Keratoconic patient profile and management at public sector facilities in South Africa

Nkoana, Pheagane M.W.; Moodley, Vanessa R.; Mashige, Khathutshelo Percy

doi:10.4102/aveh.v82i1.780

Cited by 3 publications

(3 citation statements)

References 54 publications

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“… 13 Keratoconus is a bilateral but asymmetrical condition; therefore, many patients usually seek consultation when vision in the better eye has deteriorated, and by that time they would have had significant vision reduction in the worst eye. 39 In this study, many patients reported disruption in their normal performance of daily activities as they could no longer see well the writings on the board in school, some had to work more than the average learner so as to be on par with peers, some worked slower than they used to and others had to drop out of school. This affected their QoL and forced them to have some dependence on other people to cope with daily activities.…”

Section: Discussionmentioning

confidence: 71%

“…Patients in these facilities were detected at very late stages when signs such as Munson’s sign were visible due to lack of knowledge, skills and basic equipment. 39 In addition, only a half (54.2%) of the optometrists in these facilities self-reported to have adequate knowledge and skills to screen, examine, diagnose and manage KC. 16 Poor knowledge and skills of practitioners could have contributed to poor patient education and consequently poor health literacy, 40 hence the lack of knowledge of KC as described in the study by Baenninger et al 38 …”

Section: Discussionmentioning

confidence: 99%

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Experiences of keratoconus patients attending public eye care facilities in South Africa

Nkoana¹,

Mashige²,

Moodley³

2023

African Journal of Primary Health Care & Family Medicine

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Background Keratoconus (KC) is a progressive condition that usually affects young persons between their first and fourth decades. Myopia and irregular astigmatism are the common presentations which are proceeded by corneal steepening and thinning. Keratoconus is a progressive ectasia of the cornea that presents bilaterally, although often asymmetrical. Aim To explore the experiences of KC patients attending public eye care facilities in Capricorn District of Limpopo province. Setting Capricorn District, Limpopo province, South Africa. Methods Descriptive qualitative phenomenology approach was used in the study to explore the lived experiences of patients diagnosed with KC, attending public eye care facilities. Purposive sampling was used to select 16 patients who were diagnosed with KC and referred for contact lens fitting. Data were collected through face-to-face, one-on-one interviews. Results Patients reported to have developed gradual vision loss which worsened when they grew older. There was lack of knowledge of KC amongst patients and this was exacerbated by limited health literacy and vocabulary barriers. Patients had difficulty performing daily activities where some had dropped out of school while others worked at a slower pace and reduced working distances. Conclusion Patients with KC received inadequate information on their condition due to limited health literacy and vocabulary barriers. Programmes to promote practitioner and patient education are required to improve the perceived service level provided to KC patients. Contribution The findings of this study will assist to improve the experiences of KC patients on perceived service quality received from public facilities.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Experiences of keratoconus patients attending public eye care facilities in South Africa

Nkoana¹,

Mashige²,

Moodley³

2023

African Journal of Primary Health Care & Family Medicine

Self Cite

View full text Add to dashboard Cite

show abstract

“…Patients in these facilities were detected at very late stages when signs such as Munson's sign were visible due to lack of knowledge, skills and basic equipment. 39 In addition, only a half (54.2%) of the optometrists in these facilities self-reported to have adequate knowledge and skills to screen, examine, diagnose and manage KC. 16 Poor knowledge and skills of practitioners could have contributed to poor patient education and consequently poor health literacy, 40 hence the lack of knowledge of KC as described in the study by Baenninger et al 38 The description of KC by patients using words like the 'eye having cracks' or the eye having a 'rugby ball shape' insinuates limitations in healthcare vocabulary, especially for native speakers who need to provide descriptions of the eye conditions.…”

Section: Discussionmentioning

confidence: 99%

Experiences of keratoconus patients attending public eye care facilities in South Africa

Nkoana,

Mashige,

Moodley

2024

African Journal of Primary Health Care & Family Medicine

Self Cite

View full text Add to dashboard Cite

Background: Keratoconus (KC) is a progressive condition that usually affects young persons between their first and fourth decades. Myopia and irregular astigmatism are the common presentations which are proceeded by corneal steepening and thinning. Keratoconus is a progressive ectasia of the cornea that presents bilaterally, although often asymmetrical.Aim: To explore the experiences of KC patients attending public eye care facilities in Capricorn District of Limpopo province.Setting: Capricorn District, Limpopo province, South Africa.Methods: Descriptive qualitative phenomenology approach was used in the study to explore the lived experiences of patients diagnosed with KC, attending public eye care facilities. Purposive sampling was used to select 16 patients who were diagnosed with KC and referred for contact lens fitting. Data were collected through face-to-face, one-on-one interviews.Results: Patients reported to have developed gradual vision loss which worsened when they grew older. There was lack of knowledge of KC amongst patients and this was exacerbated by limited health literacy and vocabulary barriers. Patients had difficulty performing daily activities where some had dropped out of school while others worked at a slower pace and reduced working distances.Conclusion: Patients with KC received inadequate information on their condition due to limited health literacy and vocabulary barriers. Programmes to promote practitioner and patient education are required to improve the perceived service level provided to KC patients.Contribution: The findings of this study will assist to improve the experiences of KC patients on perceived service quality received from public facilities.

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Main issues in deep anterior lamellar keratoplasty: A systematic narrative review

Niazi,

Barrio,

Doroodgar

et al. 2024

Taiwan Journal of Ophthalmology

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Deep anterior lamellar keratoplasty (DALK) has emerged as a transformative approach in managing corneal pathologies, notably keratoconus (KC), providing a viable alternative to penetrating keratoplasty (PK). This systematic review explores the intricacies of DALK, comparing its preoperative, intraoperative, and postoperative considerations with PK. Extensive literature searches revealed a wealth of data regarding DALK’s advantages and challenges, with an emphasis on graft survival, visual outcomes, and complications. In the preoperative phase, DALK showcases its versatility, catering to a wide spectrum of patients, including those with KC and ocular surface disorders. Intraoperatively, it offers innovative techniques to address emphysema, bubble formation, and Descemet’s membrane perforation, all while maintaining a strong focus on patient-centered outcomes. Postoperatively, DALK’s lower rejection rates and decreased complications underscore its potential superiority over PK, although unique challenges such as graft failure from nonimmunologic factors demand vigilant management. This comprehensive review not only serves as a valuable resource for ophthalmic surgeons but also sheds light on the evolving landscape of corneal transplantation, highlighting DALK’s role as a transformative force in the field.

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Keratoconic patient profile and management at public sector facilities in South Africa

Cited by 3 publications

References 54 publications

Experiences of keratoconus patients attending public eye care facilities in South Africa

Experiences of keratoconus patients attending public eye care facilities in South Africa

Experiences of keratoconus patients attending public eye care facilities in South Africa

Main issues in deep anterior lamellar keratoplasty: A systematic narrative review

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