浙南山区畲族老年人眼病调查

目的拟了解浙南山区畲族老年人群中各种眼病的发病情况。方法对浙江省景宁畲族自治县的5个畲族乡5个自然村〉60岁自然人群528人进行视力、裂隙灯显微镜、眼底和眼压等检查，并验光矫正最佳视力。结果528例受检者1056眼中，视力〈0.0562眼，其中单眼盲34例，患病率6．44％。双眼盲14例，患病率2．65％。致盲原因以角膜病居首位，白内障占第2位，眼底病占第3位。视力〈0．3173眼，其中单眼低视力63例，患病率11．93％，双眼低视力55例，患病率10．42％。从低视力的原因看前三位分别为白内障、角膜病、眼底病。结论畲族老年人患病的特点以角膜病居首位，因此在畲族集聚地区应加强卫生宣教，建立眼库，积极开展角膜手术，减少角膜病的致盲率。

Objective To understand the incidence of various eye diseases in elderly population of She minority in mountain district in Zhejiang province. Method The eyesight, slit lamp microscopy, fundoscopy and intraocular pressure examination were performed in 528 persons m over 60-year-old natural population of 5 natural villages of 5 She ethnic townships in Jingning She autonomous county of Zhejiang province, and their best eyesight were corrected by optometry. Results In the 1056 eyes of 528 subjects, eyesight was less than 0.05 in 62 eyes, among them, there were 34 cases with monocular blindness and 14 cases with binocular blindness, and their morbidity rates were 6.44% and 2.65%. The leading causes of blindness were keratopathy, followed by cataract, then fundus diseases. Low eyesight was less than 0.3 in 173 eyes. Among them, there were 63 cases with monocular low eyesight and 55 cases with binocular low eyesight, and their morbidity rates were 11.93% and 10.42%. The major reasons of low eyesight were cataract, keratopathy, and fundus diseases. Conclusion The characteristics of the elderly in the She nationality are the first of the keratupathy. Therefore, the health propaganda and education should be strengthened in the She nationality area, the eye bank should be set up, and the corneal surgery should be carried out to reduce the blindness rate of the keratopathy.