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目的了解山西省晋城市三河镇50岁以上人群盲及低视力的患病情况。方法对该人群进行视力检查及免散瞳数码眼底照相。按照世界卫生组织视力损伤标准进行盲及低视力分级,并确定眼病病因。结果检录6997人中受检人数为6769人,应答率为96.7%,盲及低视力人数397例(5.86%)中,双眼盲86例(1.27%)、单眼盲79例(1.17%)、双眼低视力144例(2.13%)、单眼低视力88例(1.30%)。盲及低视力的患病率随年龄增长而增加;女性总患病率高于男性。其眼病中白内障居首位,其次为眼底病变、翼状胬肉、青光眼和角膜病变等。结论该地区防盲及改善低视力的工作重点是白内障,加强卫生宣传和基层眼病普查仍然是农村眼病防治的关键。
Objective To understand the prevalence of blindness and low vision in people over 50 in Sanhe town, Jincheng city, Shanxi province. Methods Visual acuity and digital fundus photography of the population were performed. Blind and low-vision ratings were performed according to WHO criteria for visual impairment and the etiology of the eye was determined. Results There were 6769 subjects in 6997 subjects with response rate of 96.7% and 86 eyes (1.27%) with blindness and low visual acuity (1.86%), 79 eyes with blindness (1.17%), 144 cases (2.13%) had low visual acuity, 88 cases (1.30%) had monocular low vision. The prevalence of blindness and low vision increased with age; the overall prevalence of women was higher than that of men. Its eye disease cataract ranks first, followed by fundus lesions, pterygium, glaucoma and corneal lesions. Conclusions The main focus of prevention of blindness and improvement of low vision in this area is cataract. Strengthening the health promotion and screening of primary eye diseases is still the key to prevention and treatment of ophthalmic diseases in rural areas.