原名「台灣學術線上」
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題名:COMMUNITY-BASED STUDY ON PREVALENCE AND CAUSES OF VISUAL IMPAIRMENT AMONG THE ELDERLY IN TAIPEI AND MATSU     (18點)
台北市與馬祖地區老人視力障礙盛行率與原因的社區性研究
著者:Ching-Yao Tsai(蔡景耀) ;Chang-Sue Yang(楊昌叔) ;Tao-Hsin Tung(董道興) ;Pesus Chou(周碧瑟) ;Li-Lin Kuo(郭麗琳) ;I-Lun Tsai1(蔡宜倫) ;Lin-Chung Woung(翁林仲)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:elderly ; prevalence ; visual impairment
刊名:中華民國眼科醫學會雜誌
卷期:42卷3期(2003.9)
頁碼:178-186
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

目的:調查台灣台北市與馬祖地區的歲(含)以上 老人視力障礙之盛行率及其原因,並比較兩地老人視 力障礙現況之異同。 方法:本研究以台北市大同、中山區及連江縣南 竿、北竿鄉地區的歲(含)以上老人為篩檢對象,進行 視力檢查。如果表現視力低於肘,則轉介做進一步 眼科檢查。視力障礙定義為優眼最佳矯正視力低於 結果:共計有572 位老人接受視力篩檢,其中台 北市有367 位,馬祖地區有205 位。受檢者雙眼表現 視力均低於0.5 的比例為19.2% (其中台北市為 8.0% '馬祖地區為39.1%) 。受檢者視力障礙之比率 為2.80% (其中台北市為1. 91% ,馬祖地區為4 .3 9%) 。 本研究老人視力障礙最常見的原因是白內障及其相 關疾病(70.5%) ,其次是視網膜及其相關疾病(40.9 %)。其中視網膜及其相關疾病與老人視力障礙有極明 顯的相關性。在視力障礙原因的分佈上,台北市與馬 祖地區並無差異。 結論:白內障及其相關疾病是台北市與馬祖地區 的歲(含)以上老人視力障礙最常見的原因,其次是視 網膜及其相關疾病。而視網膜及其相關疾病與視力障 礙有極明顯的相關性。馬祖地區老人視力障礙比例明 顯高於台北市。
Purpose: This study was conducted to investigate and compare the prevalence and causes of visual impairment of the elderly people in the urban (Taipei) and rural (Matsu) areas, Methods: People of the age of 65 or older were enrolled for interviews and ophthalmic examinations in a visual health care survey in Taipei and Matsu. The clinical examination included visual acuity testing, slit-Iamp and dilated retinal examination for those with a visual acuity worse than 6/12. Visual impairment was defined as a best-corrected acuity in the better-seeing eye worse than 6/12. Results: Samples of 572 (367 residents in Taipei, and 205 residents in Matsu) elderly people were included. The propo吋ion of overall bilateral presenting acuity worse than 6月2 was 19.2% (8.0% in Taipei and 39.1% in Matsu, p<0.0001). We estimated the propo吋ion of visual impairment among the elderly in Taiwan was 2.80% (1.91 % in Taipei and 4.39% in Matsu, p<0.0001). Cataractrelated disease was the most frequent factor (70.5%) associated to visual impairment, retinopathy-related disease with/without macular edema the second (40.9%). There was no significant diffidence in the distribution of factors associated to visual impairment between Taipei and Matsu. Multiple logistic regression revealed that retinopathy with/without macular edema was the most significant associated factor correlated with the visual impairment among the elderly (OR=25.02, 95%CI: 4.32-145.01). Conclusions: Although cataract was the most frequent factor in visual impairment, we found retinopathy with/without macular edema was the most significantly associated factor related to visual impairment for the elderly people in Taiwan. Aged people in the rural (Matsu) area were more likely to remain visually impaired than those in the urban (Taipei) area.


    

本卷期目次
中華民國眼科醫學會雜誌 42卷3期 (2003.9)
自覺式驗光技術/ 林耕國陳彥伯李建興
COMMUNITY-BASED STUDY ON PREVALENCE AND CAUSES OF VISUAL IMPAIRMENT AMONG THE ELDERLY IN TAIPEI AND MATSU/ Ching-Yao TsaiChang-Sue YangTao-Hsin TungPesus ChouLi-Lin KuoI-Lun Tsai1Lin-Chung Woung
OVERNIGHT ORTHOKERATOLOGY──A PRELIMINARY REPORT/ Mei-Chuan YangHsin-Jui LeeYi-Chun ChenSzu-Yuan LinShun-Ling Lin
感染性眼內炎的病因診斷──六年回顧/ 謝靜茹黃正賢林昌平楊長豪何子昌楊中美陳慕師
CORRECTION OF A FLAT CHEEK AFTER AN INADEQUATE REDUCTION OF ZYGOMATICO-MAXILLARY COMPLEX FRACTURE USING A HIGH-DENSITY POLYETHYLENE MALAR IMPLANT──A CASE REPORT/ Cheng-Hsien Chang
BILATERAL SEVERELY OCULAR INJURY BY HIGH-PRESSURE WATER──A CASE REPORT/ Chih-Cheng ChangHao Lun SuGow-Lieng Tseng
RECURRENT KIMURA DISEASE OF LACRlMAL GLAND──CASE REPORT/ Seng-Te HangCheng-Jong ChangChiao-Hong ChenJian-Nan Wu
ENDOGENOUS KLEBSIELLA ENDOPHTHALMITIS WITH UNKNOWN PRIMARY ORIGIN ── A CASE REPORT/ Chun-Ju LinChang-Ping LinChung-May Yang
ORBITAL STEATOCYSTOMA SIMPLEX──TWO CASE REPORTS/ Tzu-Fang ChouShu-Ching KaoShyh-Haw TsayChieh-Chin TsaiWen-Ming Hsu
BILATERAL ORBITAL CELLULITIS IN A CHILD WITH SINUSITIS── CASE REPORT/ I-hua WangShin-Yu TsengYi-Chun ChenShun-Ling Lin
人工流產後造成之內因性念珠菌眼內炎──病例報告/ 蔡翔翎陳立仁
 
   
 
   

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