中华医学杂志(英文版)
中華醫學雜誌(英文版)
중화의학잡지(영문판)
CHINESE MEDICAL JOURNAL
2003年
5期
682-684
,共3页
严良斌%张国成%郑志菊%李文忠%叶干运
嚴良斌%張國成%鄭誌菊%李文忠%葉榦運
엄량빈%장국성%정지국%리문충%협간운
leprosy%blindness%vision disorder
Objective To determine the prevalence, cause and distributions of blindness and poor vision in patients with leprosy.Methods An epidemiological survey of blindness and poor vision among 1045 cases of leprosy was carried out in Taixing City of Jiangsu Province, China.Results The prevalence of bilateral blindness was 7.67%, unilateral blindness 4.4%, bilateral poor vision of various degrees 9.28% and unilateral poor vision 5.84%. The prevalence of eye complications varied significantly among different groups of patients; females had a higher prevalence than males, multibacillary patients higher than paucibacillary patients, and in-patients higher than out-patients. Corneal disease was the most common cause of blindness in study groups, followed by iritic disease and cataract while the main cause of poor vision was cataract, then corneal and iritic diseases. Treatable blindness accounted for 62.7% of cases and treatable poor vision for 88.6% of the patients studied. 56.62% of cases with eye complications expressed their willingness to be treated.Conclusions Although prevention and treatment of low vision and blindness in leprosy patients is very hard, it is necessary for doctors and medical workers to make clear of the factors to cause low vision and blindness, especially those in leprosy patients so that some measures for prevention and treatment of the disease could be taken accordingly.