Journal of The Korean Ophthalmological Society (대한안과학회지)

The Korean Ophthalmological Society (대한안과학회)
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Epidemiological Analysis and Low Vision Rehabilitation of the Visually Impaired Registered in Seoul

서울지역에 등록된 시각장애인의 역학적 분석과 저시력 재활치료

Park, Jong-Hwa;Lee, Jin-Yong;Kim, Yoon;Moon, Nam-Ju
박종화;이진용;김윤;문남주

  • Published : 2009.04.15
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Abstract

Purpose: To analyze the clinical manifestations, epidemiology and low vision rehabilitation results of the visually impaired registered in Seoul, Korea. Methods: Using a randomized, stratified systematic sampling method, we selected 60 participants registered as visually impaired who lived in Seoul. Ophthalmologic examinations of these participants were performed by one ophthalmologist. Results: The mean age of participants was 55.0$\pm$11.6 years. The rank 6 was the most common visual disability degree (40.0%). Ocular trauma (21.3%), optic neuropathy (20.2%) and glaucoma (11.2%) were the most common causes for visual disability. The distribution ratios of low vision and blindness were 34.4$\pm$11.9% and 19.7$\pm$10.0%, respectively. Low vision rehabilitation was performed (low vision patients, n=17), and both near and distance visual acuities improved (p<0.05). Conclusions: Low vision rehabilitation would be a great help to the visually impaired.

목적: 서울지역에 거주하는 시각장애인 대표표본을 대상으로 임상양상을 분석하고 저시력과 전맹의 백분율을 알아보았다. 또한 시각장애인 중 저시력 환자들을 대상으로 저시력 재활치료의 효과를 알아보고자 하였다. 대상과 방법: 서울지역에 거주하는 등록 시각장애인 중에서 장애 중증도, 성, 연령, 지역을 고려한 무작위 층화 계통 추출방법을 사용하여 연구대상 장애인 60명을 선정하였고 이들을 대상으로 안과적 검사 및 진료를 시행하였다. 결과: 대상환자들의 평균 나이는 55.0$\pm$11.6세였으며, 장애등급은 6급이 40.0%로 가장 많았다. 원인질환으로는 눈 외상(21.3%), 시신 경위축(20.2%), 녹내장(11.2%) 등이 많았으며, WHO의 기준에 의한 저시력의 비율은 34.4$\pm$11.9%, 전맹의 비율은 19.7$\pm$10.0%로 나타났다. 저시력으로 분류된 환자를 대상으로 저시력 재활치료를 시행한 결과 근거리와 원거리 모두에서 통계적으로 유의한 시력개선효과를 얻을 수 있었다(p＜0.05). 결론: 시각장애인들을 대상으로 저시력 재활치료를 적극적으로 시행한다면 많은 시각장애인이 도움을 받을 수 있을 것이다.

Keywords

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