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| Effect of different interventions on the diopter and eye axis of juvenile myopia patients |
| DENG En-li |
| Department of Ophthalmology, Dalian Maternal and Child Health Care Hospital, Liaoning Province, Dalian, 116033,China |
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Abstract Objective To explore the effect of different interventions on the diopter and eye axis of juvenile myopia patients.Methods The clinical data of 86 adolescent myopia patients treated in Dalian Maternal and Child Health Care Hospital from January 2017 to June 2019 were analyzed retrospectively.According to the difference of intervention method, they were divided into frame glasses group (30 cases, 52 eyes), orthokeratology group (29 cases, 53 eyes) and low-concentration atropine group (27 cases, 49 eyes).Frame glasses group routinely fitted single focus frame glasses after routine ophthalmology examination, the orthokeratology group selected an appropriate orthokeratology lens according to corneal eccentricity, corneal center curvature radius and corneal diopter, the low-concentration atropine group used 0.1 g/L Atropine eye drops before going to bed and wore frame glasses during the day.The changes of diopter, eye axis,naked eye vision, and tear film rupture time (BUT) were compared among the three groups.Results At 6 months after the intervention, the refractive power of the frame glasses group was lower than that before intervention, and the eye axis was longer than than that before intervention, the differences were statistically significant (P＜0.05).Compared refractive power and eye axis between orthokeratology group and low-concentration atropine group, the difference was not statistically significant (P＞0.05).At 6 months after intervention, the uncorrected visual acuity of the three groups was higher than that that before intervention, and the visual acuity of the orthokeratology group and the low-concentration atropine group was higher than that of the frame glasses group, the differences were statistically significant (P＜0.05).At 6 months after intervention, the BUT values in the orthokeratology lens group and the low-concentration atropine group were shorter than those before intervention, the differences were statistically significant (P＜0.05).Conclusion Compared with the frame glasses correction method, orthokeratology and low-concentration Atropine correction can more effectively control the diopter and eye axis growth of adolescents, which is conducive to controlling the development of adolescent myopia, but orthokeratology is not effective in stabilizing the tear film.
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