Factors associated with delayed first ophthalmological consultation for primary glaucoma: a qualitative interview study

Abstract

BackgroundGlaucoma has an insidious onset with non-specific early symptoms, often leading patients to delay in seeking help. However, postponing the first ophthalmological consultation can result in delayed diagnosis and treatment, with adverse effects on vision. This study explored the factors associated with delayed first ophthalmological consultation in patients with primary glaucoma, with the overarching aim of informing measures to reduce delayed consultation and avoid the consequent adverse outcomes.MethodsWe adopted a phenomenological approach. Semi-structured interviews were conducted with patients admitted to a tertiary eye hospital in Tianjin, China, from January 2021 to April 2021. Data were analyzed by Colaizzi’s seven-step method.ResultsWe identified 46 patients with primary glaucoma who delayed their first ophthalmological consultation for various reasons. There were four major themes and 16 sub-themes. The major themes were as follows: (1) occult symptoms that are difficult to identify; (2) insufficient knowledge and understanding of glaucoma-related risks and harm; (3) perceived difficulties in accessing medical care; and (4) inadequate support system.ConclusionIn order to avoid patient delay and consequent irreversible damage to the visual field in patients with primary glaucoma, it is essential that medical staff identify symptoms more effectively, change habitual medical behavior of the patients, adopt a medical union model, and promote the use of a social medical support system to address practical difficulties in delivering adequate care.

Quality of life and mental health status of glaucoma patients

“…Glaucoma, a group of progressive optic neuropathies characterized by damage to the optic nerve and visual field loss, represents one such condition that poses significant challenges to affected individuals ( 3 , 4 ). Despite its asymptomatic nature in the early stages, glaucoma can lead to irreversible vision loss if left untreated, highlighting the critical importance of early detection and intervention in preserving visual function ( 5 ). The impact of glaucoma extends beyond its ocular manifestations, permeating various aspects of everyday living ( 6 ).…”