巩膜镜的临床研究进展
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Clinical research advance of scleral lenses
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    摘要:

    巩膜镜是一种拱形覆盖角膜及角巩膜缘的大直径硬性透气性接触镜,用于日间配戴。随着对巩膜镜相关的研究逐步加深,巩膜镜治疗眼科疾病被更多的应用到临床。与常规硬性透氧性角膜接触镜相比,巩膜镜着落在巩膜上,在镜片后表面与角膜前表面之间形成一个液态穹窿,能够创造理想的眼表环境,并且具有不接触角膜表面及角巩膜缘,保护角膜组织,矫正角膜不规则散光,减少高阶相差,延缓或避免相关眼部疾病采用手术治疗,应用范围广,稳定性好及配戴舒适等优点。镜片材料、设计工艺、专业人员配镜技术及眼科成像技术的提高等推动了巩膜镜的临床应用。目前巩膜镜主要用于解决不规则角膜、眼表疾病及屈光不正等眼科疾病。本文旨在对巩膜镜的发展历史、适应证、验配及相关并发症等方面进行简要的综述。

    Abstract:

    Scleral lenses(SL)are large diameter rigidgas permeable contact lenses with vault cornea and limbus and used for daytime wear. In recent years, the study of SL has been gradually deepened, and SL are becoming increasingly used for the ophthalmology clinical practice. Compared with corneal rigid gas permeable contact lenses, SL rest on the sclera and form a fluid reservoir between the posterior surface of the lens and the anterior surface of the cornea, creating an ideal eye surface environment and with the advantages of non-contact cornea and corneal limbus, protecting cornea, correcting corneal irregular astigmatism, reducing high-order aberrations, delaying or avoiding part of ophthalmic-related surgical, correcting visual acuity of patients with irregular cornea, wide range of application, good stability and comfortable wearing. With the improvement of material, lens design technology, fitting techniques and ophthalmic imaging technology, the clinical application of SL is gradually increasing. This review will give a brief introduction of the historical development, indication, fitting and complications of SL.

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钟宇玲,薛劲松,徐英男,等.巩膜镜的临床研究进展.国际眼科杂志, 2021,21(12):2109-2112.

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  • 收稿日期:2021-03-16
  • 最后修改日期:2021-10-29
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  • 在线发布日期: 2021-11-22
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