• 四川大學華西醫(yī)院眼科（成都，610041）;

目的 　比較中高度散光患者配戴框架眼鏡和透氣性硬性接觸鏡（RGPCL）的主客觀視覺質量。 方法 　選取2008年6月－2011年5月中高度角膜散光20例共40只眼進行角膜地形圖、綜合驗光儀驗光等檢查后，選擇合適試戴片作配適評估并定制RGPCL。要求患者戴鏡后1周、1個月、3個月和6個月復查，記錄矯正視力、鏡片配適、眼部情況，并在第4次復查時進行對比敏感度視力檢查及主觀問卷調查。 結果 　RGPCL矯正視力優(yōu)于框架眼鏡，但兩者對比敏感度視力在各空間頻率均無明顯差異。主觀評分時，遠視力兩者無明顯差別；中距離視力框架眼鏡評分（3.825 ± 0.245）分，RGPCL評分（3.525 ± 0.302）分，差異有統(tǒng)計學意義（t=5.339，P=0.000）；近距離視力框架眼鏡評分（3.795 ± 0.233）分，RGPCL評分（3.690 ± 0.194）分，差異有統(tǒng)計學意義（t=3.462，P=0.030）。有45%患者選擇RGPCL為主要配戴方式；40%患者選擇RGP CL和框架眼鏡交替使用的方式；10%患者選擇僅在有特殊社交需求時使用RGPCL；另5%患者放棄使用RGPCL。 結論 　RGPCL和框架眼鏡矯正中高度角膜散光均能取得較滿意效果，在中近距離精細作業(yè)時框架眼鏡矯正視力更為穩(wěn)定清晰。但由于RGPCL在成像質量和外觀上的優(yōu)勢，多數(shù)患者仍愿意堅持配戴RGPCL。

引用本文： 王雪,馬薇,楊必,劉隴黔. 透氣性硬性接觸鏡和框架眼鏡矯正高度散光視覺質量的比較. 華西醫(yī)學, 2012, 27(5): 715-717. doi: 復制

