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王宁利:做一名光明使者
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沙眼是由沙眼衣原体感染引起的一种传染性眼病,主要传播途径是共同接触的物体或者水。我国防治沙眼工作从上个世纪50年代开始,现在已经达到世界卫生组织提出的根治致盲性沙眼的标准。王宁利教授说, 随着社会的发展、生活方式的改变特别是人均寿命的提高,威胁眼睛的疾病不再主要是感染性疾病了,与年龄、代谢相关的疾病发病率迅猛增长,新的致盲性眼病不容忽视。与世界卫生组织呼吁关注的三大致盲性眼病(白内障、青光眼和黄斑变性)有所不同,我国的致盲性眼部疾病谱具有中国特色,可用5种颜色来代表:

红——糖尿病视网膜病变 与眼睛血管相关的疾病都可纳入到红色,如高血压引起的视网膜中央动脉阻塞、静脉阻塞、眼底出血,特别是糖尿病引起的视网膜病变导致的眼底出血、血管病变尤其应早诊治。

紫——病理性近视 近视眼如果发展成高度近视,眼轴拉长,会给眼睛造成病理性损害。这时,眼睛上会出现葡萄肿,所以用紫色来代表这一不可逆的致盲性眼病。

蓝——青光眼 青色代表蓝,青光眼急性发作时表现为眼睛胀痛、剧痛、眼压高,24-48小时可完全失明。过去说人把眼睛哭瞎了,其实指的是这种急性发生的青光眼。现在,这类青光眼的患病率较低,70%-80%的青光眼不疼不痒,在不知不觉中就能把视力夺走,被称为视力“小偷”,是不可逆致盲性眼病。

黄——老年黄斑变性 人到了一定年纪看东西扭曲变形,以为是老花眼,没有引起关注,等发现是得了老年黄斑变性再去治疗时,可能已经失去了很好的干预机会。

白——白内障 白内障是与年龄相关的疾病,居我国致盲因素之首,75岁以上老人患病率高达91%。值得欣慰的是,白内障可通过手术完全复明。
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