농촌 노인의 안과적 증상 및 안질환 실태

다국어 초록 (Multilingual Abstract)

We performed the Community Based Opthalmologic Health Screening Services (CBOHSS) for elderly people lived in rural area of Chuncheon city, Kangwon province, from Feb., 1998 to Dec., 1998. Through investigating the prevalence of opthalmologic disease and the management policy for these problem, we are to identify the need of CBOHSS. After announced to eldely people over 65 in the Chuncheon city, total 358 people gathered and recieved opthalmologic test from opthalmologist in community Health center. In the result of sight test, there were 41.1% that better sight is over 0.7, 42.8% is 0.3 over 0.6 below. There were about 46% that worse sight is 0.3 over 0.6 below. The number of 352 Elderly of total participants(n=358) had eye problems, the most elderly in this study(n=100, 22.6%) suffered from cataract, and the next frequent disease were ametropia, conjunctivitis, pterygium. The treatment plan was as followed. `Need glasses` is 16.2%, `Need drug treatment` is 32.4%, `Need operation` is 9.4%, and `Need follow up` is 2.8%. It means that they need continuous CBOHSS. Considering the deficiency of rural health care resources in Korea, the CBOHSS for elderly will very appropriate and important national service. The community health center should serve the primary opthalmologic screening services for elder residents, and then, refer portential patients to the opthalmologist and supportive group in urban. This Opthalmologic refer system have to settle down in rural area in Korea.