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Advisor(s)
Abstract(s)
Introdução – A miopia define-se como um excesso de potência positiva no sistema ótico do olho, que resulta no foco da imagem antes do plano da retina. Sendo considerada um problema de saúde pública torna-se pertinente a investigação de terapêuticas que impeçam a sua progressão. Objetivos – Esta revisão sistemática visa comparar a eficácia de tratamentos da progressão da miopia em crianças, com lentes de contacto hidrófilas (LCH) e lentes ortoqueratológicas (OKL). Métodos – Pesquisaram-se artigos científicos nas plataformas PubMed e ScienceDirect. Todos os artigos foram filtrados de acordo com as guidelines PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) e os critérios de inclusão e exclusão pré-determinados. A eficácia do tratamento foi avaliada através da variação do comprimento axial (AL) e/ou a variação da medição do erro refrativo sob cicloplegia (equivalente esférico, EE) entre o início e o final do estudo, comparando o grupo de tratamento e o de controlo. Resultados – Foram incluídos 13 artigos divididos em dois grupos. No grupo das OKL (n=5) foram estudadas oito lentes em que a sua eficácia na progressão do AL variou entre 0,45mm e 0,09mm. No grupo das LCH (n=8) foram estudadas 11 lentes, sendo que a sua eficácia na progressão do AL variou entre 0,32mm e 0,09mm e na progressão do EE variou entre 0,14 D e 0,73 D. Conclusão – De todas as OKL, a que demonstrou maior eficácia na progressão do AL foi a lente (OKL) Menicon Z Night®: 0,45mm. De todas as LCH, a MiSight 1-Day® mostrou ser a mais eficaz tanto na diminuição da progressão do AL como do EE: 0,32mm e 0,73 D, respetivamente.
ABSTRACT - Introduction – Myopia is defined as an excess of positive power in the eye’s optical system, resulting in an image that focuses anteriorly to the retinal plane. It is considered a public health problem; therefore, it becomes relevant to investigate therapies that control its progression. Objectives – This systematic review aims to compare the effectiveness of treatments in the reduction of myopia progression in children with soft contact lenses (SCL) and orthokeratology lenses (OKL). Methods – Scientific articles were searched on PubMed and ScienceDirect platforms. All articles were screened according to PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-analyses) and the pre-determined inclusion and exclusion criteria. The treatment efficacy was evaluated by the axial length (AL) variation and/or the refractive error variation measured by cycloplegia (spherical equivalent, SE) between the beginning and the end of the study and between the groups of treatment and controls. Results – Thirteen articles were included and divided into two groups. In the OKL group (n=5), eight lenses were studied and their effectiveness in AL progression varied between 0,45mm and 0.09mm. In the SCL group (n=8), 11 lenses were studied and their effectiveness in AL progression ranged from 0.32mm to 0.09mm and in SE progression ranged from 0.14 D to 0.73 D. Conclusion – Of all the OKL, the one that showed the greatest efficacy in the progression of AL was Menicon Z Night® lens (OKL): 0.45mm. Of all the SCL, MiSight 1-Day® was the most effective in decreasing both AL and SE progression: 0.32mm and 0.73 D respectively.
ABSTRACT - Introduction – Myopia is defined as an excess of positive power in the eye’s optical system, resulting in an image that focuses anteriorly to the retinal plane. It is considered a public health problem; therefore, it becomes relevant to investigate therapies that control its progression. Objectives – This systematic review aims to compare the effectiveness of treatments in the reduction of myopia progression in children with soft contact lenses (SCL) and orthokeratology lenses (OKL). Methods – Scientific articles were searched on PubMed and ScienceDirect platforms. All articles were screened according to PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-analyses) and the pre-determined inclusion and exclusion criteria. The treatment efficacy was evaluated by the axial length (AL) variation and/or the refractive error variation measured by cycloplegia (spherical equivalent, SE) between the beginning and the end of the study and between the groups of treatment and controls. Results – Thirteen articles were included and divided into two groups. In the OKL group (n=5), eight lenses were studied and their effectiveness in AL progression varied between 0,45mm and 0.09mm. In the SCL group (n=8), 11 lenses were studied and their effectiveness in AL progression ranged from 0.32mm to 0.09mm and in SE progression ranged from 0.14 D to 0.73 D. Conclusion – Of all the OKL, the one that showed the greatest efficacy in the progression of AL was Menicon Z Night® lens (OKL): 0.45mm. Of all the SCL, MiSight 1-Day® was the most effective in decreasing both AL and SE progression: 0.32mm and 0.73 D respectively.
Description
Keywords
Miopia Lentes de contacto Ortoqueratologia Lentes multifocais Desfocagem miópica Myopia Contact lenses Orthokeratology Multifocal lens Myopic defocus
Citation
Cruz C, Carvalho C, Almeida E, Farinha H, Poças IM, Lança C. Tratamento da progressão da miopia com lentes de contacto em crianças: uma revisão sistemática. Saúde & Tecnologia. 2023;(29):e607.
Publisher
Instituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboa