Reasons of visual impairment and cataract surgical rate of elder people aged 60 years old or more in Shuxin Town, Chongming District, Shanghai
HUANG Yue1 YE Jingying1 ZHANG Qian1 ZHENG Yan1,2▲
1.Department of Ophthalmology, Xinhua Hospital Chongming Branch, School of Medicine, Shanghai Jiaotong University, Shanghai 202150, China;
2.Department of ophthalmology, Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200092, China
Abstract：Objective To analyze the reasons of visual impairment and cataract surgical rate of elder people aged≥60 in Chongming District, Shanghai，for evaluating the blindness and low vision status and the efficacy of the prevention blindness program in this district. Methods By ophthalmic screening and questionnaire surveying, people aged 60 years old or more were selected for the study in Shuxin Town, Chongming District, Shanghai from October 2016 to December 2017. Results In this study, 6016 notifications were distributed to people in 20 villages of Shuxin Town and actually 4260 cases (70.81% of people aged 60 years old or more) participated in the screening. The common oculopathy affecting vision were cataract (2182 cases, 51.22%), retinopathy（473 cases,11.10%）, glaucoma (443 cases, 10.40%), pterygium (175 cases, 4.11%), keratonosus (154 cases, 3.60%) and the other diseases (including injury, old uveitis, ptosis and high myopia,21 cases, 0.49%). The surgical rate in mild cataract (corrected vision≥0.5) was 11.90%, moderate cataract (0.3≤ corrected vision﹤0.5) was 12.83% and severe cataract (corrected vision﹤ 0.3) was 23.87%. In this town, among all the individiuals aged≥60, the rate of monocular blindness and low vision was 2.79%,7.74% respectively, and the rate of bilateral blindness and low vision was 1.87%, 5.99% respectively. Conclusion At the current stage, cataract was still the primary oculopathy which impairs the vision of people aged 60 years old or more in Chongming District, Shanghai. Particularly, the surgical rate was still very low in severe cataract that affects normal life. All the governments should pay attention and the medical workers should strengthen the propaganda and education among patients in order to screen and treat them timely, and consequently, the population of people who are reduced to poverty due to diseases can drop dramatically.
黄玥1 叶竞英1 张茜1 郑岩1，2▲. 上海市崇明区竖新镇60岁及以上人群视力损害原因及白内障手术率调查[J]. 中国医药导报, 2018, 15(18): 100-102,107.
HUANG Yue1 YE Jingying1 ZHANG Qian1 ZHENG Yan1,2▲. Reasons of visual impairment and cataract surgical rate of elder people aged 60 years old or more in Shuxin Town, Chongming District, Shanghai. 中国医药导报, 2018, 15(18): 100-102,107.
2018, Vol. 15 
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