Glaucoma care in Nigeria: Is the current practice poised to tackle this emerging sight-threatening disease?

Onwubiko, Stella Ngozi; Udeh, Nnenma; Nkwegu, O; Ukwu, D O; Nwachukwu, N

doi:10.1007/s10792-019-01078-9

Cited by 5 publications

(9 citation statements)

References 9 publications

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“…Thirteen (13) reports were included in the final analysis and data synthesis. Of these, there was one (1) mixed method (quantitative/qualitative) study [15], three (3) qualitative reports [3,11,24], and nine (9) quantitative studies [16,[25][26][27][28][29][30][31][32].…”

Section: Literature Searchmentioning

confidence: 99%

Factors limiting glaucoma care among glaucoma patients in Nigeria: A scoping review

Obasuyi,

Yeye-Agba,

Ofuadarho

2024

PLOS Glob Public Health

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Glaucoma currently accounts for 11% of irreversible visual loss worldwide. Due to many factors, patients do not access the glaucoma care pathway and present late with poor vision, while many are undiagnosed or untreated. These factors may be personal-level dispositions or Institutional-level dispositions, limiting the awareness, diagnosis, and treatment of glaucoma or adherence to medications or follow-up clinic visits. This scoping review followed the JBI methodology for scoping reviews and was pre-registered on the open science platform (https://osf.io/wqx57/?view_only=727eb6c803764509a2809e5d0794e214). The PUBMED, EMBASE, WEB OF SCIENCE, AJOL, and GOOGLE SCHOLAR databases were systematically searched for studies published in English between 1990 and June 2023. Data were extracted and analysed along a conceptualised framework of factors limiting access to glaucoma care in Nigeria. Of the 336 records retrieved, 13 studies were included in this scoping review. These included one (1) mixed method (quantitative/qualitative) study, three qualitative studies, and nine quantitative studies spanning 2008–2022 covering eight states and 2,643 sampled respondents. Nine studies reported personal-level dispositions limiting glaucoma care, including low levels of education, unemployment, gender, living distance from the hospital, cost of care, and faith/religion. Four reported institutional-level dispositions, including the lack of proper equipment and expertise to diagnose or manage glaucoma. The factors limiting Glaucoma care in Nigeria are varied and may act alone or combined with other elements to determine the awareness or knowledge of glaucoma, uptake of glaucoma surgery, medication adherence, or clinic follow-up. While most of these factors limiting glaucoma care in Nigeria may be amenable to policy, a bottom-up approach is needed to improve the community’s awareness and uptake of glaucoma services. A shift from the over-dependence and reliance on tertiary hospitals, which are often far away from the people who need them, is required to bridge the information and service gap currently being witnessed.

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Section: Literature Searchmentioning

confidence: 99%

Factors limiting glaucoma care among glaucoma patients in Nigeria: A scoping review

Obasuyi,

Yeye-Agba,

Ofuadarho

2024

PLOS Glob Public Health

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“…Improved training in glaucoma as part of the eye care team is an important strategic component for improving glaucoma care services [45]. Advocacy, public awareness and training of glaucoma specialists were the three main recommendations for improving glaucoma care in Nigeria [46]. In Botswana, neither of the two general ophthalmologists had a sub-speciality interest in glaucoma [47].…”

Section: Glaucomamentioning

confidence: 99%

Ophthalmology training in sub-Saharan Africa: a scoping review

Dean

Gichuhi

Faal

et al. 2020

Eye

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“…Access to surgery is difficult, as the high cost of surgery and rarity of surgeons trained to perform and follow-up such cases are limiting. The extremely low acceptance rates (<10%), stemming from poor patient satisfaction, fear of complications and the lengthy postoperative care among glaucoma patients in low- and middle-income countries further limits the surgical intervention’s pertinence in Africa 6,7…”

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confidence: 99%

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confidence: 99%

“…The extremely low acceptance rates (< 10%), stemming from poor patient satisfaction, fear of complications and the lengthy postoperative care among glaucoma patients in low-and middle-income countries further limits the surgical intervention's pertinence in Africa. 6,7 There remains substantial need for a safe, effective, costeffective, and easy to access glaucoma treatment for patients in sub-Saharan Africa. Since lasers are easier to master compared with glaucoma surgery, they may present a real opportunity for ophthalmologists (and other ocular health care providers) in sub-Saharan Africa.…”

mentioning

confidence: 99%

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COVID-19 and the Rationale for Primary Selective Laser Trabeculoplasty and Diode Laser Transscleral Cyclophotocoagulation in Africa

Milad

Mikhail

Lenzhofer

et al. 2022

Journal of Glaucoma

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The recent COVID-19 pandemic has affected ophthalmologists' practices worldwide. Consequent global drug shortages and the limitations of medical glaucoma treatments in sub-Saharan Africa have highlighted the need for innovation in global ophthalmology to provide accessible, affordable, and effective glaucoma care. The role of lasers rather than medications for glaucoma patients in developing nations is emerging. Since lasers are easier to master than glaucoma surgery, it is pertinent to discuss the primary use of lasers in treating glaucoma in such nations. In particular, selective laser trabeculoplasty and diode laser transscleral cyclophotocoagulation seem to present a promising future for the treatment of glaucoma in Africa. In this report, we provide an evidence-based discussion exploring the emerging role of lasers in Africa.

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Glaucoma care in Nigeria: Is the current practice poised to tackle this emerging sight-threatening disease?

Cited by 5 publications

References 9 publications

Factors limiting glaucoma care among glaucoma patients in Nigeria: A scoping review

Factors limiting glaucoma care among glaucoma patients in Nigeria: A scoping review

Ophthalmology training in sub-Saharan Africa: a scoping review

COVID-19 and the Rationale for Primary Selective Laser Trabeculoplasty and Diode Laser Transscleral Cyclophotocoagulation in Africa

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