老年人盲和低视力的病因分析

目的　调查 60岁以上体检老年人盲和低视力患病情况和致病原因。　方法　对 892例体检老年人常规检查远、近生活视力及眼前节、眼底、眼压。对生活视力低于 0 3者验光矫正视力 ,筛选出盲和低视力的患者 ,对其眼病进行相应辅助检查并进行统计分析。　结果　调查的 892例中 ,盲和低视力患者 42例 (4 71% )。盲和低视力的患病率分别为 9例 (1 0 1% )例和 3 3例 (3 70 % )。主要的致盲眼病为眼底黄斑病变 2 4例 (57 14 % ) ,青光眼 5例 (11 91% ) ,白内障 4例 (9 52 % )等 ;难治性眼病显著多于可治性眼病 ;80岁及以上老年人的患病率显著高于 80岁以下年龄组 (P <0 0 5)。　结论　老年人随增龄易患致盲性眼病 ,应重视老年人的防盲、治盲工作

The analysis of blindness and low vision by routine physical examination in the elderly

ObjectiveTo investigate the visual condition and causes of blindness and low vision of ov er 60 years old people found by routine physical examination. Methods A total of 892 cases over 60 years old people took a yearly routine examinatio n, such as far and near vision in daily life, anterior segment and fundus of the eye and intraocular pressure. If the vision were under 0 3, the refractive vis ion needs to be corrected. The blindness and low vision patients were selected a nd taken further related examinations to analyse statistically the causes of bli ndness. Results Among 892 cases investigated, blindness together with low vision were 42 cases (4 71%). The morbidity rate of blindness and low vision were 1 01% (9 cases) a nd 3 70% (33 cases) respectively. Diseases caused blindness were macular lesio ns (57 14%), glaucoma(11 91%), cataract (9 52%), retinal diseases, optic nerv e atrophy, keratopathy etc. Refractory eye diseases were obviously more than t he eye diseases which can be treated. The morbidity rate of over 80 years old pe ople were obviously more than that of under 80 years group. Conclusions With ageing, the old people easily suffer from eye diseases and results in bli ndness. For the prevention and treatment of blindness for the elderly, much atte ntion to treatment of eye diseases should not only paid, active training is also important.