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软性与透气性硬性角膜接触镜配戴者角膜地形图及前房深度对比分析
引用本文:周路坦,石迎辉.软性与透气性硬性角膜接触镜配戴者角膜地形图及前房深度对比分析[J].眼科新进展,2015,0(9):851-853.
作者姓名:周路坦  石迎辉
作者单位:450000 河南省郑州市,郑州铁路职业技术学院医学技术系眼视光专业
摘    要:目的 比较配戴软性及硬性角膜接触镜对角膜形态及前房深度的影响。方法 选取屈光不正患者60例(120眼),分别予以配戴软性角膜接触镜(softcontactlens,SCL)及透气性硬性角膜接触镜(rigidgaspermeablecontactlens,RGPCL),其中SCL组30例(60眼),RGPCL组30例(60眼),ObscanⅡ角膜地形图观察戴镜前及戴镜后1a、2a角膜屈光力、角膜前后表面Diff值、中央角膜厚度、前房深度的变化。结果 戴镜前RGPCL组角膜上下表面屈光力差值为(0.98±0.49)D,戴镜后1a为(0.66±0.43)D,戴镜后2a为(0.59±0.37)D,均较戴镜前减小(P<0.05);戴镜后1a、2a角膜前表面屈光力均较戴镜前降低,差异均有统计学意义(均为P<0.05)。SCL组戴镜后1a、2a角膜前后表面屈光力、I-S值、前后表面Diff值、前房深度与戴镜前比较,差异均无统计学意义(均为P>0.05);戴镜前中央角膜厚度为(549±26)μm,戴镜后1a为(527±29)μm,与戴镜前比较差异无统计学意义(P>0.05),戴镜后2a为(509±31)μm,与戴镜前比较差异有统计学意义(P<0.05)。结论 长期配戴RGPCL对角膜代谢和功能影响不明显,且能够提供更好的光学矫正效果。

关 键 词:角膜接触镜  角膜曲率  角膜前后表面高度  前房深度

 Comparison of corneal topography and anterior chamber depth between patients wearing RGPCL and SCL
ZHOU Lu-Tan,SHI Ying-Hui. Comparison of corneal topography and anterior chamber depth between patients wearing RGPCL and SCL[J].Recent Advances in Ophthalmology,2015,0(9):851-853.
Authors:ZHOU Lu-Tan  SHI Ying-Hui
Institution:Department of Medical Technology , Zhengzhou Railway Vocation and Technical College, Zhengzhou 450000 , Henan Province . China
Abstract:Objective To evaluate and compare the effects of soft contact lens ( SCL) and rigid gas permeable contact lens ( RGPCL) on corneal topography and anterior chamber depth. Methods One hundred and twenty eyes of 60 contact lens users were divided into two groups :SCL group and RGPCL group,30 cases ( 60 eyes) in each group. The corneal refraction , anterior and posterior corneal surface Diff values . central corneal thickness , anterior chamber depth before wearing CL and I year,2 years after wearing CL were measured and compared. Results The corneal I - S value before wearing RGPCL was ( 0. 98 + 0. 49 ) D ,1 year after wearing RGPCL was ( 0. 66 +0. 43 ) D . and 2 years after wearing RGPCL was ( 0. 59 + 0. 37 ) D. there was statistical difference compared with that before wearing RGPCL ( P < 0. 05 ) . At 2 years after wearing RGPCL , the average refractive power of anterior corneal surface was lower than that before wearing RGPCL ( P < 0. 05 ) . There was no statistical difference in refractive power of anterior and posterior corneal surface. I-S value. anterior and posterior corneal surface Diff values and anterior chamber depth at 2 years after wearing SCL compared with before wearing SCL ( all P > 0. 05 ) ; Central corneal thickness before wearing SCL was (549 +26) ym, at I year after wearing SCL was (527 + 29) ym , there was no statistical difference (P > 0. 05 ) .and at 2 years after wearing SCL was (509 + 31) ym, there was statistical difference (P < 0. 05 ) . Conclusion RGPCL does not change the corneal metabolism and function.and can provide the better corrected refractive effects.
Keywords:contact lens  corneal curvature  anterior and posterior corneal surface Diff  anterior chamber depth
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