Journal of the Korean Ophthalmological Society 2005;46(1):63-70.
Published online January 31, 2005.
Vision Screening in the Elderly and Operations for the Blind: Results in the Year of 2003.
Jin Seok Choi, Sin Ja Kim, Byung Won Jang, Kyung Hwan Shyn
1Department of Ophthalmology, Gachon Medical School, Gil Medical Center, Incheon, Korea. khshyn@ghil.com
2Korean Foundation for Prevention of Blindness, Seoul, Korea.
3Elderly Care Division, Ministry of Health and Welfare, Seoul, Korea.
한국실명예방재단의 2003년도 노인 안 검진과 개안수술사업 결과
최진석1,김신자2,장병원3,신경환1,2
Department of Ophthalmology, Gachon Medical School1, Gil Medical Center, Incheon, Korea Korean Foundation for Prevention of Blindness2, Seoul, Korea Elderly Care Division, Ministry of Health and Welfare3, Seoul, Korea
Correspondence:  Jin Seok Choi, M.D.1
Abstract
PURPOSE
To report the results of vision screening in the elderly and operations for the blind in 2003. METHODS: A nation-wide, indigent aged group of over 65-year-old of low-income population was surveyed. Visual acuity was tested, refractive error was measured, and ocular examination was performed to determine the group needed for operation. RESULTS: Among the indigent subjects who live in urban or rural community, 7, 750 subjects aged over 65 years old were examined by the ophthalmologists. For those screened, the most common ocular disease was cataract (4, 383 subjects, 45.4%), followed by conjunctival and scleral disease (1, 741 eyes, 18%), retinal disease (434 eyes, 4.5%), refractive errors (374 eyes, 3.9%). Surgery was performed on 1, 813 eyes of 1, 109 subjects, and these were classified by the disease category. Surgery for cataract was performed on 1, 762 eyes (97.2%), and for retinal disease on 51 eyes (2.8%). The visual acuity change after cataract surgery was 0.23 +/- 0.15 preoperatively and 0.64 +/- 0.25 postoperatively. CONCLUSIONS: Among the geriatric public health problem in eye care services, the most prevalent cause of visual impairment was senile cataract, for which the vision can be improved by surgery. Therefore, continuous vision screening and surgery for the blind among this group are important and should be performed more extensively.
Key Words: Aged population;Cataract;Ocular disease


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