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

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260965
Author(s):  
Ngozika E. Ezinne ◽  
Chukwuebuka S. Ojukwu ◽  
Kingsley K. Ekemiri ◽  
Obinna F. Akano ◽  
Edgar Ekure ◽  
...  
Keyword(s):  
Public Health ◽  
Visual Field ◽  
Visual Field Defect ◽  
Open Angle Glaucoma ◽  
Care Facility ◽  
Public Health Problem ◽  
Angle Closure ◽  
Primary Angle Closure Glaucoma ◽  
Normal Limits ◽  
Field Defect

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.

scholarly journals Asymmetric Patterns of Visual Field Defect in Primary Open-Angle and Primary Angle-Closure Glaucoma

2018 ◽  
Vol 59 (3) ◽  
pp. 1279 ◽  
Author(s):  
Siamak Yousefi ◽  
Hiroshi Sakai ◽  
Hiroshi Murata ◽  
Yuri Fujino ◽  
David Garway-Heath ◽  
...  
Keyword(s):  
Visual Field ◽  
Visual Field Defect ◽  
Angle Closure Glaucoma ◽  
Angle Closure ◽  
Open Angle ◽  
Primary Angle Closure ◽  
Primary Angle Closure Glaucoma ◽  
Field Defect

scholarly journals Relationship between consecutive deterioration of mean deviation value and progression of visual field defect in open-angle glaucoma

2015 ◽  
pp. 2217 ◽  
Author(s):  
Tomoko Naito ◽  
Keiji Yoshikawa ◽  
Shiro Mizoue ◽  
Mami Nanno ◽  
Tairo Kimura ◽  
...  
Keyword(s):  
Visual Field ◽  
Visual Field Defect ◽  
Open Angle Glaucoma ◽  
Mean Deviation ◽  
Open Angle ◽  
Field Defect

The Association Between Visual Field Defect Severity and Fear of Falling in Primary Open-Angle Glaucoma

2013 ◽  
Vol 54 (12) ◽  
pp. 7739 ◽  
Author(s):  
Kenya Yuki ◽  
Sachiko Tanabe ◽  
Keisuke Kouyama ◽  
Kazumi Fukagawa ◽  
Miki Uchino ◽  
...  
Keyword(s):  
Visual Field ◽  
Visual Field Defect ◽  
Primary Open Angle Glaucoma ◽  
Fear Of Falling ◽  
Open Angle Glaucoma ◽  
Open Angle ◽  
Field Defect

scholarly journals Profile of the glaucomas and intervention in a large eye care centre in South-East Nepal

1970 ◽  
Vol 2 (1) ◽  
pp. 3-9 ◽  
Author(s):  
S Sarkar ◽  
C Mardin ◽  
A Henning
Keyword(s):  
Visual Field ◽  
Visually Impaired ◽  
Open Angle Glaucoma ◽  
Outcome Measurement ◽  
Angle Closure Glaucoma ◽  
Angle Closure ◽  
Visual Field Defects ◽  
Primary Angle Closure ◽  
North East ◽  
Primary Angle Closure Glaucoma

Introduction: Glaucoma is the second leading cause of blindness worldwide. Objective:To estimate the prevalence and risk factors of glaucoma and modes of therapeutical intervention in a rural population of a developing country. Patients and methods: A single centre-based cross-sectional study was carried out over a seven-month period in Sagarmatha Choudhary Eye Hospital (SCEH), Lahan/NEPAL, including the patients with glaucoma. Outcome measurement: The patients' demography, type of the glaucomas, visual acuity, vertical cup-disc ratio, intra-ocular pressure and visual field findings were the parameters studied. Results: A total of 3986 eyes with suspected glaucoma were identified. 53.7 % of the patients were between 41- 60 years of age. 53.9 % were male. 26.5 % were blind or severely visually impaired. 37.2 % had IOP more than 35 mmHg. 46.4 % had vertical cup-disc ratio (VCDR) higher than 0.8. Severe visual field defects were found in 28.4 % eyes. 35.3% eyes had primary angle-closure glaucoma, 22.6 % eyes primary open-angle glaucoma, and 14.6 % eyes normaltension glaucoma. 10.2 % eyes suffered from lens induced glaucoma. Only in 9 eyes was pseudoexfoliation syndrome with glaucoma diagnosed. 25.7 % eyes were advised for trabeculectomy. 11.5 % eyes underwent extra-capsular cataract surgery. IOP lowering medication was prescribed in 5.9 % patients. Conclusions: The most common glaucoma seen in the out-patient department of a large eyecare centre in South-East Nepal is primary angle-closure glaucoma. 25 % of the glaucoma patients are visually impaired or blind at the time of presentation. In more than one-fourth of the patients, trabeculectomy is the therapy of choice. Keywords: glaucoma; South-East Nepal; North-East India; Bihar; blindness. DOI: 10.3126/nepjoph.v2i1.3697 Nep J Oph 2010;2(1):3-9

Sign in / Sign up

Export Citation Format

Share Document