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目的探讨影响高龄老年人视力的主要因素。方法对河北省民政总医院2003-01-2008-01眼科门诊及住院的1 768例(3 536眼)80岁以上老年人行眼科查体,对矫正视力低于1.0者行眼底、视野、眼底荧光血管造影等检查,找出病因。结果患白内障者为3 536眼(100%),患老年性黄斑变性者为1 298眼(36.71%),青光眼127眼(3.59%),单纯性视神经萎缩93眼(2.63%)。影响视力的主要原因依次是白内障、老年性黄斑变性、青光眼、视神经萎缩。结论高龄老年人眼部疾病明显增多,白内障和老年性黄斑变性是影响视力的主要疾病。
Objective To explore the main factors affecting the vision of the elderly. Methods A total of 1 768 cases (3 536 eyes) of ophthalmology clinics and inpatients over 80 years of age were examined by ophthalmology in Hebei General Hospital of Civil Affairs 2003-01-2008-01. The fundus, visual field and fundus fluorescence Angiography and other tests to find out the cause. Results The number of cataracts was 3 536 eyes (100%), the age-related macular degeneration was 1 298 eyes (36.71%), the glaucoma was 127 eyes (3.59%) and the simple optic atrophy was 93 eyes (2.63%). The main causes of visual acuity were cataract, age-related macular degeneration, glaucoma and optic atrophy. Conclusion Ocular diseases in the elderly are obviously increased. Cataracts and age-related macular degeneration are the major diseases that affect vision.