MMWR Morb Mortal Wkly Rep. 2010 May 21;59(19):588-91.
Diabetic retinopathy (DR), glaucoma, and age-related macular degeneration (ARMD) are major causes of vision loss and blindness. Women have been found to have a higher prevalence of vision loss than men. Early detection and timely treatment by eye-care providers are necessary to delay disease progression and prevent vision loss. To assess the use of professional eye care among women aged > or = 40 years, CDC analyzed data from the Behavioral Risk Factor Surveillance System (BRFSS) for 19 U.S. states for the period 2006-2008. This report summarizes the results of that analysis, which indicated that 21% of women with self-reported DR, 12% of women with self-reported glaucoma, and 8% of women with self-reported ARMD did not visit an eye-care provider in the recommended follow-up period. Women who did not have insurance coverage for eye care or who did not receive routine medical check-ups were more likely to report not having the recommended follow-up eye care. The two most commonly cited reasons for not having an eye-care visit were cost or not having insurance (range across diseases: 40%-46%) and having no reason to go for follow-up (range: 20%-29%). Compliance with obtaining eye examinations at recommended intervals among women aged > or = 40 years with eye diseases might be enhanced by improving access to health care and implementing and expanding existing educational programs to raise awareness regarding the importance of routine follow-up eye examinations.
糖尿病视网膜病变（DR）、青光眼和年龄相关性黄斑变性（ARMD）是导致视力丧失和失明的主要原因。研究发现，女性视力丧失的患病率高于男性。眼科保健提供者需要早期发现和及时治疗，以延缓疾病进展并预防视力丧失。为了评估 40 岁及以上女性专业眼科护理的使用情况，疾病预防控制中心分析了 2006-2008 年 19 个美国州的行为风险因素监测系统（BRFSS）的数据。本报告总结了该分析的结果，结果表明，21%报告患有 DR 的女性、12%报告患有青光眼的女性和 8%报告患有 ARMD 的女性在推荐的随访期内未去看眼科医生。没有眼科保健保险或没有接受常规医疗检查的女性更有可能报告说没有接受推荐的随访眼科护理。不进行眼科检查的两个最常见原因是费用或没有保险（各种疾病的范围：40%-46%）和没有理由进行随访（范围：20%-29%）。通过改善医疗保健的可及性和实施并扩大现有的教育计划，提高人们对常规随访眼科检查重要性的认识，可能会提高 40 岁及以上患有眼病的女性按建议间隔进行眼部检查的依从性。
