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

Tegegn, Melkamu Temeselew; Belete, Gizachew Tilahun; Ferede, Ayanaw Tsega; Assaye, Aragaw Kegne

doi:10.1155/2020/7042905

Cited by 10 publications

(15 citation statements)

References 23 publications

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“…Sixty-one full-text articles were assessed for eligibility based on the consideration criteria. Of those articles, 31 were found to be irrelevant for this review 12–42. Two articles that were done using non-probability sampling technique43 44 were excluded due to the concern that they may reduce the success of the study outcome.…”

Section: Resultsmentioning

confidence: 99%

Pooled prevalence of blindness in Ethiopia: a systematic review and meta-analysis

2022

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Blindness is defined as presenting visual acuity worse than 3/60 in the better eye. Its highest proportion has been conforming to the developing countries such as Ethiopia. So, timely information is crucial to design strategies. However, the study on the magnitude of blindness in Ethiopia was outdated which means it was conducted in 2005–2006. Therefore, this study was proposed to estimate the pooled prevalence of blindness in Ethiopia.Databases like PubMed, Cochrane library, Google Scholar and references of retrieved articles were used to search for articles. A standard data extraction approach was employed and presented using Preferred Reporting of Items for Systematic Reviews and Meta-Analyses. The Newcastle-Ottawa Scale quality assessment tool was used to evaluate the quality of studies. Analysis held using STATA V.11. The funnel plot and Egger’s regression test were applied to check for the potential sources of bias. Heterogeneity among the studies was tested using I² statistics that have been calculated and compared with the standard. Meta-regression and subgroup analysis were done to identify the potential sources of heterogeneity. Estimation of blindness was carried out using Duval and Twee die’s trim and fill analysis. The pooled prevalence of blindness in Ethiopia is found to be 1.18% (95% CI 0.650% to 1.706%). Blindness is among the main public health difficulties in Ethiopia. So, it demands up-to-date strategies and its implementation, preventive and curative eye care service with affordable and accessible interventions, and evidence-based advocacy. The trial Registration Number is CRD42021268448.

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Section: Resultsmentioning

confidence: 99%

Pooled prevalence of blindness in Ethiopia: a systematic review and meta-analysis

2022

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“…The UoGCSH-TECTC provides various treatments to around 31,200 patients annually in both the outpatient and inpatient departments, as shown by the registration logbook of the facility. 20 It offers laser services, surgical procedures, medicinal therapy, and refraction with optical correction.…”

Section: Methodsmentioning

confidence: 99%

Magnitude of Maladaptive Coping Strategy and Its Associated Factors Among Adult Glaucoma Patients Attending Tertiary Eye Care Center in Ethiopia

Birhan¹,

Belete²,

Eticha³

et al. 2023

OPTH

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Introduction Coping strategy is the mechanism by which patients adjust to the condition they face. It can be adaptive or maladaptive. A maladaptive coping strategy is a harmful and ineffective way of dealing with stress or anxiety. It is common among patients with chronic illnesses. Despite Ethiopia having a greater glaucoma prevalence, there was no evidence of patients with glaucoma using maladaptive coping mechanisms. Objective The main goal of this study was to evaluate the magnitude of maladaptive coping strategy use and the factors that associate with it among adult glaucoma patients enrolled in the Tertiary Eye Care and Training Center at the University of Gondar in Northwest Ethiopia in 2022. Methods and Materials At the University of Gondar, Tertiary Eye Care and Training Center, a facility-based cross-sectional study was carried out on a sample of 423 glaucoma patients chosen by a systematic random sampling technique from May 15 to June 30, 2022. Optometrists conducted an interview with the study subject and reviewed the medical record, and administered a pretested, structured questionnaire of the brief cope inventory assessment. In the multivariable logistic regression, binary logistic regression was performed to identify the related factors, and significance was taken into account when the p-value was less than 0.05 at the 95% confidence interval. Results The study found that among study participants 50.1% (95% CI: 45.1–54.5%) had a maladaptive coping strategy. Female sex (AOR=2.031, 95% CI:1.185–3.480), chronic medical illness (AOR=1.760, 95% CI:1.036–2.989), bilateral glaucoma (AOR=2.321, 95% CI: 1.328–4.055), receiving both drug and surgery treatment (AOR=1.895, 95% CI: 1.002–3.585), severe visual impairment (AOR=2.758, 95% CI:1.110–6.852), absolute glaucoma (AOR=2.543, 95% CI:1.048–6.169), duration of diagnosis >12 months (AOR=3.886, 95% CI: 2.295–6.580) were significantly associated with a maladaptive coping strategy. Conclusion and Recommendation Half of the participants had a maladaptive coping strategy. It is better to set and plan strategies that enable the integration of coping strategy care into the current treatment of patients with glaucoma to encourage positive coping strategies instead of maladaptive ones.

