戴角膜塑形镜眼睛疼到底怎么样?对眼睛有伤害吗?

卫生部国家重点专科·建设项目(眼科)单位
辽宁省教育厅指定青少年近视防控基地
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&&&& 许多中小学生近视患者及其家长都会为近视度数的进一步上涨而担忧,虽然近视手术是最有效的处理近视的办法,但却不合适未满18周岁的中小学生。那么,中小学生该怎么控制近视度数呢?
问:请您介绍一下关于(MCT)的状况?&
曲怡茵(医院准分子屈光中心主任):(MCT)是当时控制近视度数最有效的方法,临床实验标明,配戴合适的RGP、MCT,其科技含量不亚于一次近视手术。它能够有效控制青少年近视,每年度数仅增加17度左右,而配戴一般框架镜每年却增加85度左右。
同时,在有效性、安全性及便利性等方面都具有显着优势,且非常合适中小学生验配。除此以外,年满18周岁且无法经过近视手术术前检查,不合适近视手术的患者,也能够考虑佩带(MCT)。
问:佩带需求注意哪些问题?&&
曲怡茵:在佩带时,护理、清洗时应严格依照护理需求操作,保护好镜片,若发现镜片有裂伤、破痕,肯定不能配戴,要及时与医师联系。夜间戴眼镜,所以白天是无镜状况。此外,严重角膜、结膜疾患及干眼症、玻璃体视网膜病变者,应在医师指导下进行佩带。
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手机号码请直接输入,座机号码请输入区号,如:你好,麦迪格角膜塑形镜对孩子的眼睛有伤害吗?
你好,麦迪格角膜塑形镜对孩子的眼睛有伤害吗?
基本信息:女&&
发病时间:不清楚
病情描述及疑问:我女儿7岁带了眼睛的度数是125度和175度,今年增到200和350度,听说麦迪格角膜塑形镜能控制度数,就想试试
您输入的回答少于20个中文字,请补充输入。
擅长:1999年至2000年曾在安徽省立医院眼科进修学习。擅长眼科、耳鼻咽喉科疾病的诊治;开展各种疾病的预防与健康教育。
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二院&&&全科
建议:你好,角膜塑形镜只能暂时控制近视眼,不能根治,使用时要注意卫生,近视平时注意用眼卫生与休息,做眼保健操等
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为保障患者权益,我们仅接受有资质的医学专业人士的回答,请您先认证为医生→ 梦戴维角膜塑形镜如何?对眼睛有伤害吗
梦戴维角膜塑形镜如何?对眼睛有伤害吗
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&&&&&&近视是一种最常见的眼科疾病,发现眼睛模糊问题后一定要到正规眼科医院进行全面的检查,确定是否是近视或者还带有其他的眼部疾病,才是上策,冒然的戴眼镜只会增加病情。因为并非所有的视力模糊都是近视,所以配镜前我们首先要确定是真性近视还是其它眼部疾病引起的视力差。而验光准确与否是配镜的决定性环节,一定要去专.业的眼科医院进行医学验光配镜。医学验光配镜流程包括:眼科专.家问诊→电脑验光→眼科医生检查(包括眼位检查,裂隙灯,眼底镜检查,找出视力不好的原因,排除其他眼病)→检影和综合验光(双眼的调节、集合、平衡功能,让双眼协调工作)→试戴→瞳距测量,开眼镜处方→选择镜片和镜架→制作眼镜→取镜。如果不想带框架眼镜,隐形眼镜也可以,RGP和角膜接触镜都是可以选择的,具体的价格是根据材质的不同而不同的。马上十一假期快到了,你可以去合肥普.瑞视光诊疗中心看看,咨询下那边的专.家,建议提前到合肥普.瑞网.站预.约,挂个专.家号,可以优先就诊
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&&&&&&指导意见:&&&&&&建议带环形的戴隐形眼镜都伤眼最好还是少带可以美瞳镜和普通的隐形眼镜轮流着带,最好建议减少佩戴时间。或者能不带就不要带
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MCT角膜塑形镜会不会对眼睛造成危害
MCT角膜塑形镜安全吗?会不会对孩子的眼睛造成危害呢?目前角膜塑形镜得到了越来越多人的认可,成为很多家长为孩子配镜的首选。但是也不许多家长多角膜塑形镜的安全性表示担忧。那么,MCT角膜塑形镜到底会不会对眼睛造成伤害呢?武汉爱尔眼科医院视光中心周超医生指出,MCT是一项医疗技术、需要合格的医师、合格的镜片和合格的用户才能成功,既安全又有效。中国食品药品监督管理局(SFDA)和美国FDA均批准了MCT的临床使用,这些批准是在严格的临床试验论证后作出的。只要用户按照医师指导正确使用一定是非常安全的。MCT角膜塑形镜是根据近视患者的角膜曲率和屈光度数设计一种特殊的硬性角膜塑形镜,采用夜间配戴矫正方式,白天取镜后即可获得良好的裸眼视力。其高透氧性材质,对眼角膜不会有任何损伤,安全性高,是青少年近视眼最有效的矫正方法,被业内人士称为“睡觉治近视”的良方。角膜塑形是一种可逆的过程,故不会对眼角膜造成不可逆转的变形。定期复查和完备的检查设备,能保证整个治疗过程的顺利进行,专业眼科医生的监督指导,更保证了其安全性。角膜塑形镜属于三类医疗器械,一定要到正规眼科医院通过医学验光,由医生开具处方,科学验配,才能确保安全及疗效,否则易导致度数回弹、角膜损伤,甚至易引发多种眼部疾病。此外,MCT的安全使用,很大程度上与使用人的卫生习惯有关,没有良好的卫生习惯和条件,不建议配戴MCT。青少年在使用时,家长一定要监督孩子按规范完成清洁、消毒程序。配戴前需要经过多项检查,有眼底疾病、干眼症、活动性炎症的人是不能够配戴的。因此,选择一家正规的眼科医院对于MCT角膜塑形镜佩戴安全也是至关重要的。咨询电话:027-(武昌) 027-(汉口)咨询地址:武昌中山路大东门立交桥 汉口硚口区太平洋更多精彩内容
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Copyright & 1998 - 2016 Tencent. All Rights Reserved角膜塑形镜对角膜究竟有没有伤害?
之前有人说美瞳戴多了眼睛颜色会变浅,所以我一直认为隐形眼镜这类东西对眼睛还是有一定伤害的。现在我身边有很多同学佩戴角膜塑形镜。我想知道角膜塑形镜对眼角膜会不会有磨损之类的损伤?如果有,这些损伤是可逆的还是不可逆的?
