Abstract
Background
Blindness from glaucoma is prevalent in parts of Africa. Lack of awareness, late diagnosis, poor acceptance and compliance to treatment as well as unorthodox care practices are among many contributing factors. Strategies that improve glaucoma awareness and treatment acceptance are required to resolve this trend.
Purpose
To evaluate the influence of counselling on glaucoma awareness, willingness to accept glaucoma surgery and eye care practices among primary open-angle glaucoma patients on medical treatment.
Methods
A prospective cross-sectional interviewer-administered questionnaire-based study evaluating the demographics, glaucoma awareness, acceptance of operative care and use of traditional eye medications among patients with primary open-angle glaucoma on medical treatment followed up over a 12-month period.
Results
A total of 120 eligible participants were recruited. Glaucoma awareness and basic knowledge were 93.3 and 12%, respectively. Educational attainment and positive family history were associated with glaucoma awareness (p = 0.027 and p = 0.042, respectively). Seventy-five (62.5%) participants accepted glaucoma surgery as a treatment option. However, the duration of medical treatment was inversely related to the acceptance of glaucoma surgery (odds ratio = − 0.390, p = 0.009). Twelve (10.5%) participants use traditional eye medication for their current eye problem.
Conclusion
Glaucoma counselling should be performed with a content template that delivers all relevant information to patients and caregivers. This will bridge gaps in knowledge and improve the early presentation, acceptance of glaucoma surgery and eye care practices.
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References
Kingman S (2004) Glaucoma is second leading cause of blindness globally. Bull World Health Organ 82:887–888
Pascolini D, Mariotti SP (2012) Global estimates of visual impairment: 2010. Br J Ophthalmol 96(5):614–618
Quigley HA, Broman AT (2006) The number of people with glaucoma worldwide in 2010 and 2020. Br J Ophthalmol 90(3):262–267
Tham YC, Li X, Wong TY, Quigley HA, Aung T, Cheng CY (2014) Global prevalence of glaucoma and projections of glaucoma burden through 2040: a systematic review and meta-analysis. Ophthalmology 121(11):2081–2090
Cook C (2009) Glaucoma in Africa: size of the problem and possible solutions. J Glaucoma 18(2):124–128
Kyari F, Gudlavalleti MV, Sivsubramaniam S, Gilbert CE, Abdull MM, Entekume G, Foster A (2009) Prevalence of blindness and visual impairment in Nigeria: the national blindness and visual impairment survey. Invest Ophthalmol Vis Sci 50(5):2033–2039
Abdull MM, Sivasubramaniam S, Murthy GV, Gilbert C, Abubakar T, Ezelum C, Rabiu MM (2009) Causes of blindness and visual impairment in Nigeria: the Nigeria national blindness and visual impairment survey. Invest Ophthalmol Vis Sci 50(9):4114–4120
Kyari F, Entekume G, Rabiu M, Spry P, Wormald R, Nolan W et al (2015) A population-based survey of the prevalence and types of glaucoma in Nigeria: results from the Nigeria National Blindness and Visual Impairment Survey. BMC Ophthalmol 15(1):176
Tran HM, Mahdi AM, Sivasubramaniam S, Gudlavalleti MV, Gilbert CE, Shah SP et al (2011) Quality of life and visual function in Nigeria: findings from the National Survey of Blindness and Visual Impairment. Br J Ophthalmol 95(12):1646–1651
Heijl A, Bengtsson B, Hyman L, Leske MC, Early Manifest Glaucoma Trial Group (2009) Natural history of open-angle glaucoma. Ophthalmology 116(12):2271–2276
Verrey JD, Foster A, Wormald R, Akuamoa C (1990) Chronic glaucoma in northern Ghana: a retrospective study of 397 patients. Eye 4(1):115
Chen PP (2003) Blindness in patients with treated open-angle glaucoma. Ophthalmology 110(4):726–733
Tenkir A, Solomon B, Deribew A (2010) Glaucoma awareness among people attending ophthalmic outreach services in Southwestern Ethiopia. BMC Ophthalmol 10(1):17
Nwosu SNN (2010) Patients’ knowledge of glaucomaand treatment options. Niger J Clin Pract 13(1):74
Abdull MM, Gilbert CC, Evans J (2015) Primary open angle glaucoma in northern Nigeria: stage at presentation and acceptance of treatment. BMC Ophthalmol 15(1):111
Kizor-Akaraiwe NN (2019) Follow-up and adherence to glaucoma care by newly diagnosed glaucoma patients in Enugu, Nigeria. Ophthalmic Epidemiol 26(2):140–146
