目的　了解影响老年人生存质量的老年性白内障的现状和分布特点。方法　用整群随机抽样方法选取成都城乡 10 16例 6 0岁及其以上老年人 ,进行问卷调查和体检。结果　老年性白内障城市患病率为 5 2 .3% ,农村患病率为 5 1.3% ,女性患病率高于男性 ,且患病率随年龄增加而上升。既往诊断率低于现患率 ,农村尤为显著。结论　应加强老年性白内障的防治工作 Objective To understand the status and distribution of senile cataract that affect the quality of life of the elderly. Methods A total of 10 16 elderly people aged 60 years or older in urban and rural areas of Chengdu were selected by cluster sampling method. Questionnaires and physical examinations were performed. Results The prevalence of senile cataract was 52.3% in urban areas, the prevalence in rural areas was 5.33%, the prevalence rate in females was higher than that in males, and the prevalence rose with age. The past diagnosis rate is lower than the prevalence rate, especially in rural areas. Conclusion The prevention and treatment of senile cataract should be strengthened