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<meta name="description" content="好評書『クリニックではじめる 学童の近視抑制治療』の実践編．　　いざ，実臨床で近視抑制治療を始めた際に，教科書通りにいかない場面に困る場面は珍しくないはず．　　本書は近視抑制で遭遇するトラブルについて，75の症例をもとに解決までの道すじを，写真とポイントで丁寧に示した症例解説集です．特に，解決への道のりは一つとは限らないため，例えば「レンズがずれる」というトラブルでは３つの解決法を紹介するなど，本">

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		<h1 class="catchCopy">近視抑制の"あるあるトラブル" の解決法がつまった，超実践的な症例解説集</h1>
		

		<h1 class="title">写真でわかる！ オルソケラトロジーフィッティング<span class="version"></span></h1>
		<h2 class="subTitle">学童の近視抑制 お悩み相談室</h2>

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					編集：平岡孝浩(筑波大学准教授)
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					<span class="transparent">編集</span>　二宮さゆり(伊丹中央眼科)
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				<ul class="property"><li class="disc">B5判・208頁・4色刷</li><li class="disc">ISBN&nbsp;978-4-8306-5636-1</li><li class="disc">2025年10月7日発行予定</li></ul>

				
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		<div class="headers"><h3 class="current content">内容</h3><h3 class="indexes">主要目次</h3></div><section class="current content">好評書『クリニックではじめる 学童の近視抑制治療』の実践編．<br><br>いざ，実臨床で近視抑制治療を始めた際に，教科書通りにいかない場面に困る場面は珍しくないはず．<br><br>本書は近視抑制で遭遇するトラブルについて，75の症例をもとに解決までの道すじを，写真とポイントで丁寧に示した症例解説集です．特に，解決への道のりは一つとは限らないため，例えば「レンズがずれる」というトラブルでは３つの解決法を紹介するなど，本文野のエキスパートだからこそ書ける多面的なアプローチは必見！<br><br>また，オルソケラトロジーだけでなく，2025年に大きな転換点を迎えた，低濃度AT点眼，多焦点SCL，近視管理用眼鏡，レッドライト治療などの近視抑制最前線も盛り込みました．<br><br>近視抑制に関わる全ての方が，「こんな本が欲しかった！」と思えるような，トラブル解消に直結するハウツー本です．</section><section class="indexes">Ⅰ章　オルソケラトロジー<br>　(1)オルソケラトロジー処方の基礎知識<br>　　①角膜形状解析──トポグラフィーとトモグラフィー<br>　　②角膜形状解析装置の特徴<br>　　③トポグラフィーの見方<br>　　④フルオレセインパターンの見方<br>　　⑤各社オルソケラトロジーレンズの特徴<br>　　⑥オルソケラトロジーレンズ処方のフローチャート<br>　　⑦近視抑制に関する略語集<br>　　⑧近視抑制治療を希望する保護者への対応<br>　(2)フィッティングのトラブル<br>　　①基本のトラブルシューティング<br>　　②レンズフィッティングの基本的な考え方と処方のコツ<br>　　③理想的なフルオレセインパターンにならない<br>　　④レンズがずれる，偏心する──ACを広げる<br>　　⑤レンズがずれる，偏心する──サイズを変える<br>　　⑥レンズがずれる，偏心する──経過観察<br>　　⑦乱視眼の処方がうまくいかない──ACをフラットに<br>　　