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目的调查天津蓟县桑梓村40岁及以上人群中青光眼的患病率。方法2003年1～3月,对天津蓟县桑梓村1987人进行青光眼的普查,每一位受检者接受了问卷调查、视力、色觉、眼前节检查、前房深度、眼压测量及眼底检查,部分接受了倍频视野仪、Goldmann前房角镜及中心视野检查。结果1701人完成了检查,受检率为85.61%。青光眼患病率为1.59%,原发性闭角型青光眼为1.12%,原发性开角型青光眼为0.35%,继发性青光眼为0.12%;高龄、有青光眼家族史者原发性青光眼患病率较高。所检出的27例青光眼患者中,有19例视功能有一定程度的损伤,其中6例双眼盲,5例单眼盲,4例双眼低视力,4例单眼低视力;19例视力损伤中13例患者年龄≥70岁。结论青光眼引起的视功能损伤是十分严重的,高龄伴有青光眼家族史的人群应定期随访。
Objective To investigate the prevalence of glaucoma in 40-year-olds and above in Sangzi Village, Jixian County, Tianjin. Methods From January to March 2003, a total of 1987 glaucoma censuses were performed in the village of Sangzi, Jixian County, Tianjin. Each subject received questionnaires, visual acuity, color vision, anterior segment examination, anterior chamber depth, intraocular pressure measurement and fundus examination. Partially accepted frequency doubling vision instrument, Goldmann gonioscopy and central visual field examination. Results 1701 people completed the examination, the rate was 85.61%. Glaucoma prevalence was 1.59%, primary angle-closure glaucoma was 1.12%, primary open-angle glaucoma was 0.35%, secondary glaucoma was 0.12%; elderly, family history of glaucoma primary glaucoma The rate is higher. Of the 27 cases of glaucoma detected, 19 had visual function impairment to a certain extent, including 6 cases of blindness, 5 cases of monocular blindness, 4 cases of binocular low vision and 4 cases of monocular low vision; 19 cases of visual impairment Cases of patients aged 70 years or older. Conclusion Glaucomatous optic nerve injury is very serious, and people with advanced family history of glaucoma should be followed up regularly.