RGP治疗成人高度屈光不正性弱视的疗效

Curative effect of rigid gas permeable contact lens for adults with high ametropic amblyopia

摘要:

目的：探讨硬性透氧性角膜接触镜(rigid gas-permeable contact lenses，RGP)治疗成人高度屈光不正性弱视的疗效。

方法：对26例49眼成人高度屈光不正性弱视患者行RGP验配。随访观察6mo，回顾性分析其疗效。

结果：患者戴镜前屈光度球镜-14.90±4.95D，散光-2.59±1.60D，框架眼镜最佳矫正视力平均4.64±0.16。首次配戴RGP后最佳矫正视力为4.79±0.17，经配对t检验，差异具有显著统计学意义(t=-8.999，P<0.01)； 配戴1，3，6mo后，矫正视力保持稳定，未见下降，视觉质量满意。镜片配适良好，未见角结膜严重并发症。

结论：RGP为成人高度屈光不正性弱视提供了优质的视觉矫正效果，可进一步推广。

Abstract:

AIM: To evaluate the clinical effects of rigid gas-permeable contact lenses(RGP)for adults with high ametropic amblyopia.

METHODS: Twenty-six adults 49 eyes with high ametropic amblyopia were selected to wear RGP. These adults were followed up for 6 months, and the curative effect was retrospectively analyzed.

RESULTS: The corrected visual acuity of these eyes with RGP was 4.79±0.17, better than that with spectacles(4.64±0.16). The result was statistically significant(P<0.01, t-test). After 1, 3 and 6 months, there was no decrease in the corrected visual acuity with RGP. In general, the patients felt comfortable and no serious complications occurred within follow-up period.

CONCLUSION: RGP has good therapeutic effect and it is a safe and effective method for providing better optic corrections and better corrected visual acuity in treatment of high ametropic amblyopia in adults.