|
|
Eye disease in elderly people in urban Wenzhou: The screening and referral of age-related cataract and visual impairment |
Sun Ruizhu,Jiang Junhong,Liang Yuanbo,Peng Xianyao,Xu Xiang,Zhang Cong,Zheng Jingwei,Lyu Fan |
Eye Hospital of Wenzhou Medical University, Wenzhou 325027, China |
|
|
Abstract Objective To explore the screening and referral of cataract and visual impairment among middle-aged and elderly people in urban Wenzhou districts. Methods In this investigative study, 31 170 people over 50 years of age from 124 urban communities in Wenzhou underwent screenings that included presenting visual acuity (PVA), intraocular pressure, slit lamp examination and fundus photography. The screenings were conducted from March 2014 to January 2016. People whose eyesight was 0.3 or below, or who were diagnosed with obvious cataract or other eye diseases were referred to the hospital. Data were analyzed using a χ2 test and Cochran-Armitage trend χ2 test. Results Of the 31 170 people who underwent a series of ophthalmologic examinations, 10 023 had cataract (32.16%), with an increasingly higher ratio of females with an increase in age. Detection rates of cataract increased with age (trend χ2=4049.64, P<0.01) and the rate was higher in females compared to males (50-59: χ2=8.70, P<0.01; 60-69: χ2=46.78, P<0.01; 70-79: χ2=52.21, P<0.01; ≥80: χ2=32.26, P<0.01). There were 5 657 cases of moderate visual impairment (0.1≤PVA<0.3 in the worse eye and PVA ≥0.1 in the fellow eye), with a detection rate of 18.15% and 604 cases of severe visual impairment and blindness (binocular presenting visual acuity <0.1), with a detection rate of 1.94%. There was an increasingly high detection rate of moderate impairment (trend χ2=217.14, P<0.01) and severe visual impairment and blindness (trend χ2=57.58, P<0.01) among those with advanced age. And 1 398 cataract patients had visual acuity lower than 0.3, accounting for 13.95% of the total number of cataract cases. Of these, 1 061 patients agreed to be transferred to the hospital for treatment. Of these, 449 patients had cataract surgery, with a referral rate of 32.12%. Conclusion There is a high detection rate of visual impairment and cataract in community populations over 50 years of age in urban Wenzhou. Patients in the community still lack awareness of visual health; it is necessary to improve relevant knowledge about eye disease.
|
Received: 23 November 2016
|
Fund: Wenzhou Medical University Research Initiation Funds (QTJ13009) |
Corresponding Authors:
Lyu Fan, Email: lufan@mail.eye.ac.cn
|
|
|
|
[1] |
Resnikoff S, Pascolini D, Etya′ale D, et al. Global data on visual impairment in the year 2002[J]. Bull World Health Organ,2004, 82(11):844-851. DOI:/S0042-96862004001100009.
|
[2] |
赵家良. 我国防盲治盲工作仍然任重而道远[J]. 中华眼科杂志,2012,48(3):193-195. DOI:10.3760/cma.j.issn.0412-4081.2012.03.001.
|
[3] |
Zhao J, Ellwein LB, Cui H, et al. Prevalence and outcomes of cataract surgery in rural China the China nine-province survey[J]. Ophthalmology,2010,117(11):2120-2128. DOI:10.1016/j.ophtha.2010.03.005.
|
[4] |
Zhao J, 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):409-416,416.e1. DOI:10.1016/j.ophtha.2009.11.023.
|
[5] |
高扬,谢作楷,周芬,等. 浙江省温州地区白内障患者就诊及时性滞后的影响因素[J]. 中华医学杂志,2013,93(41):3312-3314. DOI: 10.3760/cma.j.issn.0376-2491.2013.41.019.
|
[6] |
涂昌森,徐国兴. 温州市农村防盲治盲情况调查与分析[J]. 国际眼科杂志,2011,11(2):351-353. DOI:10.3969/j.issn.1672-5123.2011. 02.53.
|
[7] |
高扬,涂昌森,徐栩,等. 白内障筛查及早期手术在防盲治盲中的作用[J]. 中华医学杂志,2012,92(29):2055-8. DOI:10.3760/cma.j.issn.0376-2491.2012.29.010.
|
[8] |
赵家良,王羽,高学成,等. 我国九省眼病调查设计的抽样和测量方法[J]. 中华眼科杂志,2011,47(9):779-784. DOI:10.3760/cma.j.issn.0412-4081.2011.09.004.
|
[9] |
刘虎,赵家良,陆宏,等. 我国九省眼病调查中北京市顺义区50岁及以上人群盲和中、重度视力损伤患病率调查[J]. 中华眼科杂志,2012,48(3):199-204. DOI:10.3760/cma.j.issn.0412-4081.2012.03. 003.
|
[10] |
马贤智,赵家良,Leon BE,等. 我国九省眼病调查中新疆维吾尔自治区昌吉市50岁及以上人群盲和中、重度视力损伤患病率及致病原因调查[J]. 中华眼科杂志,2013,49(9):795-800. DOI:10. 3760/cma.j.issn.0412-4081.2013.09.006.
|
[11] |
吕建华,赵家良,Leon BE,等. 我国九省眼病调查中河北省隆尧县50岁及以上人群盲和中、重度视力损伤患病率及致病原因调查[J]. 中华眼科杂志,2013,49(9):783-788. DOI:10.3760/cma.j.issn.0412-4081.2013.09.004.
|
[12] |
陆宏,管怀进,戴追,等. 我国九省眼病调查中江苏省启东市50岁及以上人群盲和中、重度视力损伤患病率调查[J]. 中华眼科杂志,2012,48(3):205-210. DOI:10.3760/cma.j.issn.0412-4081.2012.03. 004.
|
[13] |
张丽琼,崔浩,赵家良,等. 我国九省眼病调查中黑龙江省双城市50岁及以上人群肓和中、重度视力损伤患病率及致病原因调查[J]. 中华眼科杂志,2014,50(3):173-178. DOI:10.3760/cma.j.issn.0412-4081.2014.03.004.
|
[14] |
阴正勤,赵家良,李平华,等. 我国九省眼病调查中重庆市永川区50岁及以上人群盲和中、重度视力损伤患病率及致病原因调查[J]. 中华眼科杂志,2013,49(9):777-782. DOI:10.3760/cma.j.issn.0412-4081.2013.09.003.
|
[15] |
易敬林,罗荣,赵家良,等. 我国九省眼病调查中江西省吉安县50岁及以上人群盲和中、重度视力损伤患病率调查[J]. 中华眼科杂志,2012,48(6):524-529. DOI:10.3760/cma.j.issn.0412-4081.2012. 06.010.
|
[16] |
蔡宁,袁援生,赵家良,等. 我国九省眼病调查中云南省泸西县50岁及以上人群盲和中、重度视力损伤患病率及致病原因调查[J].中华眼科杂志,2013,49(9):801-806. DOI:10.3760/cma.j.issn.0412-4081.2013.09.007.
|
[17] |
葛坚,何明光,赵家良,等. 我国九省眼病调查中广东省阳西县50岁及以上人群盲和中、重度视力损伤患病率及致病原因调查[J]. 中华眼科杂志,2014,50(3):167-172. DOI:10.3760/cma.j.issn.0412-4081.2014.03.003.
|
[18] |
许明. 浙江省平湖市年龄相关性白内障发病情况的调查[J]. 中国现代医生,2012,50(29):11-13.
|
[19] |
周激波,管怀进,顾海雁. 农村白内障防盲手术前忠者眼病意识调查[J]. 眼科,2006,15(1):42-45.
|
|
|
|