Advanced glaucoma at presentation is associated with poor follow-up among glaucoma patients attending a tertiary eye facility in Southern Nigeria

Momoh, Rita O; Bunce, Catey; Oko-Oboh, Gregrey A; Gilbert, Clare

doi:10.1080/09286586.2018.1424345

Cited by 9 publications

(8 citation statements)

References 29 publications

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“…Thus the EQ5D value obtained for our patients in Tanzania was at the lower range of EQ5D scores reported for the impact of glaucoma on patients. Our patients in Tanzania were much more likely to have moderate to severe perceived visual field loss associated which lower EQ5D scores, as found by Aspinall et al [15] Whilst we did not collect clinical information, many papers have reported more severe disease in the clinic population in SSA compared to elsewhere [17].…”

Section: Plos Onesupporting

confidence: 63%

The cost and quality of life impact of glaucoma in Tanzania: An observational study

et al. 2020

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To determine the cost and quality of life impact imposed by glaucoma in Tanzania, East Africa. Methods An expert panel of eye health professionals was convened to agree current glaucoma practice in Tanzania. In addition a structured patient survey was developed and administered. Supplemental cost and quality of life information was collected using cost questionnaires and validated quality of life measures, including the EQ5D and VFQ-25. Results Key findings include following. Non-adherence is a major issue, especially in rural settings where over 50% of the patients may fail to return for review. Whilst medical therapy is overwhelmingly the first line treatment, the cost of maintaining this represents up to 25% of a patient's income. There is an impact of glaucoma on patients general well-being as determined by the EQ-5D and more tellingly on visual function with particular impact on role limitations as determined by the VF25. Despite our sample being taken in a private clinic and thus containing a much larger proportion of professionals than the general population, one third of the population earned Tanzanian Shillings (TZS) 170,000 per month which is below the minimum wage. Conclusion These findings are of great importance for health care planners seeking to determine costeffective, acceptable methods of both identifying and treating this major cause of preventable blindness.

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Section: Plos Onesupporting

confidence: 63%

The cost and quality of life impact of glaucoma in Tanzania: An observational study

et al. 2020

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“…[5][6][7] Poor compliance and adherence to medications are well-known drawbacks for glaucoma patients, especially in Africa. 14 Mahmoud H 15 did an internet-based questionnaire including Egyptian ophthalmologists to assess the effect of COVID-19 on ophthalmology practice in Egypt. 81.5% of participants (1257 ophthalmologists) thought that the lockdown had a deleterious impact on the progression and follow-up of chronic diseases (eg, glaucoma).…”

Section: Discussionmentioning

confidence: 99%

Influence of COVID‑19 on the Prognosis and Medication Compliance of Glaucoma Patients in the Nile Delta Region

Awwad¹,

Masoud²

2021

OPTH

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Objective: To assess the influence of the COVID-19 pandemic on the medication adherence and follow-up of glaucoma patients in the Nile Delta region. Setting: A tertiary care center in the Nile Delta region, Egypt. Study Design: An observational, cross-sectional study. Participants: Patients' records (2019-2020; group A) and (2020-2021; group B) were assessed for missed follow-up visits, medication adherence, number of trabeculectomies performed, and uncontrolled patients. In addition, a telephone-based questionnaire involving randomly chosen 200 patients from B.G.U. was carried out to clarify the potential causes of poor patients' compliance. Results: There was a marked decline in the number of newly diagnosed patients and patients on regular follow-up with incidence rates 0.208 and 0.088 in group (A) and group (B), respectively (P-value < 0.0001). The number of compliant patients in group B decreased with an incidence rate difference of 0.312. The number of trabeculectomies declined in group (B) with an incidence rate in group (A) 0.131 compared to 0.081 in group (B). On the other hand, the number of uncontrolled glaucoma patients increased in group B with an incidence rate difference −0.231 between the two groups. 21.5% of patients who participated in the questionnaire identified financial issues as the leading cause of non-compliance. Comorbidities (19.5%), lockdown and transportation difficulties were also highlighted. Conclusion: COVID-19 had greatly hampered glaucoma care in the Nile Delta region. As a result, we need to implement new technologies like telemedicine and improve patients' awareness of glaucoma care. Training orthoptists and using mobile glaucoma care services would also be helpful ways of managing glaucoma during that pandemic.

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“…Studies involving adults [ 21 , 22 ] highlighted compliance as low as 39% for recommended glaucoma appointments. Patients provided differing reasons for missing such appointments, such as forgetting the scheduled appointment [ 22 ], lack of transportation [ 22 , 23 ], or low economic status [ 22 , 24 ]. Other reasons for follow-up non-adherence in adult glaucoma patients included end-stage glaucoma and poorer visual acuity [ 24 ], limited literacy level [ 22 , 23 ], a lack of understanding of glaucoma and the significance of regular eye care [ 22 ], and black or Hispanic ethnicity [ 23 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

Adherence to Follow-Up and the Related Factors of Paediatric Glaucoma at a Tertiary Care Centre in Western Saudi Arabia

Tash,

Alshugaig,

Mahboob

et al. 2023

Cureus

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Introduction: Glaucoma is a main cause of blindness globally. In Saudi Arabia, congenital glaucoma is believed to affect 1 in every 2500 live births. In this study, we identified the adherence and evaluated the factors associated with non-compliance (non-adherence) to recommended follow-up appointments at King Abdulaziz University Hospital, a tertiary centre in Jeddah, Saudi Arabia. Methods: The medical records of paediatric patients diagnosed with glaucoma between 2009 and April 2022 were reviewed retrospectively. Demographic information, visit dates, scheduled follow-ups, and specific patients’ glaucoma histories were all extracted from the records. Patients were categorized as adherent, non-adherent, or lost to tertiary follow-up (LTTF). Results: Of 91 patients, 52 (57.1%) were adherent, 20 (22%) were non-adherent, and 19 (20.9%) were LTTF. Most adherent patients were Saudi (59.3% adherent, 26.5% non-adherent, 14.2% LTTF) (P = 0.02). Adherent patients were far likelier to live further away from the ophthalmology clinic (P = 0.03). The frequency of clinical encounters was statistically significantly different between adherence statuses. The non-adherent group had a higher average number of prescribed ocular medications (P = 0.03). The adherent patients had more frequent visits with elevated intraocular pressure (P = 0.02). Conclusion: A significantly high percentage of paediatric glaucoma patients were non-adherent to follow-up visits. When determining the non-compliance risk among paediatric glaucoma patients, physicians must consider the factors contributing to adherence status, which include nationality, distance to the ophthalmology clinic, and number of prescribed ocular medications.

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Advanced glaucoma at presentation is associated with poor follow-up among glaucoma patients attending a tertiary eye facility in Southern Nigeria

Abstract: Enhanced counselling of patients with moderate to advanced glaucoma and visual impairment is required to improve follow-up and hence glaucoma management.

Cited by 9 publications

References 29 publications

The cost and quality of life impact of glaucoma in Tanzania: An observational study

The cost and quality of life impact of glaucoma in Tanzania: An observational study

Influence of COVID‑19 on the Prognosis and Medication Compliance of Glaucoma Patients in the Nile Delta Region

Adherence to Follow-Up and the Related Factors of Paediatric Glaucoma at a Tertiary Care Centre in Western Saudi Arabia

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