A sample of 35,404 people in Yilong Commune, Yian County, Heilongjiang Province, has been under surveillance since 1985 when the primary eye care system was established. In 1985, there were 52 blind people, representing a blindness prevalence of 0.15%; in 1990, the figure was reduced to 44, representing a prevalence of 0.12%. During the 5 years in between, the original 52 blind people were reduced by 15, while, from 22 cases of blinding eye diseases, 14 new cases of blindness arose, of whom 7 cases were cured. The incidence of blindness was 0.09/1000. The new cases of blindness were mainly elderly people and children, and the blinding diseases were glaucoma, cataract and congenital/hereditary diseases.