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更新一些国外在做的关于角膜塑形镜(orthokeratology)的研究。1,这是中华眼科上的一篇关于佩戴OK镜后角膜厚度与角膜内皮的观察。Title:[Corneal thickness and endothelial observation for youth myopia patients fitted with ortho-k lens for seven yearsOBJECTIVE: To observe the changes of the corneal thickness and ednothelial cell for youth myopia patients fitted with long-term orthokeratology (Ortho-K, OK). METHODS: Retrospective case series study. During 2000 to 2005, 30 patients with OK lens wearing more than seven years in the Bei Yi Optometry & Ophthalmology Center had been chose in this study, and all the right eye of each person was selected for retrospective case statistics (30 eyes). the measure instruments, including A scan pachymeter and endothelium microscope, were used to the long-term continuous supervise, which involved the central and para-peripheral corneal thickness, corneal endothelium and corneal conjunctival complications rate. Then the 30 patients were divided into two groups: the moderate-low myopia group is less than -4.00 D with 12 patients (24 eyes), and the high myopia group is more than -5.00 D with 10 patients (20 eyes). And the difference between two groups was involved in this research. The one-way analysis of variance was used to compare before, after six months, after one year, after three years, after five years and after seven years OK lens wearing for the patients. And the variance analysis was used to compare between moderate-low and high myopia groups. RESULTS: Corneal thickness analysis during these seven years: the average central corneal thickness before and after seven-years wearing are (549.45 +/- 33.72) and (538.97 +/- 34.28) microm, respectively, and the central corneal thickness had no significant changes (F = 1.749, P = 0.076); The corneal thickness of nasal, superior, temporal and inferior also had no significant changes (P & 0.05). The average corneal endothelial cell densities before and after seven-years wearing are (3188.53 +/- 272.25) and (3186.64 +/- 278.69) num/mm(2), respectively, and the corneal endothelial cell density had no significant changes during seven years wearing (F = 2.204, P = 0.088). The average hexagonal cell ratio before and after seven-years wearing are 66.18% +/- 6.42% and 64.65% +/- 8.03%, respectively, and the hexagonal cell ratio had no significant changes during seven-years wearing (F = 2.097, P = 0.085). The average cell area and coefficient of variation also had no significant change during seven-years wearing (F = 2.143, 2.114; P & 0.05). There was also no statistics significance between moderate-low and high myopia of the endothelial cell and the corneal thickness change with long-term OK lens wearing. The slight corneal conjunctival complication was occurred during seven-year wearing, such as corneal fluorescence stain (less than 7%), and no serious complication was happened during seven-year wearingCONCLUSIONS: In generally, it is safety for youth with long-term scientific and standardized wearing high Dk material orthokeratology contact lens.