목 적: 농촌 노인의 근용안경 제작에 필요한 자료를 얻기 위해 고혈압과 당뇨 등의 일반적인 노인 질환과 안질환 등을 파악하여 질환과 근용안경 굴절력과의 연관성을 파악하고자 한다. 방 법: 설문 내용은 질환, 눈 수술, 눈 증상으로 구분하여 전라북도 농촌에 거주하는 60세 이상 노인 215명을 대상으로 설문조사를 실시하여 분석하였다. 결 과: 고혈압(49.8%)이 당뇨병(9.3%) 보다 유병이 높게 나타났고 각 질환은 여자가 남자보다 많았다. 백내장 수술자는 43.3%, 녹내장 수술자는 4.7%이었고, 녹내장 수술자는 고혈압과 당뇨병을 가지고 있었다. 눈꺼풀 수술자는 6명(2.8%)이었고 모두 여자 이였으며, 군날개를 수술한 사람은 없었다. 날파리증은 105명(48.8%)이 증상을 가지고 있었고 연령별로는 70대에서 가장 많았다. 눈마름 증상을 호소한 사람은 153명(71.2%)이었고 여자가 남자보다 많았으며 80대 이상에서 가장 많았다. 망막박리 증상은 28명(13.0%)이 호소하였고, 여자가 남자보다 많았다. 백내장수술, 녹내장수술, 눈꺼풀수술, 날파리증, 눈마름증, 망막박리증은 고혈압환자에서 많았다. 백내장, 녹내장, 눈꺼풀수술, 날파리증, 눈마름증, 망막박리증을 가지고 있는 사람과 정상인 사이에 근용안경 처방 굴절력은 차이가 없었다. 결 론: 고혈압과 당뇨병, 백내장 수술, 녹내장 수술, 날파리 증상 그리고 눈마름 증상은 노안의 상태를 파악하는데 도움이 되는 것으로 사료되며, 질환과 근용안경 굴절력과는 연관성이 없었다.

Purpose: By survey of elderly diseases, presbyopia diseases of the aged in rural areas make use of manufacturing reading glasses. and analyzing the correlation of survey results and refractive power of reading glassesMethods: By analyzing survey results from 215 aged people who are over sixties and living in Jeollabuk-do. Survey questions are related to diseases including hypertension and diabetes, eye surgeries, and eye symptoms. Results: Survey results seem that the number of patients who had symptoms of hypertension was bigger than who had symptoms of diabetes mellitus. For each diseases, women have higher rate of occurrence to men. According to the survey, there were 93 patients(43.3%) who had cataract surgery, and 10 patients(4.7%) who had glaucoma surgery. Patients who had glaucoma surgery had symptoms of hypertension and diabetes mellitus. There were 6 patients(2.8%) who had eyelid surgery and all of them were women. Also, none of patients had pterygium surgery. 105 patients(48.8%) had symptoms of myodesopsia and in terms of age composition, it happened most commonly for age of seventies. 153 patients(71.2%) had symptoms of dry eye and the majority of them were women. Also, it happened most commonly for age of eighties or higher. There were 28 patients(13.0%) suffered from symptoms of retinal detachment. The majority of them were women. For hypertension patients, it seems to be that many of them had cataract, glaucoma, and eyelid surgeries. Also many of them had symptoms of myodesopsia, dry eye, and retinal detachment. There were no difference for diopter of reading glasses between normal group and patients groups who had cataract, glaucoma, and eyelid surgeries and had symptoms of myodesopsia, dry eye, and retinal detachment. Conclusions: The survey results of hypertension, diabetes mellitus, Cataract surgery, glaucoma surgery, myodesopsia and dry eye symptoms seems to be useful for checking the condition of presbyopia diseases, but there are no correlation between presbyopia diseases and refractive power of reading glasses.

• 김창식(원광보건대학교 안경광학과) | Chang-sik Kim