矯 視 隱 形 眼 鏡

mummyWai

I would like to hear the comment from the parents, will it have the same side effect as adults - dry eyes, problem on 血管增生?

Rattie

回復 小韋寶 的帖子

昨天女女去視光師定期驗眼，咁我問咗幾個問題。
原來我自己一路攪錯以為眼白啲紅根就係血管增生，視光師話血管增生其實係喺眼珠（黑色）部位，佢話我女係冇血管增生，阿女已經戴咗五年。
戴矯視鏡對之後做 lasik 係冇關連/影響。
矯視鏡戴幾耐因人而異，中學/大學之後停戴都有。
這些都係視光師嘅意見，唔係眼科醫生，有冇利益衝突我就唔知喇。

Rattie

小韋寶 發表於 13-8-14 23:21
回復 Rattie 的帖子

Rattie,

係阿女有日同我講佢同學因為整親隻眼要戴返眼鏡，咁有日我接女時見到個同學，一隻眼白有好明顯嘅紅點，我同佢唔熟所以冇問到佢家長。
亦因為我女配先過佢，最擔心嘅時段亦已過去，所以俾佢繼續戴落去。你問我如果未配而見到同學嘅 case 仲會唔會去試？hmmmmm 我真係答你唔到。最大可能係會等到阿女嘅度數加到去起碼 500度，真係唔想佢再深落去至會去考慮。

小韋寶

回復 Rattie 的帖子

Rattie,
多謝你答覆。我都覺得做LASIK太深近視都無咩作用。咁你女女個同學點整親眼? 嚴重嗎?

Rattie

答小韋寶：
我女小四戴咗一年眼鏡，度數由 125、50 跳到 225、150。小五開始戴，升中四，現在 keep 住 275、150。眼有血管增生。
當年配鏡時，爹哋覺得女第時都可能會做 lasik, 洗唔洗依家俾咁多$去配。我自己就唔想佢深到冇眼鏡就咩都睇唔到。咁依家百幾、二百幾度佢大個可以選擇戴唔算厚既眼鏡、普通 con. 唔一定要做 lasik，反正 lasik 亦唔係人人做得。
不過我亦知女有小學同學戴咗一段短時間整親一隻眼，之後要改戴眼鏡。所以要睇自己小朋友是否適合。

Christi

回復 A-Mum 的帖子

A-Mum,

那只是我的個人主觀感覺而已,沒有參考價值. 只是覺得atropine的潛在影響不一定小於矯視鏡,而作為眼科醫生必須用很審慎的態度來建議治療方法而已.

我另有問題之處是 : 除了長期用atropine或會令瞳孔受紫外線影響太大之外,當眼部肌肉經年累月在藥物影響之下而放鬆,到之後不再用藥時,那部份的肌肉能否保持原有的收緊能力?

另外,我又想問問,有無人知道長期戴了矯視鏡,會否影響將來眼睛做lasik的機會?

Rattie

戴眼鏡一定係大部份家長最先嘅選擇。又唔危險又方便。
戴眼鏡維持到個度數嘅唔會大嗱嗱攞五位數字去同小朋友配啲唔知成效又有機會永久性整親隻眼嘅矯視鏡。
阿女嘅度數一年一個 double，配眼鏡時講明半年內要返去驗眼，應該到時又要再配過。
依家戴咗矯視鏡五年，加咗 50度，我收貨，希望戴多兩三年就停轉返普通眼鏡/contact lens。
事實上，阿女都幾多同學/朋友係戴梗，唔知仲以為佢哋冇近視。
我每年同佢配副新鏡，盛惠 ＄4xxx。
又貴又冇保證，值唔值得去冒險，自己決定，啱我女唔一定啱你哋個小朋友架。

lawsonmoon

A-Mum 發表於 13-8-11 22:59
回復 samsam123321 的帖子

quote: 可以阻止眼球變長嗎？

如果有人發明又治標又治本既對付近視方法,佢發咗達了,各大機構會爭相發表研究報告,只有HK的Poly U？Poly U係世界既眼科先駆？權威？唔好玩啦。你知道近視的原因嗎？Give you an example: 有小朋友有長短腳,Dr話要等發育完才做根治比較好,現可穿高鞋在短脚那邊。媽媽接受唔到左右肩有高低,又唔想着高鞋,唔好睇。有人話可弄彎脊骨能令双肩回復平衡,唔駛穿高鞋。咁你覺得弄彎脊骨能矯正到長短腳既,咁你都有權自己選擇既！眼科Dr每次收你幾佰到過千診金,冇乜利益誘因,會傾向對你講事實,我諗十個有九個會叫小朋友唔好用。有Dr自己小朋友用？咁每年都聽到有Dr犯風化案,Dr都係人,有錯有乜出奇。

小韋寶

回復 94BABY 的帖子

94baby,
Thanks for your sharing.

94BABY

Hi 小韋寶,

My kid just used very common hard lens cleanser and rinsing solution to clean daily himself since P.3 and I did the protein removal for him about once a month. No special technique.

I strongly recommend parents to let the kids clean the lens themselves. I have a friend who let the maid do the cleansing(and even help taking the the lens out) since day one. As a result, her kid can't join any camping throughout the primary school (until F.3) because he didn't know how to take care the lens himself.

samsam123321

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A-Mum

回復 Christi 的帖子

quote: 是的.所以我極度不贊成用atropine,也對那位眼科名醫十分失望.


Christi, may I ask why you get disappointed? you are disappointed with the doctor? not the therapy?

A-Mum

回復 samsam123321 的帖子

I agree with you that we need more studies and hopefully improvements in the techniques to make the methods more publicly acceptable. Unfortunately I don't think my kids can wait till then.

samsam123321

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A-Mum

回復 samsam123321 的帖子

If you need 100% guaranteed cure rate, I'm afraid you have to reject a lot of treatments.
Even antibiotics with proven sensitivities can fail...

I'm only looking for ways that can give me reasonable hope with acceptable side-effects. I'm sure there are people who won't agree with this. I guess it depends on how progressive the myopia is.

A-Mum

回復 samsam123321 的帖子

quote: 可以阻止眼球變長嗎？

actually there is a study from Poly U that may answer your question:

http://www.iovs.org/content/53/11/7077.long

Their conclusion:In conclusion, this randomized clinical trial confirmed that ortho-k slowed axial elongation (by 43%) and reduced the percentage                        of fast progressors in younger subjects (from 65% to 20% in subjects ranging in age from 7–8 years). Our results suggested                        that it would be beneficial to commence ortho-k treatment in younger myopic children.                     

# randomized control study
# 2 year follow up
* but a high drop-out rate

again, I have friends doing all the methods, I'm not selling Ortho-K or atropine or whatever.

samsam123321

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samsam123321

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samsam123321

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tws2010

Many thanks Aerosol_Ma and 94Baby for your detailed explanation and sharing.