(佩戴高头透氧性(高DK值)的OK镜还是很安全的)2,关于佩戴前后角膜上皮的厚度的观察,其实这是国人做的一篇,但发在国外的杂志上。(Qian et al., 2014)
journal:Curr Eye ResTitle:Pachymetry map of corneal epithelium in children wearing orthokeratology contact lensesPURPOSE: To study the pachymetry map of the corneal epithelium in children wearing orthokeratology lenses automatically generated by a Fourier-domain optical coherence tomography.MATERIALS AND METHOD: The study was conducted on 60 children who had been fitted with myopic orthokeratology lenses. Patients were divided into two groups according to the duration of OK lens treatment (group 1: &/=14 days, n = 28; group 2: &14 days, n = 32). The control group consisted of 44 children. An FD-OCT device with a pachymetry module was used to map the central 6-mm corneal epithelial thickness. An epithelial thickness map was automatically generated and divided into three zones: central 2 mm, paracentral 2 to 5 mm (P1) and mid-peripheral 5 to 6 mm (P2). The average epithelial thickness of central (C), the temporal (T1), nasal (N1), superior (S1) and inferior (I1) sectors of P1, and the temporal (T2), nasal (N2), superior (S2) and inferior (I2) sectors of P2 were recorded and compared. The minimum and maximum points of epithelial thickness across the map were also recorded. Munnerlyn's formula was used to model the expected change in refractive error based on Delta(Max-Min) (Delta(Max-Min) = (Max-Min)study-(Max-Min) mean of control). RESULTS: The central epithelial thickness was significantly different between individual groups and a significant difference from the control (Group 0) was seen in each treatment group. Both the epithelial thickness measurements of T1 and I1 were thinnest in Group 1. Both the epithelial thickness measurements of S2 and I2 were thickest in Group 2. The difference between maximum and minimum thickness was significantly different between groups with the largest effect in Group 2. The refractive changes predicted by Munnerlyn's formula were less than the actual refractive changes measured in both study groups. CONCLUSIONS: The epithelial thickness map automatically generated by FD-OCT can provide regional information about corneal epithelium thickness following overnight wearing of OK lenses.(通过FD-OCT可以很好观察佩戴OK镜后角膜各个位置上皮厚度的变化)3,关于佩戴塑形镜与使用阿托品散瞳对近视控制作用的比较。 