Challenges in the management of glaucoma in university of Calabar teaching hospital, Calabar, Nigeria: A 10 year review

Asana, Uduak; Megbelayin, Emmanuel Olu; Ibanga, Affiong; Nkanga, Dennis; Duke, Roseline; Etim, Bassey

doi:10.4103/2278-9596.117140

Cited by 3 publications

(4 citation statements)

References 25 publications

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“…In this study a quarter of participants were less than 40 years of age (mean 52.7 years) which is similar to other studies in Nigeria and Africa 16,24,33 which supports the earlier age of onset and the aggressive course of glaucoma in Africans. 34,35 Poor follow up was also high in the younger group despite many living within 50km of the facility.…”

Section: Other Findingssupporting

confidence: 90%

“…13,14 Laser treatment is not widely available in most African countries so medical treatment is the norm. 15,16,17 A number of studies report on non-adherence to glaucoma treatment, but few have addressed rates of follow up amongst glaucoma patients or factors associated with follow-up, particularly in Africa. 18,19,20 Identifying factors associated with poor follow-up can help to guide the interventions required to improve follow-up and hence reduce the incidence of glaucoma blindness.…”

Section: Introductionmentioning

confidence: 99%

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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

Momoh

Bunce

Oko-Oboh

et al. 2018

Ophthalmic Epidemiology

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Section: Other Findingssupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

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

Momoh

Bunce

Oko-Oboh

et al. 2018

Ophthalmic Epidemiology

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“…The study conducted in Nigeria with a higher glaucoma awareness could be explained by the fact that blindness due to glaucoma is highest in African countries [ 21 ], and many prevalence studies have already been conducted within the country [ 22 , 23 ] and in other Sub-Saharan African countries to back this claim [ 24 ]. As a result of these prevalence studies, organizations such as WHO and UNICEF conducted awareness programs and provided screening facilities to prevent blindness from glaucoma.…”

Section: Discussionmentioning

confidence: 99%

“…A study conducted in rural areas in Bhaktapur, Nepal, reported a level of glaucoma awareness of 2.43% [26]. Nonetheless, studies conducted in developed countries such as Saudi Arabia and China reported higher awareness of 77.1% and 78.4%, respectively, among the respondents [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27].…”

Section: Discussionmentioning

confidence: 99%

First Assessment of Awareness and Knowledge of Glaucoma Among Citizens of Addu City, Maldives: A Cross-Sectional Study

Faroog,

Zia Zaidi

2023

Cureus

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Background Glaucoma is a progressive optic neuropathy characterized by visual field loss and potentially irreversible blindness, which poses a significant global health challenge. The Maldives, renowned for its unique geography and vibrant culture, faces unique challenges in healthcare access and delivery due to its scattered islands. Limited access to specialized healthcare services, coupled with cultural and socioeconomic factors, can contribute to disparities in glaucoma awareness and early detection. Understanding glaucoma awareness is paramount due to its potential impact on public health and the healthcare system. The aim of this study is to assess the awareness and knowledge about glaucoma among the citizens of Addu City, Maldives. Methods A cross-sectional study was conducted among 390 residents of Addu City, Maldives. The online survey questionnaire assessed demographic information, knowledge and awareness of glaucoma, and risk factors associated with the disease. Results The majority of participants (66.9%) had never heard of glaucoma. Among those who had heard of glaucoma, only 22.6% knew that it could cause irreversible blindness. Logistic regression analysis and multivariate analysis showed that age, gender, socioeconomic status, and education level were significantly associated with awareness and knowledge of glaucoma (p<0.05). Conclusion Findings suggest a high likelihood of low awareness and knowledge of glaucoma among residents of Addu City, Maldives. The study highlights the urgent need for policymakers, program implementers, and the health sector to conduct awareness programs in the community and provide facilities for annual eye examinations, as well as to organize systematic screening plans for glaucoma across the Maldives.

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Prevalence and clinical profile of glaucoma patients in rural Nigeria—A hospital based study

et al. 2021

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Purpose To determine the prevalence and clinical presentation of participants with glaucoma attending a public eye care facility in Nigeria. Method Hospital based retrospective study of glaucoma participants aged 50 years and above seen over a 5-year period. Descriptive statistics summarized the demographic, clinical characteristics and treatment of the participants and determined the association of variables with gender and age. Prevalence of the glaucoma by type, and their 95% confidence intervals (CI) were also calculated. Result Of the 5482 case files that were reviewed, 995 (18.15%, 95% Cl 17.15–19.19%) had glaucoma particularly primary open angle glaucoma (11.55%, 95%CI 10.73–12.42%) and were mostly females (564, 56.7%) aged 69 ± 12 years (range, 50–103 years). In contrast to other glaucoma types, the prevalence of primary angle closure glaucoma (3.68, 95%CI 3.22–4.22) increased by 15% over 5 years. The mean intraocular pressure ranged from 15–50 mmHg but higher in females than males (27.8 ± 6.1mmHg versus 26.6 ± 6.0 mmHg, P <0.05) who had comparable VA (0.58 ± 0.4 Log MAR) and cup-disc ratios (P >0.05). On presentation, the glaucoma hemi field test (GHFT) was outside the normal limits in 45.5% and 54.5% of males and females, respectively. The type of visual field defect was associated with glaucoma type (P = 0.047). Arcuate scotoma was most common (35.5%) across glaucoma types, paracentral scotoma more common in Secondary glaucoma while Seidel scotoma was highest in NTG (19.3%). Beta-blocker was the mainstay of management (42.2%) but more likely to be prescribed to males while more females received carbonic anhydrase inhibitors. Conclusions The high prevalence of glaucoma in older people remains a public health problem in Nigeria. The fact that about half of the participants presented with visual field defect suggests there is a need for public health messages to emphasize on early glaucoma screening, detection and management.

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Challenges in the management of glaucoma in university of Calabar teaching hospital, Calabar, Nigeria: A 10 year review

Cited by 3 publications

References 25 publications

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

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

First Assessment of Awareness and Knowledge of Glaucoma Among Citizens of Addu City, Maldives: A Cross-Sectional Study

Prevalence and clinical profile of glaucoma patients in rural Nigeria—A hospital based study

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