|
|
|
| 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.
|
|
|
|
|
|
[1] 第二次全国残疾人抽样调查领导小组.2006年第二次全国残疾人抽样调查主要数据公报[J].中国康复理论与实践，2006，12（12）：1013-1013
[2] 王建平.上海统计年鉴[M].北京：中国统计出版社，2014.
[3] 张建，华琦.中国老龄化的特征发展趋势与对策[J].中国心血管杂志，2010，15（1）：79-80.
[4] 赵家良，睢瑞芳，贾丽君，等.北京市顺义区白内障患病和手术状况的调查[J].中华眼科杂志，2001，37（1）：3-8.
[5] 沈斌，朱剑锋，徐枫.上海市淮海社区老年人盲和低视力及白内障复明手术效果调查[J].中华眼外伤职业眼病杂志，2013，35（1）：66-69.
[6] 黄燕，孙嘉禧，龚程.上海市甘泉社区60岁及以上人群盲和低视力现况调查[J].上海预防医学，2014（6）：298-300.
[7] 李琳，管怀进，周激波.南通市新城桥街道60岁及以上人群盲和低视力的现况调查[J].中华眼科杂志，2006，42 （9）：802-807.
[8] 朱友昌.崇明县2010年人口普查资料汇编[M].上海：上海市崇明县人口普查办公室，2010.
[9] 吴敏，朱明.昆明市老年人盲和低视力患病率及影响因素分析[J].眼科新进展，2009，29（8）：717-619.
[10] 蔡宁，陈苗苗，袁援生，等.云南省泸西县白内障患病率及手术覆盖率调查[J].昆明医科大学学报，2013，34（5）：74-78.
[11] 赵家良.防盲致盲依然是我国眼科界面临的巨大挑战[J].中华眼科杂志，2009，45：769-771.
[12] 权彦龙，杨建刚，任百超.陕西省洋县白内障的流行病学调查[J].国际眼科杂志，2006，6（6）：1464-1467.
[13] 田芳，任百超，何媛，等.陕西省农村50岁及以上人群白内障流行病学调查[J].国际眼科杂志，2014，14（4）：629-632.
[14] 刘春玲，侯川，刘谊，等.成都城乡老年性白内障的流行病学调查[J].四川大学学报：医学版，2002，33（2）：256-258.
[15] Zhao JL，Ellwein LB，Cui H，et al. Prevalence of vision impairment in older adults in rural China：the China Nine-Province Survey [J]. Ophthalmology，2010，117（3）：409.
[16] 齐慧，杨琛，陈华，等.浦东新区陆家嘴街道60岁及以上人群盲和低视力流行病学调查[J].中华疾病控制杂志，2010，14（8）：748-750. |
|
|
|
