Glaucoma in Africa

Cook, Colin

doi:10.1097/ijg.0b013e318189158c

Cited by 76 publications

(48 citation statements)

References 51 publications

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“…In 2010, it was estimated that 60.5 m people were living with the condition (44.7 m with Primary Open Angle Glaucoma (POAG)), of whom 11.1 m are projected to go blind by 2020 (6.7 m will be blind in both eyes) [5]. In West Africa, the most prevalent type of glaucoma is POAG with 4 % of the population said to be suffering from it [6, 7]. As the risk of POAG increases with age, and with the group of those over 40 years of age constituting more than 25 % of Africa’s population and growing, more people could be living with the condition than reported [6].…”

Section: Introductionmentioning

confidence: 99%

“…In West Africa, the most prevalent type of glaucoma is POAG with 4 % of the population said to be suffering from it [6, 7]. As the risk of POAG increases with age, and with the group of those over 40 years of age constituting more than 25 % of Africa’s population and growing, more people could be living with the condition than reported [6]. Recently, Ghana was ranked as having the second highest rate of glaucoma cases in the world, and highest in West Africa.…”

Section: Introductionmentioning

confidence: 99%

“…Surgery is generally considered the standard form of treatment in POAG [2, 6], but in Ghana there is lack of uptake of this option due to inadequate access, high cost, superstition and socio-cultural beliefs which means that many glaucoma patients are treated medically [8–10]. However when the medical option is preferred, the indefinite treatment protocols subject many patients to health care and financial challenges.…”

Section: Introductionmentioning

confidence: 99%

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Cost of the medical management and prescription pattern for primary open angle glaucoma (POAG) in Ghana–a retrospective cross-sectional study from three referral facilities

Ocansey

Kyei

Diafo

et al. 2016

BMC Health Serv Res

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BackgroundGlaucoma is the leading cause of irreversible blindness globally, and treatment involves considerable cost to stakeholders in healthcare. However, there is infrequent availability of cost information and patterns of management, especially in developing countries. This study determined the cost of the medical management of POAG, adherence, and pattern of medication prescription in Ghana.MethodsA retrospective cross-sectional study involving 891 Primary Open Angle Glaucoma (POAG) cases seen in the year 2012 at three referral facilities. Demographics, ocular history, resource consumption, medication, test, surgery and other related cost were extracted from 84 patients who had fully complied with their treatment to calculate total cost (TC) based on 2012 estimates. Glaucoma drugs prescribed to patients who had adhered to all their review visits within the period evident from case folders were recorded and analysed for the prescription pattern.ResultsOut of 891 POAG cases seen in 2012, 351(39.4 %) attended all the required review visits, but only 84 (9.4) had fully and continually adhered to all their treatment regimes. They comprised 41(48.8 %) males and 43(51.2 %) females with a mean age of 65 ± 14.8. Majority of the respondents were elderly above 60 year of age (65.5 %). The total estimated cost for the 84 cases in the year was GH¢ 81,237 ($40,619), comprising GH¢ 72,193 ($36,097) direct medication cost and GH¢9,045 ($4,523) direct non-medication cost (surgery and test cost), and an average of GH¢ 967 ($484) for a mean visit of 5.6 ± 1.1 in the year. A total of 673 glaucoma medications had been prescribed for 351 patients for the year, with timolol being the most prescribed (64.19 %) and monotherapy as the most adopted form of therapy (61.06 %). Age and income showed concurrent increase with cost (P ≤ 0.05).ConclusionsCost of managing glaucoma constitutes a substantial financial burden and influenced the pattern of medication prescription.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Cost of the medical management and prescription pattern for primary open angle glaucoma (POAG) in Ghana–a retrospective cross-sectional study from three referral facilities

Ocansey

Kyei

Diafo

et al. 2016

BMC Health Serv Res

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“…In many cases, damage to the optic nerve is caused by abnormally increased pressure in the eye, a condition known as high intraocular pressure (IOP) or ocular hypertension (Cook 2009). Glaucoma is the second leading cause of preventable blindness; it also is the leading cause of irreversible visual loss.…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of glaucoma in East, Central and Southern Africa can be conservatively estimated to be 10,000 people for every 1 million population which may be higher in West Africa. Glaucoma in Nigeria is the second most common cause of blindness after cataract and approximately 980,000 Nigerians are blind from glaucoma (Cook 2009). Glaucoma was the cause of acquired blindness in 12.1% of cases in Mansora.…”

Section: Introductionmentioning

confidence: 99%

Awareness among glaucoma patient at upper Egypt

Mansour¹,

El-Aziz

Mekkawy

et al. 2016

IJANS

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Aim: To assess the awareness among glaucoma patients at Upper Egypt Governorate hospitals. Research design: Descriptive cross sectional research design was used in this study Setting: The study was conducted in ophthalmology outpatient clinics (male & female) at Assiut University Hospital & Al-rmad Hospital, Elmina and Sohag Governorate. Subjects: The sample of this study total coverage of glaucoma patients included (1000), the researcher taking the sample during one year, this sample aged 50 years and above. Tool of study: One tool was used in this study include three parts, part I: patient demographic characteristics, part II: medical data, part III: knowledge about risk factors and self-practice regard glaucoma. Results: The most of patients age ranged between 60:80 year, nearly three quarter (74.6%) of them were females, and 80% of them comes from urban areas. The majority of studied sample (84.5%) unaware about glaucoma disease and show statistical significant difference between awareness of them and their education, P≤0.05. Also, there was no significant difference between knowledge of studied sample and their residence.

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Antimetabolites for preventing trabeculectomy failure in people undergoing cataract surgery

Crichton

Thomas²

2013

Cochrane Database of Systematic Reviews

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Glaucoma in Africa

Abstract: Glaucoma should be included as a priority disease in Vision 2020 programs in Africa.

Cited by 76 publications

References 51 publications

Cost of the medical management and prescription pattern for primary open angle glaucoma (POAG) in Ghana–a retrospective cross-sectional study from three referral facilities

Cost of the medical management and prescription pattern for primary open angle glaucoma (POAG) in Ghana–a retrospective cross-sectional study from three referral facilities

Awareness among glaucoma patient at upper Egypt

Antimetabolites for preventing trabeculectomy failure in people undergoing cataract surgery

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