国际眼科纵览 ›› 2025, Vol. 49 ›› Issue (3): 177-181.doi: 10. 3760/cma.j.cn115500-20241113-25303

• 综述 • 上一篇    下一篇

角膜塑形镜光学区大小与近视控制的关系

于兴梦  刘芳   

  1. 大理大学,云南大理 671003
  • 收稿日期:2024-11-13 出版日期:2025-06-22 发布日期:2025-06-12
  • 通讯作者: 刘芳,Email:aveugle@126.com
  • 基金资助:
    2024云南省教育厅科学研究基金项目(2024Y903)

Relationship between the size of optical zone of orthokeratology lens and myopia control

Yu Xingmeng, Liu Fang   

  1. Dali University, Dali Yunnan 671003, China
  • Received:2024-11-13 Online:2025-06-22 Published:2025-06-12
  • Contact: Liu Fang, Email: aveugle@126.com
  • Supported by:
    Yunnan Provincial Department of Education Scientific Research Project 2024(2024Y903)

摘要: 角膜塑形镜因可提供清晰的裸眼视力及良好的近视控制效果,已广泛用于儿童青少年近视矫正及控制。小光学区角膜塑形镜是指光学区直径小于6.0 mm,其典型设计参数包括5.0 mm、5.5 mm等光学区规格。相比于传统光学区较大的角膜塑形镜,小光学区镜片能诱导小的中央治疗区、更陡峭的中周部离焦环,产生更多周边视网膜近视离焦和高阶像差,从而近视控制效果更佳。但这种光学特性可能伴随客观视觉质量参数(如调制传递函数)的降低。


关键词: 角膜塑形镜, 光学区大小, 近视控制, 视觉质量

Abstract: Orthokeratology (Ortho-K) lenses have been widely used for myopia correction and control in children and adolescents due to their ability to provide clear uncorrected visual acuity and effective myopia suppression. Small optical zone Ortho-K lenses refer to designs with an optical zone diameter smaller than 6.0 mm, typically featuring specifications such as 5.0 mm or 5.5 mm optical zones. Compared to conventional Ortho-K lenses with larger optical zones, small optical zone lenses induce a smaller central treatment zone and a steeper mid-peripheral defocus ring. This design generates more pronounced peripheral retinal myopic defocus and higher-order aberrations, thereby enhancing myopia control efficacy. However, such optical characteristics may lead to reduced objective visual quality parameters, such as the modulation transfer function (MTF).


Key words: Orthokeratology lens, Optical zone size, Myopia control, Visual quality