目的探讨角膜塑形镜片配戴的依从性及其影响因素。设计回顾性病例调查研究。研究对象1999年2月至2005年4月门诊角膜塑形镜片配戴者470例(911眼)。方法相关内容用问卷和电话的方式调查,内容包括配戴者的一般资料、配戴开始时间、选择配戴的动机、停止配戴的时间、停止配戴的原因、停止配戴后矫正方式的选择。主要指标配戴原因、配戴时间、停戴时间、停戴原因、停戴后矫正方式。结果角膜塑形镜片配戴者选择该种近视矫正方式的原因,为提高裸眼视力者占23%,为控制近视者占14%,为体检目的者占48%,为降低近视度数者占15%。共283例配戴者停止配戴角膜塑形镜片,其中配戴3个月内停戴者99例(35.0%),半年内者28例(9.9%),1年内者42例(14.8%),2年内者98例(34.6%),2年以上者16例(5.7%)。停戴角膜塑形镜片后选择视力矫正方式,框架眼镜181例(64.0%),RGP镜片46例(16.3%)。结论角膜塑形镜片配戴者的动机、配戴的效果及媒体报道影响着镜片配戴的依从性。 Objective To investigate the compliance of corneal lens wear and its influencing factors. Design retrospective case study. Participants 470 patients (911 eyes) with out-patient orthokeratology lens wears from February 1999 to April 2005. Methods related to the contents of the questionnaire and telephone survey, including the wearer’s general information, wearing the start time, choose the motivation to wear, to stop wearing time, stop wearing reason, stop wearing after correction method select. The main indicators of wearing reason, wear time, stop wearing time, stop wearing reason, stop wearing after correction. Results Orthokeratology lens wearers choose the reasons for the correction of myopia, to increase the naked eye accounted for 23%, control of myopia accounted for 14%, 48% for the purpose of medical examination, to reduce myopia, 15% . A total of 283 wearers stopped wearing orthokeratology lenses, of which 99 (35.0%) were wearable in 3 months, 28 (6.9%) in half a year, 42 (14.8%) in 1 year , 98 cases (34.6%) within 2 years and 16 cases (5.7%) over 2 years. Optometry was stopped after wearing orthokeratology lenses. There were 181 cases (64.0%) with frame glasses and 46 cases (16.3%) with RGP lenses. Conclusion Orthokeratology lens wearers motivation, wearing effect and media coverage affect the compliance lens wear.