⑧乱視眼の処方がうまくいかない──トーリックデザインレンズを選択<br>　　⑨乱視眼の処方がうまくいかない──差分マップを活用<br>　　⑩強度近視の処方がうまくいかない──メーカーを変更<br>　　⑪強度近視かつ乱視眼の処方がうまくいかない──トーリックデザインレンズを選択<br>　　⑫e値(離心率)が小さい<br>　　⑬e値(離心率)が大きい<br>　　⑭トライアル評価と処方レンズ結果に差異がある<br>　　⑮メーカーによる適，不適がある──MOK→BOC<br>　　⑯メーカーによる適，不適がある──BOC→MOK<br>　(3)トポグラフィーに関するトラブル<br>　　①セントラルアイランドの鑑別と対応<br>　　②セントラルアイランドが解消しない<br>　　③Bull`s eye patternにならない──レンズ径を調整<br>　　④Bull`s eye patternにならない──トーリックデザインレンズを選択<br>　　⑤フィッティングでは問題ないのに偏心している？──瞼の形状が原因となり不適合<br>　(4)角膜に関するトラブル<br>　　①SPKができやすい──タイトフィッティング<br>　　②SPKができやすい──レンズの汚れや傷<br>　　③SPKができやすい──ドライアイ<br>　　④SPKができやすい──ハイパワーレンズ<br>　　⑤充血が強い──ポビドンヨードアレルギーの疑い<br>　　⑥角膜炎や角膜浸潤を生じる<br>　　⑦アレルギー性結膜炎にまつわるトラブル──季節性アレルギー<br>　　⑧アレルギー性結膜炎にまつわるトラブル──SPK集積<br>　　⑨レンズ固着による障害<br>　(5)見え方に関するトラブル<br>　　①なぜか視力が出ない<br>　　②片方だけ視力が出ない<br>　　③羞明を訴える<br>　(6)レンズに関するトラブル<br>　　①レンズが汚れている<br>　　②よくレンズを割ってしまう<br>　　③よくレンズを失くしてしまう<br>　　④正しいレンズケアを行わない<br>　　⑤レンズ交換を渋る──交換の必要性を説明<br>　　⑥レンズ交換を渋る──定額制の活用<br>　　⑦レンズの左右逆転／兄弟間での取り違い<br>　(7)その他のトラブル<br>　　①オルソケラトロジーのリバウンドの確認方法は？<br>　　②レンズスティーブのためフラットに変更したらSPKが出現した<br>　　③片眼の近視に対してオルソケラトロジーを装用するとどうなる？<br><br>Ⅱ章　アトロピン点眼<br>　①濃度の選択の仕方がわからない<br>　②低濃度アトロピン点眼による羞明<br>　③低濃度アトロピン点眼による調節障害<br>　④患者が止めたいと訴えたときどうする？<br>　⑤費用の説明と注意点<br>　⑥参天0.025％製剤のみですべての患者に対応できるのか？<br><br>Ⅲ章　多焦点SCL<br>　①どの程度の焦点深度にすればよいかわからない<br>　②最強度近視に対する処方はどうする？<br>　③強度乱視に対する処方はどうする？<br>　④マイサイトの承認の見通しは？ 日常生活での注意点は？<br>　⑤オルソK→マイサイトへの切り替えはどうする？<br>　⑥マイサイト→オルソKへの切り替えはどうする？<br>　⑦焦点深度拡張型SCLを装用したところ、眼軸長の短縮を認めた症例<br><br>Ⅳ章　近視管理用眼鏡の現状<br>　①二重焦点眼鏡は有効か？<br>　②多分割眼鏡レンズの現況と実際の効果は？<br>　③近視管理用眼鏡の承認の見通しは？<br><br>Ⅴ章　レッドライト治療の現状<br>　①報告されている合併症は？<br>　②リバウンド対策は？<br>　③中国での現状は？<br><br>Ⅵ章　併用療法<br>　①併用療法を考えるタイミング<br>　②低濃度アトロピン点眼の併用療法は行うべきか？<br>　③オルソケラトロジーとアトロピン点眼，どちらが先がいい？または同時に処方したほうがよい？<br>　④オルソケラトロジーとアトロピン点眼，止める時はどちらが先？<br>　⑤どんな時に途中からアトロピン点眼を追加する？<br>　⑥いつまで続ければよい？<br>　⑦多焦点SCLとアトロピン点眼の相性は？<br>　⑧オルソケラトロジーとレッドライト治療の相性は？<br>　⑨多分割眼鏡レンズとレッドライト治療の相性は？<br>　⑩アトロピン点眼を追加したら，羞明を訴えた<br>　⑪アトロピン点眼とレッドライト治療の併用が禁忌の理由は？<br><br>文献<br>索引</section></article>
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