MRPMedical Research and Practice2993-96902993-9704Art and Design10.61369/MRP.2025040038Article多区正向离焦设计框架眼镜（DIMS）与单焦框架眼镜 (SVS)控制近视效果临床观察https://artdesignp.com/journal/MRP/3/4/10.61369/MRP.2025040038刘鑫,吴桐,梁靖涵,郭欣,臧珂,颜智鹏2025342025-04-20    本研究旨在评估多区正向离焦眼镜（DIMS）与单焦框架眼镜（SVS）对青少年近视控制的效果。采用回顾性随机对照设计，纳入2023年6月至2024年6月南京医科大学附属眼科医院收治的100例8-16岁中低度近视患者，按自愿原则分为DIMS组和SVS组各50例。通过6、12个月随访，监测两组眼轴长度（AL）变化及并发症，并分析年龄、屈光度对DIMS效果的影响。结果显示：两组基线数据无统计学差异（P>0.05）。随访期间两组AL均增长，但SVS组增幅显著高于DIMS组（P<0.01）。亚组分析显示，DIMS组中12岁以上患者AL增幅较8-12岁组高0.09mm（P<0.01），中度近视组较低度组高0.19mm（P<0.01）。研究证实DIMS能有效延缓各年龄段近视患者眼轴增长，尤其对8-12岁低度近视青少年控制效果更显著，且未发现严重并发症。结论表明多区正向离焦眼镜可作为青少年近视防控的安全有效手段，具有临床推广价值。近视,多区正向离焦设计框架眼镜,DIMS,框架眼镜,青少年,眼轴长度

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