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1. 　呂帆. 接觸鏡學[M]. 北京: 人民衛(wèi)生出版社, 2011: 116.
2. 　劉家琦, 李鳳鳴. 實用眼科學[ M] . 2 版. 北京: 人民衛(wèi)生出版社, 2003: 623-625.
3. 　Michaud L, Barriault C, Dionne A. Empirical fitting of soft or rigid gas-permeable contact lenses for the correction of moderate to severe refractive astigmatism: a compatative study[J]. Optometry, 2009, 80(7): 375-383.
4. 　李軍, 亢曉麗, 饒玉, 等. 球面透氣性硬性角膜接觸鏡矯正高度角膜散光[J]. 眼視光學雜志, 2007, 9(1): 57-58.
5. 　Silbert JA. Rigid lens correction of astigmatism[M]//Bennett E, Weissman BA. Clinical contact lens practice. Philadelphia: Lippincott williams & Wilkins, 1998: 12.
6. 　Ehsaei A, Chisholm CM, MacIsaac JC, et al. Central and peripheral visual performance in myopes: contact lenses versus spectacles[J]. Contact Lens & Anterior Eye, 2011, 34(3): 128-132.
7. 　Dorronsoro C, Barbero SL, Iorente L, et al. On eye measurement of Optical performance of rigid gas permeable contact lens bases on ocular and corneal aberrometry[J]. Optom Vissci, 2003, 80: 115-125.
8. 　鄭煥萍, 劉立洲, 謝培英. 角膜接觸鏡對高度近視的矯正效果[J]. 臨床眼科雜志, 2001, 9(3): 204-206.
9. 　常楓, 沈政偉, 陳云輝, 等. 硬性透氧性角膜接觸鏡矯正特殊類型屈光不正的效果觀察[J]. 中國實用眼科雜志, 2011, 29(1): 76-78.
10. 　Bernstein IH, Brodrick J. Contrast sensitivity though spectacles and soft contact lenses[J]. Am J Optom Physiol Opt, 1981, 58(4): 309-313.
11. 　Wachler BS, Philips CL. Comparison of contrast sensitivity in different contact lenses and spectacles[J]. CLAOJ, 1999, 25(1): 48-51.
12. 　Thai LC, Tomlinson A, Ridder WH. Contact lens drying and visual performance: the vision cycle with contact lenses[J]. Optom Vis Sci, 2002, 79(6): 381-388.
13. 　齊備. 隱形眼鏡手冊[M]. 上海: 上海科學技術出版社, 2000: 298.
14. 　Shaughnessy MP, Ellis FJ, Jeffery AR, et al. Rigid gas-permeable contact lenses are a safe and effective means of treating refractive abnormalities in the pediatric population[J]. CLAO J, 2001, 27(4): 195-201.
15. 　Richardale K, Bernsten DA, Mack CJ, et al. Visual acuity with spherical and toric soft lenses in low-to moderate-astigmatic eyes[J]. Optom Vis Sci, 2007, 84(10): 969-975.
  1. 1. 　呂帆. 接觸鏡學[M]. 北京: 人民衛(wèi)生出版社, 2011: 116.
  2. 2. 　劉家琦, 李鳳鳴. 實用眼科學[ M] . 2 版. 北京: 人民衛(wèi)生出版社, 2003: 623-625.
  3. 3. 　Michaud L, Barriault C, Dionne A. Empirical fitting of soft or rigid gas-permeable contact lenses for the correction of moderate to severe refractive astigmatism: a compatative study[J]. Optometry, 2009, 80(7): 375-383.
  4. 4. 　李軍, 亢曉麗, 饒玉, 等. 球面透氣性硬性角膜接觸鏡矯正高度角膜散光[J]. 眼視光學雜志, 2007, 9(1): 57-58.
  5. 5. 　Silbert JA. Rigid lens correction of astigmatism[M]//Bennett E, Weissman BA. Clinical contact lens practice. Philadelphia: Lippincott williams & Wilkins, 1998: 12.
  6. 6. 　Ehsaei A, Chisholm CM, MacIsaac JC, et al. Central and peripheral visual performance in myopes: contact lenses versus spectacles[J]. Contact Lens & Anterior Eye, 2011, 34(3): 128-132.
  7. 7. 　Dorronsoro C, Barbero SL, Iorente L, et al. On eye measurement of Optical performance of rigid gas permeable contact lens bases on ocular and corneal aberrometry[J]. Optom Vissci, 2003, 80: 115-125.
  8. 8. 　鄭煥萍, 劉立洲, 謝培英. 角膜接觸鏡對高度近視的矯正效果[J]. 臨床眼科雜志, 2001, 9(3): 204-206.
  9. 9. 　常楓, 沈政偉, 陳云輝, 等. 硬性透氧性角膜接觸鏡矯正特殊類型屈光不正的效果觀察[J]. 中國實用眼科雜志, 2011, 29(1): 76-78.
  10. 10. 　Bernstein IH, Brodrick J. Contrast sensitivity though spectacles and soft contact lenses[J]. Am J Optom Physiol Opt, 1981, 58(4): 309-313.
  11. 11. 　Wachler BS, Philips CL. Comparison of contrast sensitivity in different contact lenses and spectacles[J]. CLAOJ, 1999, 25(1): 48-51.
  12. 12. 　Thai LC, Tomlinson A, Ridder WH. Contact lens drying and visual performance: the vision cycle with contact lenses[J]. Optom Vis Sci, 2002, 79(6): 381-388.
  13. 13. 　齊備. 隱形眼鏡手冊[M]. 上海: 上?？茖W技術出版社, 2000: 298.
  14. 14. 　Shaughnessy MP, Ellis FJ, Jeffery AR, et al. Rigid gas-permeable contact lenses are a safe and effective means of treating refractive abnormalities in the pediatric population[J]. CLAO J, 2001, 27(4): 195-201.
  15. 15. 　Richardale K, Bernsten DA, Mack CJ, et al. Visual acuity with spherical and toric soft lenses in low-to moderate-astigmatic eyes[J]. Optom Vis Sci, 2007, 84(10): 969-975.