journal:BMC ophthalmologyTitle:Overnight orthokeratology is comparable with atropine in controlling myopiaBACKGROUND: Many efforts have been invested in slowing progression of myopia. Among the methods, atropine administration and orthokeratology (OK) are most widely used. This study analyzed the efficacy of atropine and OK lens in controlling myopia progression and elongation of axial length. METHODS: This retrospective study included 105 patients (210 eyes) who wore OK lenses and 105 patients (210 eyes) who applied 0.125% atropine every night during the 3 following period. Student t-test, linear regression analysis, repeated measure ANOVA, and Pearson's correlation coefficient were used for statistical analysis. RESULTS: The change in axial length per year was 0.28 +/- 0.08 mm, 0.30 +/- 0.09 mm, and 0.27 +/- 0.10 mm in the OK lens group, and 0.38 +/- 0.09 mm, 0.37 +/- 0.12 mm, and 0.36 +/- 0.08 mm in the atropine group for years 1, 2, and 3, respectively. Linear regression analysis revealed an increase in myopia of 0.28 D and 0.34 D per year, and an increase in axial length of 0.28 mm and 0.37 mm per year in the OK lens and atropine groups, respectively. Repeated measure ANOVA showed significant differences in myopia (p = 0.001) and axial length (p & 0.001) between the atropine and OK in astigmatism, there was no significant difference in these parameters (p = 0.320). Comparison of increases in axial length in relation to baseline myopia showed significant correlations both in the OK lens group (Pearson's correlation coefficient, r = 0.259; p & 0.001) and atropine group (r = 0.169; p = 0.014). High myopia patients benefited more from both OK lenses and atropine than did low myopia patients. The correlation of baseline myopia and myopia progression was stronger in the OK lens group then in the atropine group. CONCLUSIONS: OK lens is a useful method for controlling myopia progression even in high myopia patients.(对于高度近视,佩戴OK镜还是可以很好的延缓近视发展的)4,这是一篇香港做的关于佩戴OK镜后发生角膜炎的文章。Title:Orthokeratology-Associated Infectious Keratitis in a Tertiary Care Eye Hospital in Hong KongPURPOSE: To analyze cases of orthokeratology-associated infectious keratitis managed in a tertiary care eye hospital in Hong Kong between 2003 and 2013. DESIGN: Retrospective study. METHODS: Case records of patients with infectious keratitis attributable to orthokeratology contact lenses were analyzed. Data analyzed included clinical features, microbiological evaluation, and treatment outcomes. RESULTS: A total of 23 patients were included (16 female, 7 male, mean age: 15.0 +/- 4.2 range: 9-23 years). All patients were using overnight orthokeratology for an average of 2.7 +/- 2.8 years (range: 3 months - 10 years) before the onset of