防盲屈光外伤r5y program分析.pptVIP

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防盲屈光外伤r5y program分析.ppt

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Blindness and preventionRefractionOcular trauma防盲治盲-屈光-眼外伤 Song Yue, MD,PhD Prof. of Ophthalmology STU/CUHK JOINT EYE CENTER SY@JSIEC.Org Categories of visual impairment (WHO 1977) Global Blindness Incidence of blindness 0.7% 40-45 million blind 90% in developing countries 80% blindness is preventable Causes of Blindness in the World Cataract白内障 46% Trachoma沙眼 12.5% Corneal infection 角膜感染 Onchocerciasis (River blindness) Xerophthalmia Causes of Blindness in the World Glaucoma青光眼 Diabetes retinopathy 糖尿病性视网膜病变 Trauma 外伤 Hereditary conditions遗传 Amblyopia 弱视 Others Blindness in China Incidence of blindness 0.5%-0.6% Blind people: 6.70 million Low vision : 0.99% -12.00 million Causes of Blindness in China Cataract 46.1% Corneal diseases 15.4% Trachoma 10.9% Glaucoma 8.8% Retinal and choroidal diseases 5.5% Congenital/Hereditary conditions 5.1% Optic nerve diseases 2.9% Refractive errors/Amblyopia 2.9% Prevention and management of major blinding diseases Cataract More than 4 million people in China are waiting for surgery These numbers are increasing Cataract surgical rate is lower in China Surgery : Phaco+IOL, ECCE+IOL, ICCE Prevention and management of major blinding diseases----Corneal disease Infectious corneal diseases HSK, Bacterial and Fungal keratitis Vit A deficiency: Keratomalacia Medical treatment and surgery Corneal transplantation and cornea donation, eye bank, etc. Prevention and management of major blinding diseases --Trachoma A form of bilateral keratoconjunctivitis Causing corneal scaring (blindness results) SAFE: surgery, antibiotic, facial cleanliness, and environmental improvement Prevention and management of major blinding diseases -- Glaucoma Screening Early Treatment Medical treatment and/or surgery Prevention and management of major blinding diseases --Blindness in Children Keratomalacia (avitami