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“…The Tertiary Eye Care Center has the capacity of providing eye health care services for more than five million people in the city and surrounding areas. 6 Glaucoma clinic is a major subspecialty clinic in the eye care center at University of Gondar that provides clinical care for about 50 glaucoma follow-up patients per day. Clinical nurses, optometrists and ophthalmologists have been involved in clinical care of the glaucoma and non-glaucoma population in the eye care center.…”

Section: Methodsmentioning

confidence: 99%

“…5 The prevalence of glaucoma in the study area was 9.79%. 6 Sleep is an important physiological function of the human body regulated by homeostasis and circadian rhythms. [7][8][9] Abnormal sleep is characterized by exhaustion, difficulty falling asleep or staying asleep at night, excessive daytime sleepiness, loud snoring or gasping noises while sleeping, unintentional episodes of falling asleep, loss of muscle control and unusual behaviors like sleep walking.…”

Section: Introductionmentioning

confidence: 99%

Association of Glaucoma with Poor Quality of Sleep in an Ethiopian Glaucoma Population – A Comparative Cross-Sectional Study

Tegegne¹,

Hussen²,

Ayele³

et al. 2022

OPTH

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Background: Glaucoma is a group of ocular disorders characterized by progressive optic nerve damage resulting in irreversible visual field defects. Poor quality of sleep in glaucoma patients could be explained by the reduction of the light input to the circadian system as a result of damage to photosensitive retinal ganglion cells in the retina. Information is limited on the association of poor quality of sleep with glaucoma in general and the Ethiopian glaucoma population in particular. Objective: The study aimed to explore the association between poor quality of sleep and glaucoma at a Tertiary Eye Care Center in Ethiopia. Methods: An institutional-based comparative cross-sectional study was conducted among 200 glaucoma and 201 non-glaucoma participants recruited by systematic random sampling. Each group was administered with a Pittsburgh Sleep Quality Index (PSQI) questionnaire. Stata-14 was employed for data analysis; an independent t-test was used to show the statistical difference in the global mean PSQI score for the two groups. A binary logistic regression model was applied to identify factors associated with poor quality of sleep. Statistical significance was declared at a 95% confidence interval and a p-value of <0.05. Results:The prevalence of poor quality of sleep was 82.5% among the glaucoma population, which statistically differed (p<0.001) from the non-glaucomatous population (55.7%). Poor quality of sleep in glaucoma was associated with older age (adjusted odds ratio (AOR)=4.4, 95% confidence interval (CI): 1.5-5.4), depression (AOR=2.9, 95% CI: 1.1-7.3), visual impairment (AOR=3.9, 95% CI: 1.3-12.3) and severe glaucoma (AOR=2.5, 95% CI: 1.1-5.9). Conclusion and Recommendation:Poor quality of sleep was significantly higher in the glaucoma population compared to their non-glaucoma control. It was associated with older age, depression, visual impairment and advanced glaucoma. Incorporating psychiatric counseling into the existing glaucoma follow-up was recommended.

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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

Cited by 10 publications

References 23 publications

Pooled prevalence of blindness in Ethiopia: a systematic review and meta-analysis

Pooled prevalence of blindness in Ethiopia: a systematic review and meta-analysis

Magnitude of Maladaptive Coping Strategy and Its Associated Factors Among Adult Glaucoma Patients Attending Tertiary Eye Care Center in Ethiopia

Association of Glaucoma with Poor Quality of Sleep in an Ethiopian Glaucoma Population – A Comparative Cross-Sectional Study

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