河北省张家口涉农地区低视力及白内障的快速筛查

The rapid screening of low vision and cataract of Zhangjiakou agricultural region

目的运用免散瞳眼底数码照相机对张家口涉农地区目标人群进行低视力及白内障的筛查，探讨免散瞳眼底数码照相机快速筛查农村白内障及白内障需手术者的可行性。方法在张家口10个郊区县对55岁以上人群进行低视力和白内障筛查。结果该次实际筛查438000人，其中单眼低视力41787人，占总筛查人数9．5％，双眼低视力22305人，占总筛查人数的5．09％，所有低视力人数共计64092人（14．6％）。该次筛查还发现，白内障12439人，占2．74％，白内障需手术者4623人，占1．06％。结论用免散瞳眼底数码照相机进行涉农地区低视力及白内障快速筛查是可行的，张家口涉农地区白内障的防治重点应在张北、康保、尚义县等较偏远山区。

Objective To use the rapid screening of low vision and cataract of Zhangjiakou agricultural re- gion by free pupil hole bottom digital camera,to approach cataract needed operation and rural cataract of Zhangiiakou by free pupil hole bottom digital camera. Methods To screening of low vision and cataract of above 55 years the crowd of Zhangjiakou 10 suburban county. Results The actual screening 438 000 persons,lower visual acuity 41 787 persons, total number of screening 9.5 % , binocular parallax 22 305 persons, total number of screening 5.09%, All of the low number of total vision 64 092 persons （ 14.6% ）. The screening was also found, cataract 12 439 persons, total number of screening 2. 74%, cataract needed operation 4623 persons, total number of screening 1. 06%. Conclusion Using non-mydriatic fundus digital camera Zhangjiakou agricultural regions of low visual acuity and cat- aract rapid screening was feasible, Zhangjiakou agricultural area cataract prevention should focus on Zhangbei, Hong Bao, Shangyi County in a remote mountainous area, Zhangjiakou agricultural areas to establish an information sharing, efficient operation of multiple departments linkage mechanism.