Singh M M, Murthy G V, Venkatraman R, Rao S P, Nayar S
Department of Community Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Ophthalmol. 1997 Mar;45(1):61-5.
A cross-sectional study was conducted in five randomly selected villages in Wardha district of Maharashtra state to study the magnitude and factors related to the prevalence of ocular diseases among the elderly population. A total of 903 persons above 50 years were screened. The prevalence of low vision was 32% while that of blindness was 12.2%. Ocular morbidity rate was 1.21 lesions per elderly person and it increased significantly with increasing age (p < 0.001). Ocular diseases were found to be more prevalent among males, low socio-economic status group and landless labourers (p < 0.001). There was a high prevalence of refractive errors (40.8%), cataract (40.4%), aphakia (11.1%) followed by pterygium (5.2%), glaucoma (3.1%) and corneal opacities (3%). Prevalence of diseases of the lens and iris increased significantly with increasing age (p < 0.001). There is a need to evolve strategies for reducing the burden of ocular diseases and improve geriatric eye health under the existing infrastructure of health care delivery in our country.
在马哈拉施特拉邦瓦尔达区随机选择的五个村庄开展了一项横断面研究,以研究老年人群眼部疾病患病率及其相关因素。共筛查了903名50岁以上的人员。视力低下患病率为32%,失明患病率为12.2%。老年人群眼部发病率为每人1.21个病灶,且随年龄增长显著增加(p<0.001)。眼部疾病在男性、社会经济地位低的群体和无地劳动者中更为普遍(p<0.001)。屈光不正(40.8%)、白内障(40.4%)、无晶状体(11.1%)的患病率较高,其次是翼状胬肉(5.2%)、青光眼(3.1%)和角膜混浊(3%)。晶状体和虹膜疾病的患病率随年龄增长显著增加(p<0.001)。有必要在我国现有医疗保健服务基础设施下制定策略,以减轻眼部疾病负担并改善老年眼部健康。