AIM: To study the ortho-k lens and frame glasses in patients with juvenile myopia the influence of the accommodative convergence/accommodation(AC/A), further clear the effectiveness of controlling the myopia development and security.

METHODS: Randomly select 60 patients to our hospital check-up successfully with ortho-k lens of juvenile myopia patients as experimental group, and 60 cases were randomly selected given frame glasses as control group. we observed two groups of patients before and after refractive correction the changes of AC/A and spherical equivalent. Observation time was 1 month, 3 months, 6 months, 1 year.

RESULTS: The AC/A of experimental group worn glasses before and after 1 month, 3 months, 6 months, 1 year were 4.05±2.03, 3.05±1.85, 3.31±1.02, 3.14±1.64 and 3.20±1.55,respectively with statistically significant difference(P<0.05). That of control group, worn glasses before and after 1 month, 3 months, 6 months, 1 year were: 4.12±1.86, 4.09±1.38, 3.58±1.45, 3.84±1.41 and 4.23±2.01, respectivley. Worn glasses after 1 month,6 months, 1 years there were no statistically significant difference(P>0.05). Three months after worn glasses there was significant difference(P<0.05). The two groups had no significant difference before(P>0.05). Wearing glasses after 1 month, 6 months, 12 months, the two groups had significant difference(P<0.05); 3 months after worn glasses there was no statistically significant difference(P>0.05). Spherical equivalent, observation time was 1 year: experimental group spherical equivalent degrees increased by 0.38±0.35DS, the control group spherical equivalent degrees increased by 0.84±0.56DS, the two groups were statistically significant difference(P<0.05).

CONCLUSION: Both groups could reduce the AC/A value. The experimental group than the control group was better and faster to improve the relationship between the adjustment and collection. The AC/A value was on the high side after myopic degree growth. The ortho-k lens is an effective lens for the moderate myopia.It can more effectively control the growth of juvenile myopia than frame glasses, which is an effective way to control myopia. The mechanism of improving his visual function remains to be further studied.