Spectacle Adherence Among Four-Year-Old Children in the Infant Aphakia Treatment Study
Spectacle Adherence Among Four-Year-Old Children in the Infant Aphakia Treatment Study
复制标题
DOI：
10.1016/j.ajo.2018.12.017
复制
发表时间：
2019-04-01
影响因子：
4.2
通讯作者：
Drews-Botsch, Carolyn
中科院分区：
文献类型：
--
作者：
Lambert, Scott R.;Dubois, Lindreth;Drews-Botsch, Carolyn
目的：在婴儿无晶状体眼治疗研究中，评估单侧白内障手术后4岁儿童佩戴抗冲击镜片眼镜的依从性。
设计：对随机临床试验数据进行回顾性队列分析。
方法：
设置：多中心。
患者：114名在婴儿期接受单侧白内障手术后被随机分配接受隐形眼镜矫正或人工晶状体植入的儿童。
干预措施：每年完成一周的日记，并在5岁前每3个月进行一次回顾性电话访谈，以评估佩戴抗冲击镜片眼镜的依从性。4.5岁时由巡回检查者评估视力。
主要观察指标：4岁至5岁之间佩戴眼镜的依从性。
结果：治疗眼视力为20/40或更好的儿童在清醒时间内佩戴眼镜≥80%的可能性高于视力低于20/40的儿童（66%对42%，P = 0.034）。报告的佩戴眼镜依从性与报告的遮盖情况相关（r = 0.30，P = 0.002）。佩戴眼镜的依从性与性别、医疗保险类型、治疗眼或对侧眼的屈光不正无关。7名治疗眼视力下降的患者报告佩戴眼镜的依从性<10%。
结论：这些结果证实，在婴儿期接受单侧白内障手术后的4岁儿童中，有可能实现较高水平的佩戴眼镜依从性。然而，视力较差眼中视力低于20/40且最需要眼部保护的儿童，其依从性最差。（C）2019爱思唯尔公司。保留所有权利。
PURPOSE: To evaluate spectacle adherence with impact-resistant lenses among 4-year-old children after unilateral cataract surgery in the Infant Aphakia Treatment Study.DESIGN: Retrospective cohort analysis of randomized clinical trial data.METHODS: SETTING: Multicenter. PATIENTS: One hundred and fourteen children randomized to contact lens correction or intraocular lens implantation following unilateral cataract surgery during infancy. INTERVENTION: One-week diaries completed annually and retrospective telephone interviews conducted every 3 months to age 5 years to assess spectacle adherence with impact-resistant lenses. Visual acuity was assessed by a traveling examiner at age 4.5 years. MAIN OUTCOME MEASURES: Spectacle adherence between ages 4 and 5 years.RESULTS: Children with 20/40 or better vision in their treated eye were more likely to wear spectacles >= 80% of their waking hours than children with vision worse than 20/40 (66% vs 42%, P = .034). Reported adherence to spectacle wear correlated with reported patching (r = 0.30, P = .002). Spectacle adherence did not correlate with sex, type of healthcare insurance, or the refractive error in the treated or fellow eye. Seven patients with reduced vision in their treated eye reported < 10% spectacle adherence.CONCLUSIONS: These results confirm that it is possible to achieve high levels of spectacle adherence among 4-year-old children after unilateral cataract surgery during infancy. However, children with vision worse than 20/40 in their worse eye, who needed eye protection the most, had the worst adherence. (C) 2019 Elsevier Inc. All rights reserved.