scholarly journals Refractive Outcome of Cataract Surgery Done at University of Gondar Tertiary Eye Care and Training Center, North West Ethiopia

2021 ◽  
Vol Volume 12 ◽  
pp. 173-179
Author(s):  
Masresha Mengistu ◽  
Fisseha Admassu ◽  
Teshager Wondale ◽  
Asamere Tsegaw
Keyword(s):  
Cataract Surgery ◽  
Training Center ◽  
Refractive Outcome ◽  
Eye Care ◽  
North West ◽  
North West Ethiopia ◽  
And Training

scholarly journals Pattern of Uveitis at a Tertiary Eye Care and Training Center, North-West Ethiopia 

2021 ◽  
Author(s):  
Liya Solomon ◽  
Asmere Tsegaw
Keyword(s):  
Anterior Uveitis ◽  
Data Extraction ◽  
Posterior Uveitis ◽  
Age Group ◽  
Training Center ◽  
Eye Care ◽  
Cross Sectional ◽  
North West ◽  
North West Ethiopia ◽  
And Training

Abstract Objective: Uveitis can potentially cause irreversible ocular damage and blindness and knowing its characteristic clinical features is essential in making an accurate diagnosis and starting early appropriate treatment. The aim of this study was to determine the clinical presentations of uveitis at the University of Gondar Tertiary Eye Care and Training center, North-West Ethiopia.METHODS: Institutional based cross-sectional study was conducted at University of Gondar tertiary eye care and training center from August 2017 to July 2018. Study patients underwent complete ophthalmic evaluation and relevant ancillary tests. Data was collected using a data extraction format and entered in to SPSS version 20 and analyzed. RESULTS: A total of 105 eyes of 82 patients were studied. The mean age was 33.8±14.8 years (Range 7 to 80). Half of the participants (41/82) were in the age group between 19 and 39 years. Fifty three (65%) were male and uveitis was unilateral in 72%. Anterior uveitis was the commonest, 57%, followed by Intermediate uveitis 21.7%, pan uveitis 12% and posterior uveitis 10%. Twenty three percent of patients were bilaterally blind at presentation. Out of the 105 eyes involved with uveitis, 63% (66/105) were blind. Cataract was the commonest complication followed by ocular hypertension.CONCLUSION: This study showed that uveitis is prevalent in the working age group with significant number of blindness. Anterior uveitis was the commonest type of Uveitis and cataract was the commonest complication.

scholarly journals Proportion and Associated Factors of Low Vision among Adult Patients Attending at University of Gondar Tertiary Eye Care and Training Center, Gondar Town, Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Melkamu Temeselew Tegegn ◽  
Gizachew Tilahun Belete ◽  
Ayanaw Tsega Ferede ◽  
Aragaw Kegne Assaye
Keyword(s):  
Logistic Regression ◽  
Cataract Surgery ◽  
Associated Factors ◽  
Low Vision ◽  
Binary Logistic Regression ◽  
Training Center ◽  
Eye Care ◽  
History Of ◽  
Study Participants ◽  
And Training

Introduction. Low vision is a worldwide health problem in both developing and developed countries. A national survey of low vision and blindness in Ethiopia showed that the prevalence of low vision was 3.7% and that of blindness was 1.6%, whereas there is no evidence in the study area. Purpose. The study was aimed to assess the proportion and associated factors of low vision at the University of Gondar tertiary eye care and training center. Methods. A hospital-based cross-sectional study was conducted on 727 study participants with a systematic random sampling technique from April 18 to May 16, 2019. Data were collected through the use of a structural questionnaire and physical eye examination. Data were entered into Epi Info version 7, and analysis was performed by using statistical package for social science (SPSS) version 20. The binary logistic regression model was fitted to identify factors associated with low vision, and variables with a P value of <0.05 in a multivariable binary logistic regression were considered as statistically significant. Results. A total of 715 study participants have participated in this study with a mean age of 49.39 ± 19.93 years. The prevalence of low vision was 35.7% (95% CI: 32.3, 39.3). Being female (AOR = 1.58; 95% CI: 1.10, 2.28), no formal educational level (AOR = 2.24; 95% CI: 1.25, 4.02), history of cataract surgery (AOR = 2.58; 95% CI: 1.53, 4.36), and age ≥ 70 years (AOR: 3.96; 95% CI: 2.21, 7.10) were significantly associated with low vision. Conclusion and Recommendation. The prevalence of low vision found in this study was high as compared with the national and global magnitude. Older age, being female, previous history of cataract surgery, and no formal education were independently and significantly associated with low vision. Cataract and uncorrected refractive errors were identified as the main causes of low vision. Therefore, it requires a plan to provide an eye care education to the community, increasing the quality of cataract surgery and refractive service for the community in the catchment area.

scholarly journals Are Corneal Patients Accepting the Transplantation? The Cases of University of Gondar, Tertiary Eye Care and Training Center, Ethiopia

