MMWR Morb Mortal Wkly Rep. 1996 Nov 1;45(43):937-41.
Diabetes, the leading cause of new blindness among U.S. adults aged 20-74 years, accounts for approximately 8% of cases of legal blindness and 12% of all new cases of blindness in the United States each year. One of the national health objectives for the year 2000 is to decrease by 50% the incidence of blindness caused by diabetes (objective 17.10). However, surveillance for blindness among persons with diabetes has not been conducted nationally, and national prevalence estimates of blindness caused by diabetes have been based on state data from the register of the Massachusetts Commission for the Blind (MCB). To characterize recent trends, data on legal blindness caused by diabetes among adults with diabetes in Massachusetts were examined for 1987-1994. This report summarizes the results of that analysis, which indicate that in Massachusetts, the overall incidence and prevalence of legal blindness caused by diabetes did not decrease, despite the availability of methods to prevent vision loss.
糖尿病是美国20至74岁成年人失明的主要新病因,每年约占美国法定失明病例的8%和所有新失明病例的12%。2000年的国家卫生目标之一是将糖尿病所致失明的发病率降低50%(目标17.10)。然而,尚未在全国范围内对糖尿病患者的失明情况进行监测,全国糖尿病所致失明患病率估计数一直基于马萨诸塞州盲人委员会登记册中的州数据。为了描述近期趋势,对马萨诸塞州1987年至1994年糖尿病成年人中糖尿病所致法定失明的数据进行了研究。本报告总结了该分析结果,结果表明,在马萨诸塞州,尽管有预防视力丧失的方法,但糖尿病所致法定失明的总体发病率和患病率并未下降。