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Unrecognized and unregistered blindness in people 70 or older in Jing’an district, Shanghai, China

机译:中国上海市静安区70岁以上的人们无法识别和未注册的失明

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机译:·AIM: To evaluate the efficacy of a registration system for the blind people and to monitor the blindness due to uncorrected refractive error and cataract in Jing’an district, Shanghai, China. ·METHODS: Five hundred and ten blind people, based on visual acuity screening in a population aged 70 or older were enrolled into the study. Four hundred and forty subjects were interviewed. The following data were collected on each patient: demographic data, number of hospital visits for eye related problems, distance visual acuity, visual fields, ophthalmic diagnoses, education and registration status. If the eligible subject was not registered as blind, the reason for non -registration was recorded. ·RESULTS: Ten point nine one percent blindness was due to cataract, 27.5% due to uncorrected refractive error, and only 61.59% met the eligible blindness criteria (uncorrected refractive error and cataract are not considered as eligible blindness). The first four leading causes of eligible blindness were age related macular degeneration (25.09% ), myopic macular degeneration (21.40%), glaucoma (18.82% ) and corneal disease (8.12% ). Only 68.27% eligible blind people were registered. The patients with macular degeneration and glaucoma tended not to register. Blind people with an above primary school education were 2.59 times more likely to be registered than those who were illiterate or had only a primary school education (OR=2.59, 95%CI: 1.49-4.48, <0.01). Patients who had 4 or more visits to the hospital requesting eye care services in a year were 2.2 times more likely to be registered than those with less than 4 visits to the hospital (OR =2.54, 95% CI: 1.47 -4.38, < 0.001). The first two leading reasons of misregistration were unknowing the registration system (48% ) and unwilling to register (21%). ·CONCLUSION: Under-registration of the eligible blind people exists in the registry system. Education and the number of hospital visits for eye care services were factors associated with registration levels. Uncorrected refractive error and cataract are important causes of blindness. ·

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  • 来源
    《国际眼科杂志:英文版》 |2013年第3期|P.321-326|共6页
  • 作者单位

    Department of Ophthalmology Jing’an District Centre Hospital of Shanghai Eye Diseases Prevention and Treatment Institute of Jing’an District;

    Department of Ophthalmology and Vision Science Eye and ENT Hospital Shanghai Medical College Fudan University;

    State Key Laboratory of Medical Neurobiology Institutes of Brain Science Fudan University;

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  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类 眼科学;
  • 关键词

    blindness unrecognized causes;

    机译:失明原因不明;
  • 入库时间 2022-08-19 04:39:00
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