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Yordanos Tsehai Jemberu ◽  
Yared Assefa Woldie ◽  
Wossen Mulugeta ◽  
Destaye Shiferaw Alemu ◽  
Getasew Mulat Bantie
Keyword(s):  
Corneal Transplantation ◽  
Cross Sectional Study ◽  
Training Center ◽  
Eye Care ◽  
Cross Sectional ◽  
Acceptance Level ◽  
The Government ◽  
Unfavorable Attitude ◽  
The University ◽  
And Training

Background. For so long, corneal diseases have been known as one of the leading causes to blindness in the global. This blindness might be due to failure to accept the corneal transplantation. Therefore, this study aimed to determine the prevalence and the root challenges for corneal transplantation acceptance at the University of Gondar tertiary eye care and training center, Ethiopia. Methods. An institution-based cross-sectional study was conducted among patients who had an indication for corneal transplantation at the University of Gondar tertiary eye care and training center since January 1, 2017, up to October 30, 2018. A structured questionnaire was used to collect the data and entered into Epi-Info 7 software and analyzed using SPSS version 20. Simple logistic regression was used to identify the associated factors of corneal transplantation acceptance. Associations between outcome and exposure variables were expressed by the adjusted odds ratio with a 95% confidence interval and p value <0.05. Result. A total of 116 patients with a mean age of 51 (±21) years participated in the study. The overall acceptance level of corneal transplantation was only 38.8% (95% CI: 29.93, 47.66). Patients with poor knowledge [AOR = 2.41; 95% CI: 1.90, 6.48] and an unfavorable attitude [AOR = 6.33; 95% CI: 2.42, 16.54] were significantly associated with the acceptance of corneal transplantation. Conclusion. The study revealed that the corneal transplantation acceptance level was very low. Hence, the government and other concerned stakeholders should give due emphasis to the awareness creation and behavior change communication strategies to increase the acceptance level of corneal transplantation.

scholarly journals Willingness to pay for cataract surgery and associated factors among cataract patients in Outreach Site, North West Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248618
Author(s):  
Mohammed Seid ◽  
Amare Minyihun ◽  
Gizachew Tilahun ◽  
Asmamaw Atnafu ◽  
Getasew Amare
Keyword(s):  
Willingness To Pay ◽  
Cataract Surgery ◽  
Associated Factors ◽  
Cost Recovery ◽  
P Value ◽  
Tobit Regression ◽  
Recovery Model ◽  
North West ◽  
North West Ethiopia ◽  
Cataract Patients

Introduction In Ethiopia, cataract surgery is mainly provided by donors free of charge through outreach programs. Assessing willingness to pay for patients for cataract surgery will help explain how the service is valued by the beneficiaries and design a domestic source of finance to sustain a program. Although knowledge concerning willingness to pay for cataract surgery is substantive for developing a cost-recovery model, the existed knowledge is limited and not well-addressed. Therefore, the study aimed to assess willingness to pay for cataract surgery and associated factors among cataract patients in Outreach Site, North West Ethiopia. Methods A cross-sectional outreach-based study was conducted on 827 cataract patients selected through a simple random sampling method in Tebebe Gion Specialized Hospital, North West Ethiopia, from 10/11/2018 to 14/11/2018. The data were collected using a contingent valuation elicitation approach to elicit the participants’ maximum willingness to pay through face to face questionnaire interviews. The descriptive data were organized and presented using summary statistics, frequency distribution tables, and figures accordingly. Factors assumed to be associate with a willingness to pay were identified using a Tobit regression model with a p-value of <0.05 and confidence interval (CI ≠ 0). Results The study involved 827 cataract patients, and their median age was 65years. About 55% of the participants were willing to pay for the surgery. The average amount of money willing to pay was 17.5USD (95% CI; 10.5, 35.00) and It was significantly associated with being still worker (β = 26.66, 95% CI: 13.03, 40.29), being educated (β = 29.16, 95% CI: 2.35, 55.97), free from ocular morbidity (β = 28.48, 95% CI: 1.08, 55.90), duration with the condition, (β = -1.69, 95% CI: -3.32, -0.07), admission laterality (β = 21.21, 95% CI: 3.65, 38.77) and remained visual ability (β = -0.29, 95% CI (-0.55, -0.04). Conclusions Participants’ willingness to pay for cataract surgery in outreach Sites is much lower than the surgery’s actual cost. Early intervention and developing a cost-recovery model with multi-tiered packages attributed to the neediest people as in retired, less educated, severely disabled is strategic to increase the demand for service uptake and service accessibility.

scholarly journals Prevalence of common mental disorders and associated factors among adults with Glaucoma attending University of Gondar comprehensive specialized hospital tertiary eye care and training center, Northwest, Ethiopia 2020

