60岁及以上人群眼疾流行病学调查与治疗

Epidemiological Survey and Treatment of Eye Diseases of People over 60-year-old

目的调查门诊患者中≥60岁人群中眼疾患病率及其致盲与低视力的原因。方法将2007年1～12月我院眼科门诊患者2556例中≥60岁的患者634例作为调查对象。采用WHO盲与低视力标准,由专门眼科医生作外眼、前房、晶状体、眼底等检查,对所有视力<0.3的患眼进行主要病原诊断及治疗。结果就诊634例中,盲及低视力患病率占10.57%,致盲及低视力的主要眼病依次为白内障(6.94%)、视网膜及视神经病变(1.58%)、角膜疾病(0.95%)、玻璃体病(0.79%)、青光眼(0.32%)。结论白内障仍占致盲和低视力病因的首位,今后防盲、治盲的重点应是白内障的手术复明。

Objective To investigate the prevalence of diseases of blindness and low vision reasons in people over 60 years old. Methods From January 2007 to December, eye hospital 634 cases ≥ 60 years old as a subject of investigation. WHO blindness and low vision, specialized ophthalmologist for eye,anterior chamber,lens,retinal examinations for all vision 〈 0.3 from the eyes of major pathogenic were diagnozed and treated. Results Among 634 cases,blindness and low vision prevalence rate was 10.57%,the main reasons of blindness and low vision were cataract （6.94%）, retinal and optic neuropathy （ 1.58% ）, corneal diseases （0.95%）, vitreous disease （ 0.79% ）, glaucoma（0.32% ）. Conclusion cataract is still the first place causing low vision and blindness. Future prevention and treatment of blindness should focus on cataract surgery to restore their sight.