.CONCLUSION:Myopia progression is faster in patients wearing ordinary glasses than reading glasses(reducing-1.50D)and MC.Myopia progression will slow down wearing reading additional lens.

R778.11