The Outcome of Trabeculectomy Surgery among Patients at University of Gondar Tertiary Eye Care and Training Center, Northwest Ethiopia

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.

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Visual Outcome of Cataract Surgery At Gondar University Hospital Tertiary Eye Care and Training Center, North West Ethiopia

Value in Health ◽

10.1016/j.jval.2017.08.3003 ◽

2017 ◽

Vol 20 (9) ◽

pp. A942

Author(s):

MA Seid

Keyword(s):

Cataract Surgery ◽

Visual Outcome ◽

University Hospital ◽

Training Center ◽

Eye Care ◽

North West ◽

Gondar University Hospital ◽

North West Ethiopia ◽

And Training

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

Journal of Ophthalmology ◽

10.1155/2020/7042905 ◽

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.

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Vision-Related Quality of Life among Adult Patients with Visual Impairment at University of Gondar, Northwest Ethiopia

Journal of Ophthalmology ◽

10.1155/2020/9056097 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Betelhem Temesgen Yibekal ◽

Destaye Shiferaw Alemu ◽

Dereje Hayilu Anbesse ◽

Abiy Maru Alemayehu ◽

Yezinash Addis Alimaw

Keyword(s):

Quality Of Life ◽

Visual Impairment ◽

Northwest Ethiopia ◽

Eye Care ◽

Poor Vision ◽

Related Quality ◽

Rural Residency ◽

The University ◽

And Training

Purpose. The purpose of this study was to assess vision-related quality of life and associated factors among adult patients with visual impairment at the University of Gondar Tertiary Eye Care and Training Center, Northwest Ethiopia. Methods. The institution-based cross-sectional study was conducted from April 24 to May 12, 2017, at the University of Gondar Tertiary Eye Care and Training Center among 484 patients with visual impairment. Pretested, structured National Eye Institute Visual Function Questionnaire-25 was used to collect data by interviewing. Data were entered using EPI-INFO version 3.5.1 and analyzed with SPSS version 20. Binary logistic regression was used to determine factors associated with vision-related quality of life. Variables with p value <0.05 in multivariable logistic regression were considered as statistically significant. Result. A total of 484 study subjects participated with a response rate of 98.9%. The median age of the participants was 60 years with the interquartile range of 25 years. The proportion of poor vision-related quality of life was 238 (49.2%) (95% CI: 44.2%–53.3%). Age >75 years (AOR = 1.87 (95% CI: 1.02–3.40)), rural residency (AOR = 1.71 (95% CI: 1.13–2.60)), severe visual impairment/blindness (AOR = 2.76 (95% CI: 1.80–4.23)), and history of visual impairment longer than 3 years (AOR = 2.85 (95% CI: 1.61–5.04)) had statistically significant association with poor vision-related quality of life. Conclusion. Almost half of the patients with visual impairment had poor vision-related quality of life. Severe visual impairment/blindness, long duration of visual impairment, older age, and rural residency had a statistically significant association with poor vision-related quality of life.

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

Patient Related Outcome Measures ◽

10.2147/prom.s308816 ◽

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

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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 ◽

10.1371/journal.pone.0252064 ◽

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.

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