Acceptability of surgery as initial treatment for primary open angle glaucoma

Omoti, AE; Edema, OT; Waziri-Erameh, M.J.M.

doi:10.4314/jmbr.v1i1.10650

Cited by 12 publications

(12 citation statements)

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“…This is a relatively high proportion compared with 8.2% found by Adegbehingbe8 in Ile-Ife, Nigeria; 32.5% by Omoti et al .,10 in Benin city, Nigeria; 46.8% by Onyekwe et al .,15 in Onitsha, Nigeria, and 48% by Mafwiri et al .,16 in Tanzania. The high acceptance rate in this study might be related to the verbal consent method of assessing acceptance, and not whether the patient actually returned for surgery.…”

Section: Discussionmentioning

confidence: 67%

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Patient refusal of glaucoma surgery and associated factors in lagos, Nigeria

Adekoya

Akinsola

Balogun

et al. 2013

Middle East Afr J Ophthalmol

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Purpose:To determine the prevalence of patient refusal of glaucoma surgery (GSR) and the associated factors in Lagos, Nigeria.Materials and Methods:A multicenter cross-sectional survey was conducted in Lagos state, Nigeria. Twelve centres were invited to participate, but data collection was completed in 10. Newly diagnosed glaucoma patients were recruited and interviewed from these sites over a four week period on prior awareness of glaucoma, surgery refusal, and reason(s) for the refusal. Presenting visual acuity was recorded from the patient files. The odds ratio and 95% confidence intervals (CI) were calculated.Results:A total of 208 newly diagnosed glaucoma patients were recruited. Sixty–five (31.2%) patients refused surgery. Fear of surgery (31 (47.7%) patients), and fear of going blind (19 (29.2%) patients) were the most common reasons. The odds ratio of surgery refusal were marital status – not married versus married (2.0; 95% CI, 1.02–3.94), use of traditional medication – users versus non users (2.4; 95% CI, 1.1–5.2), perception of glaucoma causing blindness – no versus yes (3.7; 95% CI, 1.3–10.5), type of institution - government versus private (5.7; 95% CI, 1.3–25.1), and visual acuity in the better eye - normal vision versus visual impairment (2.3; 95% CI, 1.1–4.9). Age, gender, level of education, family history of glaucoma, and prior awareness of the diagnosis of glaucoma, were not significantly associated with surgery refusal. Perception of patients concerning glaucoma blindness was the strongest factor on multivariate analysis.Conclusion:GSR was relatively low in this study. Unmarried status, use of traditional medications, perception that glaucoma cannot cause blindness, government hospital patients, and good vision in the better eye were associated with GSR. These factors might help in the clinical setting in identifying appropriate individuals for targeted counseling, as well as the need for increased public awareness about glaucoma.

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Section: Discussionmentioning

confidence: 67%

“…One of the contributing factors is the low rate of acceptance of glaucoma surgery among eligible patients. Quigley et al .,9 found an acceptance rate of 46% in Tanzania, while Omoti et al .,10 found an acceptance rate of 32.5% in Benin City, Nigeria, a south-eastern part of the country.…”

Section: Introductionmentioning

confidence: 99%

Patient refusal of glaucoma surgery and associated factors in lagos, Nigeria

Adekoya

Akinsola

Balogun

et al. 2013

Middle East Afr J Ophthalmol

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“…20,43,48 However, the acceptance rate of surgery among patients with glaucoma in Africa has been found to be between 6.7 and 46.0%; notably, the rate is higher among patients newly diagnosed with glaucoma (32.5-68.6%). 24,25,27,29,49 If patients in these areas are better informed of the cost-effectiveness of glaucoma surgery through counselling, this could lead to a greater acceptance of surgery.…”

Section: Discussionmentioning

confidence: 99%

“…However, many authors have found practice of glaucoma surgery among ophthalmologists to be low in the country. [21][22][23] The most frequently reported reason for the low number of glaucoma surgeries in Africa has been poor acceptance of surgery by patients, 17,[24][25][26] with an acceptance rate of between 6 and 46%. from surgery, cost and fear of surgery/blindness.…”

mentioning

confidence: 99%

“…from surgery, cost and fear of surgery/blindness. 24,25 Some authors have also reported that there is poor awareness of glaucoma treatment options outside of medical therapy. 28,29 In the event of medical treatment failure, it is presumed that prior knowledge of the various alternative treatment options available might prime a patient for the acceptance of a second-line option.…”

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confidence: 99%

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Cross-sectional Survey to Determine the Awareness and Uptake of Glaucoma Surgery

Kizor-Akaraiwe¹,

Asimadu²,

Uche³

et al. 2022

US Ophthalmic Review

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Introduction: This study aimed to determine the awareness and uptake of surgery as a treatment option in patients with glaucoma on medical treatment. Methods: A cross-sectional survey was conducted among consenting patients with primary glaucoma who were on medical treatment. The survey was conducted in two eye care facilities (government-owned and private). After responding to a questionnaire, patients had ocular examinations, including visual acuity, anterior/posterior segment examinations, gonioscopy and central visual field testing. Information was obtained on the patients’ awareness of a surgical option, and reasons for non-uptake among those offered surgery were recorded. Logistic regression analysis was used to identify possible predictors of awareness of glaucoma. Results: Across both facilities, 299 patients with glaucoma with a mean age of 63.9 years participated in this study. There were 167 (55.9%) male and 132 (44.1%) female participants. Two hundred and sixty-seven (89.3%) had a formal education, and of the 169 evaluated for visual fields in the worse eye, 129 (76.3%) had severe (advanced) glaucoma. Only 79 (26.4%) of the participants were aware of surgery as a treatment option for glaucoma. The multivariate analysis found that female patients, patients from the private eye care facility and patients with primary angle closure glaucoma patients were more likely to be aware of glaucoma surgery than male patients, patients from the government-owned eye care facility and patients with primary open-angle glaucoma. Patients with primary angle closure glaucoma were more likely to be aware of glaucoma surgery than those with primary open-angle glaucoma. Cost was identified as the major barrier to the uptake of glaucoma surgery when it was recommended, followed by fear of blindness. Age, level of education and severity of disease had no statistical relationship to awareness of glaucoma surgery. Conclusion: Incorporating routine glaucoma education and counselling into glaucoma care protocols will likely improve awareness of glaucoma surgery as a treatment option.

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