目的:通过查体了解西安周边50岁及以上农村人口各种眼病构成情况,探讨影响农村老年人视力的主要因素及应对措施。方法:我们2009-07/2010-05对西安市周边5个乡50岁及以上的老年常住人口共1238例进行了眼科常规查体,包括视力、裂隙灯、眼压、电脑验光、眼底镜等检查,按照疾病分类统计。结果:各种眼病中白内障居首位,481例(38.85%),其他眼病依次为屈光不正347例(28.03%),眼底病58例(4.68%),翼状胬肉30例(2.42%),青光眼17例(1.37%),角膜病15例(1.21%),其他27例(2.18%),健康人群263例(21.24%)。结论:白内障、屈光不正、眼底病是农村老年人的多发眼病,故深入基层、眼病普查及卫生宣教是减少可避免盲的有效措施。

AIM:To understand the construction condition of ophthalmopathy of pepole aged above 50 years,and to explore the main factors and the effective measures for the vision impact in the rural population of Xi’an area.·METHODS:According to statistical classification of diseases,1238 cases aged above the 50 years underwent the routine ocular examination from July 2009 to May 2010 in the rural population of Xi’an.The visual acuity,slit-lamp,intraocular pressure,computer optometry and ophthalmoscope were observed. ·RESULTS:Of all volunteers,the cataract were in 481 cases (38.85%),the refractive error in 347 cases (28.03%),fundus disease in 58 cases (4.68%),pterygium in 30 cases (2.42% ),glaucoma in 17 cases (1.37%),keratitis in 15 cases (1.21%),others in 27 cases (2.18%),and the healthy people were 263 cases (21.24%). ·CONCLUSION:Cataract,refractive error and fundus disease are the mainly common ophthalmopathy in rural elder people. Primary practice,ophthalmopathy extensive survey,and hygiene education are very important measures to reduce avoidable blindness.

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