聖隷横浜病院でロービジョンケアを行った身体障害者手帳取得者の現況

Review of low-vision care in our institution and certification of visually handicapped status

要約　目的：ロービジョンケアを受け，その後に視覚障害者の手帳を取得した症例の現況報告。対象と方法：当院で過去3年間にロービジョンケアを受けた62例を対象とした。結果：男性33例，女性29例で，年齢は31～95歳（平均71歳）であった。原因疾患として，糖尿病網膜症が19例，緑内障が12例だった。ロービジョンケア開始時に30例が手帳を所持し，うち6例はその後に等級変更を必要とした。ロービジョンケア開始後に32例が手帳を初めて取得した。最終等級は2級が20例，5級が19例であった。結論：新規の手帳申請者が高齢者に多く，手帳を取得する該当者への情報提供が眼科臨床で必要である。

Abstract.　Purpose：To review the low-vision care in our institution and certification of visually handicapped status. Cases：This review was made on 62 patients who received low-vision care during the past 3 years. Results：There were 33 males and 29 females. The age ranged from 31 to 95 years,average 71 years. Visual impairment was due to diabetic retinopathy in 19 cases and to glaucoma in 12 cases. Thirty persons had already been certified as visually handicapped at the start of low-vision care. Six of them necessitated a change in grading later. Thirty-two persons applied for and were certified as visually handicapped after low-vision care. At the final evaluation,20 persons were identified as grade 2 and 19 persons as grade 5. Conclusion：Numerous senile persons applied for certificate as visually handicapped. Personnels in eye clinics ought to supply information to the eventual applicants for certification.