infection. Clinical features included corneal infiltrate (n = 14, 60.9%) and corneal perineuritis (n = 12, 52.2%). Fifteen eyes (65.2%) had a positive microbiological culture obtained from corneal scrapings. The most commonly isolated organism was Pseudomonas aeruginosa (n = 6), followed by coagulase-negative Staphylococcus (n = 5) and Acanthamoeba (n = 3). Five cases of Pseudomonas aeruginosa and 5 cases of Acanthamoeba were identified from contact lenses or contact lens solution. The mean duration from disease onset to remission was 31.9 +/- 34.9 days (range: 6-131 days). All patients responded to medical treatment, and no emergency surgical intervention was needed. The best-corrected logMAR visual acuity improved significantly from 0.62 +/- 0.51 (20/83 Snellen) to 0.15 +/- 0.20 (20/28 Snellen) (Wilcoxon signed rank test, P & .001). CONCLUSIONS: Orthokeratology-associated infectious keratitis continues to be a serious problem, especially in regions with high prevalence of myopia. Early clinical and microbiological diagnosis and intensive treatment can improve final visual outcomes.(随着镜片质量的提高,严格规范的操作,发病率其实很低的,可见去正规的眼科医院去验配的安全性明显高于在商业机构验配,前期筛查的严格,随诊严格的复查,即便出现问题,有专家主任可以及时的给出治疗,也不会出现大问题。(个人观点)塑形镜可以讨论的还有很多,以后再分享。
科学严谨才能进步,共勉。更新一些有关塑形镜国内在做研究观察。所有图片均拍自下图论文集。Ok镜延缓儿童近视进展的有效性和可接受度。mete分析的意思是将个大医院中心做的研究的数据结果再做统计学分析,看其中的相关性。对此敏感度是评价视觉质量很重要的一个参数瞳孔直径在做ok镜时候的作用塑形镜后角膜前后表面曲率的影响视疲劳与塑形镜散光与塑形镜周边屈光与塑形斜视双眼视功能与塑形地形图,眼轴与塑形塑形对眼内部分结构的影响角膜形态与塑形效果日本人做的一个临观有时间再更新一些国外学者做的关于角膜塑形镜的研究观察。偶然看到这个问题,恰好刚从本届的cooc会回来,觉得有必要科普一下,科学的认识角膜塑形镜(orthokeratology).首先,佩戴角膜塑形镜之前的检查是非常重要的,只有合适的生理条件才能保证安全和有效性。我院做的检查有以下这些,供参考1,眼表分析,检查泪液质量及睑板腺功能,泪液功能是验配ok镜的一大影响因素2,内皮细胞计数,非常的关键,直接决定能否过夜佩戴3,地形图,帮助验配,帮助评估效果4,lenstar,有眼轴长,角膜厚度,等等,作为辅助检测的数据5,视功能检查,相信会做的地方寥寥无几,会分析的就更少了,眼视光学的核心,在我院作为必查项目,可以完整的指导佩戴者佩前的视功能状态6,还有一些小的检查,电脑眼压等等塑形镜控制近视的机理还不明确,主要有以下几种,这次大会温州医科大学吕帆教授在大会上作了总结控制的有效性与安全性全世界都在研究,如果感兴趣的人多,我会贴出一些Sci的文章作为论证依据。大会开幕式
我戴塑形镜五年了,现在是第二副,从初二开始视力一直控制住的,只右眼涨了25度。这项技术在美国已经很普遍了。从我的使用情况看,只要保持正确的操作和卫生,对眼睛是无害的,唯一可能损伤角膜的情况是眼睛里本来就有沙子,或冲洗镜片的水里有水垢之类。只要注意卫生就没问题。只是戴这个眼镜确实有些麻烦,对佩戴的环境卫生要求比较高,还要准备凉开水冲洗镜片(当然如果你是壕可以完全用80/瓶的护理液冲洗),还要每隔几个月去复查一次。每天的戴脱冲洗镜片也需要一定时间,大概十分钟吧。所以如果不是为了发育期控制近视,或用眼时间远超休息时间,或者时间或卫生条件不允许的话,也没有太大必要戴这个塑形镜。
谢邀。彩色镜片会导致眼睛颜色变浅的说法没有依据,估计是之前的劣质彩片褪色引发的恐慌吧?隐形眼镜直接接触眼角膜,眼角膜表面会有摩擦损伤,但眼角膜也是人体复原最快的组织,短时间(一天左右)就能修复。实际上,咱们平时搓揉眼睛也可能损伤损伤眼角膜表面的。
美瞳质量普遍不佳,不建议佩戴。角膜塑形镜,也称OK镜,常于夜间佩戴,容易造成角膜缺氧,同时有一定几率的感染风险,若佩戴建议严格复查随访。
目前国内佩戴角膜塑形镜的青少年还是很多的,国家对这一块的监管还是很严格的。角膜塑形镜只是一种硬性的隐形眼镜,只要平时操作规范,卫生工作做好,没有什么大问题,其安全性已经得到了广泛的认可。偶尔会出现角膜发炎的情况,或者轻微的SPK(角膜上皮点脱),只要及时治疗,用点修复的眼药水,角膜上皮是可以再生的,就怕小问题放任不管,变成严重的角膜炎,那就很危险了。
我戴角膜塑形镜一年 度数涨了二十五度左右 但是!我明显感受到眼睛变脆弱了 会不自觉流泪
会造成了不可逆转的重影。 能不戴就不戴!
眼周皮肤细腻脆弱,戴几个月后就会发现鱼尾纹越来越多。眼睛里还有很明显的红血丝。感觉这种东西有利有弊吧。
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