探討角膜塑型片與周邊離焦軟式隱形眼鏡的近視控制成效及滿意度調查──以某臨床眼科診所為例

A Clinic-Based Study on the Effectiveness and Satisfaction of Myopia Control Using Orthokeratology and Peripheral Defocus Soft Contact Lenses

本研究探討不同近視控制隱形眼鏡種類、影響成效與滿意度相關因素及人口變項對近視控制成效與配戴後滿意度之影響。研究對象為臺灣北部某連鎖眼科診所中配戴角膜塑型片或周邊離焦軟式隱形眼鏡之學童及其家長，共收集81份病歷回溯資料與125份問卷資料。病歷資料評估配戴兩年前後視力、屈光度與眼軸長變化，問卷則評估家長對配戴效果與滿意度的主觀感受，透過獨立樣本t檢定、相關分析、迴歸分析與變異數分析等統計方法進行資料分析。研究結果顯示，在客觀近視控制成效上，配戴角膜塑型片的學童在減緩近視度數加深方面顯著優於配戴周邊離焦軟式隱形眼鏡者（-2.42D vs. -3.29D；t = 4.192，p <0.001）。然而，配戴周邊離焦軟式隱形眼鏡者在方便性與成本效益上得分（平均數= 4.34,4.12）顯著高於配戴角膜塑型片者（平均數= 4.04, 3.80）。迴歸分析亦顯示舒適度、方便性、成本效益、醫療服務滿意度與遵從性對視力改善與滿意度均具顯著正向影響，模型整體解釋力（Adj R²）達0.63。本研究整合臨床客觀數據與主觀經驗，為家長、專業人員及政策制定者提供近視預防控治依據，並可作為臨床與醫療決策之參考。

This study examined the effectiveness and satisfaction of different myopia-control contact lenses, considering associated factors and demographic variables. Participants were schoolaged children wearing orthokeratology (Ortho-K) or peripheral defocus soft contact lenses at a chain ophthalmology clinic in northern Taiwan, along with their parents. A total of 81 retrospective clinical records and 125 questionnaires were collected. Clinical records were retrospectively reviewed to assess two-year changes in visual acuity, refractive error, and axial length over two years, and parental questionnaires evaluated subjective perceptions of outcomes and satisfaction. Results indicated that, for objective myopia-control outcomes, children wearing Ortho-K lenses exhibited significantly less myopic progression than those wearing peripheral defocus soft contact lenses ( 2.42 D vs. 3.29 D ; t = 4.192, p < 0.001). However, the peripheral defocus group scored significantly higher on convenience and cost-effectiveness (means = 4.34 and 4.12, respectively) than the Ortho-K group (means = 4.04 and 3.80). Regression analyses further indicated that comfort, convenience, cost-effectiveness, satisfaction with medical service quality, and adherence were all positively associated with perceived visual improvement and satisfaction, with an overall model fit of Adj. R²= 0.63. By integrating objective data with subjective experiences, this study provides clinical evidence to support myopia-control strategies and offers practical implications for parents, eye care professionals, and policymakers.