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0252064
Author(s):  
Mikias Mered Tilahun ◽  
Betelhem Temesgen Yibekal ◽  
Habtamu Kerebih ◽  
Fisseha Ademassu Ayele
Keyword(s):  
Mental Disorders ◽  
Associated Factors ◽  
Common Mental Disorders ◽  
P Value ◽  
Medical Illness ◽  
Training Center ◽  
Eye Care ◽  
Factors Associated ◽  
Specialized Hospital ◽  
And Training

Purpose This study aimed to assess the prevalence of common mental disorders and associated factors among adults with glaucoma at Gondar university comprehensive specialized hospital tertiary eye care and training center. Glaucoma predisposes patients to common mental problems and leads to wasteful, costly and inefficient use of medical services and complications of the diagnoses. So, determining the level and factors associated with common mental disorders among glaucoma patient would help to improve and integrate comprehensive ophthalmic services which address common mental disorder in a follow-up visit. Methods An institution-based cross-sectional study was conducted on 495 glaucoma patients selected by using systematic random sampling. Data were collected through face-to-face interview and chart review. Self-reported questionnaire (SRQ-20) was used to assess the presence of common mental disorders. Binary logistic regression analysis was done to identify factors associated with common mental disorders. Variables with P<0.05 were considered as factors significantly associated with common mental disorders. Result Four hundred sixty-eight patients were included in this study with a response rate of 94.54%. The mean age of the participant was 58 ± 14.11 years. The prevalence of common mental disorders was found to be 29.5% (95% CI 25.4–33.3). Female sex (AOR = 3.79, 95% CI: 1.66–8.62) (p-value = 0.001), average monthly income of less than 1200 birr (AOR = 6.05 95% CI: 2.26–16.22) (p-value = 0.001), poor level of social support (AOR = 17.39 95% CI: 7.79–38.82) (p-value = 0.001), moderate and high risk of alcohol use (AOR = 10.42 95%CI: 2.74–39.54) (p-value = 0.001), presence of chronic medical illness (AOR = 3.85 95% CI: 2.07–7.16) (p-value = 0.001), receiving both drug and surgical treatment (AOR = 2.50, 95%CI: 1.30–4.83) (p-value = 0.006) and presence of systemic carbonic anhydrase inhibitors use (AOR = 3.16, 95%CI: 1.65–6.06) (p-value = 0.001) were significantly associated with increased level of common mental disorders. Conclusion Significant numbers of glaucoma patients have CMD and found significantly associated with socio-economic, ocular and systemic clinical factors. Therefore, the integration of psychosocial care into the current treatment of patients with glaucoma would have a significant advantage to help these patients.

scholarly journals Practice and Associated Factors among Adult Residents towards Traditional Eye Medicine in Gondar City, North West Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Minychil Bantihun Munaw ◽  
Natnael Lakachew Assefa ◽  
Dereje Hayilu Anbesse ◽  
Mebratu Mulusew Tegegne
Keyword(s):  
Associated Factors ◽  
Positive Family History ◽  
Traditional Healers ◽  
Medicine Use ◽  
Eye Care ◽  
North West ◽  
The Past ◽  
Poor Access ◽  
North West Ethiopia ◽  
History Of

Traditional medicines are commonly used in Africa. About 13.2–82.3% of the population use traditional eye medicine. The aim of this study was to assess practice and associated factors among adult residents towards traditional eye medicine in Gondar city, North West Ethiopia. Methods. A community-based cross-sectional study was conducted on 600 participants by using a pretested structured questionnaire. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 20 computer software. Association and strength between dependent and independent variables were determined using odds ratio with a 95% confidence interval. Results. A total of 600 respondents participated in the study with a 95 % response rate. From the total study participants, 73 (12.2%) (95% CI: 10–15%) had used traditional eye medicine in the past two years. Variables such as being unmarried (AOR = 0.48 (95% CI: 0.17–0.83)), being illiterate (AOR = 5.40 (95% CI: 5.3–12.3)), living in traditional healers available area (AOR = 2.84 (95% CI: 1.44–7.56)), poor access to modern eye care services (AOR = 2.11 (95% CI: 1.06–4.19)), and positive family history of traditional eye medicine use (AOR = 4.00 (95% CI: 1.84–8.67)) were significantly associated with traditional eye medicine practice. Conclusion. The proportion of traditional eye medicine practice was low in the past two years in Gondar city, Ethiopia, as compared to most African and Asian studies like south East Nigeria and Nepal, respectively. This may be due to the presence of tertiary eye care centers in the city that lets the residents prefer modern eye medicines over traditional eye medicines. Positive family history of traditional eye medicine use, being unmarried, being illiterate, poor access to modern eye care service, and availability of traditional healers had a significant association with the practice of traditional eye medicine. Community awareness about traditional eye medicine use is important to reduce the risk of complications even if the proportion is low.

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