Do AT, Pillai MR, Balakrishnan V, Chang RT, Robin AL, Singh K, Lee BW (2016) Effectiveness of glaucoma counseling on rates of follow-up and glaucoma knowledge in a South Indian population. Am J Ophthalmol 163:180–189
Nwosu SNN (2010) Patients’ knowledge of glaucomaand treatment options. Nigerian J Clin Pract 13(1):74
Nkum G, Lartey S, Frimpong C, Micah F, Nkum B (2015) Awareness and knowledge of glaucoma among adult patients at the eye clinic of a teaching hospital. Ghana Med J 49(3):195–199
Danesh-Meyer HV, Deva NC, Slight C, Tan YW, Tarr K, Carroll SC, Gamble G (2008) What do people with glaucoma know about their condition? A comparative cross-sectional incidence and prevalence survey. Clin Exp Ophthalmol 36(1):1318
Adekoya BJ, Shah SP, Onakoya AO, Ayanniyi AA (2014) Glaucoma in southwest Nigeria: clinical presentation, family history and perceptions. Int Ophthalmol 34(5):1027–1036
Saw SM, Gazzard G, Friedman D, Foster PJ, Devereux JG, Wong ML, Seah S (2003) Awareness of glaucoma, and health beliefs of patients suffering primary acute angle closure. Br J Ophthalmol 87(4):446–449
Isawumi MA, Hassan MB, Akinwusi PO, Adebimpe OW, Asekun-Olarinmoye EO, Christopher AC, Adewole TA (2014) Awareness of and attitude towards glaucoma among an adult rural population of Osun State, Southwest Nigeria, Middle East. Afr J Ophthalmol 21(2):165
Ogbonnaya CE, Ogbonnaya LU, Okoye O, Kizor-Akaraiwe N (2016) Glaucoma awareness and knowledge, and attitude to screening, in a rural community in Ebonyi State, Nigeria. Open J Ophthalmol 6(02):119
Krishnaiah S, Kovai V, Srinivas M, Shamanna BR, Rao GN, Thomas R (2005) Awareness of glaucoma in the rural population of Southern India. Indian J Ophthalmol 53(3):205
Degineh H, Giorgis AT (2013) Glaucoma awareness among ophthalmic patients at Menelik II hospital, Addis Ababa, Ethiopia. Ethiop J Health Dev 27(3):230–234
Sathyamangalam RV, Paul PG, George R, Baskaran M, Hemamalini A, Madan RV et al (2009) Determinants of glaucoma awareness and knowledge in urban Chennai. Indian J Ophthalmol 57(5):355
Landers JA, Goldberg I, Graham SL (2002) Factors affecting awareness and knowledge of glaucoma among patients presenting to an urban emergency department. Clin Exp Ophthalmol 30(2):104–109
Kizor-Akaraiwe NN, Monye HI, Okeke S (2017) Awareness and knowledge about glaucoma and proportion of people with glaucoma in an urban outreach programme in Southeast Nigeria. BMJ Open Ophthalmol 1(1):e000018
Omoti AE, Edema OT, Waziri-Erameh MJM (2002) Acceptability of surgery as initial treatment for primary open angle glaucoma. J Med Biomed Res 1(1):68
Adekoya BJ, Akinsola FB, Balogun BG, Balogun MM, Ibidapo OO (2013) Patient refusal of glaucoma surgery and associated factors in Lagos, Nigeria, Middle East. Afr J Ophthalmol 20(2):168
Kyari F, Nolan W, Gilbert C (2016) Ophthalmologists’ practice patterns and challenges in achieving optimal management for glaucoma in Nigeria: results from a nationwide survey. BMJ Open 6(10):e012230
Eze BI, Chuka-Okosa CM, Uche JN (2009) Traditional eye medicine use by newly presenting ophthalmic patients to a teaching hospital in south-eastern Nigeria: socio-demographic and clinical correlates. BMC Complement Alter Med 9(1):40
Nwosu SNN, Obidiozor JU (2011) Incidence and risk factors for traditional eye medicine use among patients at a tertiary eye hospital in Nigeria. Niger J Clin Pract 14(4):405–407
Ajite KO, Fadamiro OC (2013) Prevalence of harmful/traditional medication use in traumatic eye injury. Global J Health Sci 5(4):55
Prajna VN, Pillai MR, Manimegalai TK, Srinivasan M (1999) Use of traditional eye medicines by corneal ulcer patients presenting to a hospital in South India. Indian J Ophthalmol 47(1):15
Courtright P, Lewallen S, Kanjaloti S, Divala DJ (1994) Traditional eye medicine use among patients with corneal disease in rural Malawi. Br J Ophthalmol 78(11):810–812
Ukponmwan CU, Momoh N (2010) Incidence and complications of traditional eye medications in Nigeria in a teaching hospital. Middle East Afr J Ophthalmol 17(4):315
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Uche, N.J., Udeh, N.N., Chuka-Okosa, C.M. et al. Glaucoma care and follow-up in sub-Saharan Africa: Is there a need for modification of counselling practices to improve awareness, knowledge and treatment acceptance profiles? A prospective cross-sectional study. Int Ophthalmol 40, 1539–1546 (2020). https://doi.org/10.1007/s10792-020-01323-6
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DOI: https://doi.org/10.1007/s10792-020-01323-6