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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Glaucoma Treatment Patterns in Sub-Saharan Africa
Journal of Glaucoma, Volume 32, No. 10, Year 2023
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Description
Précis: Physicians were most likely to recommend primary medical therapy upon diagnosis of glaucoma. Laser therapy was underutilized where they were available. Physicians were more likely to recommend surgery in severe glaucoma, laser therapy in mild glaucoma, while recommendation of medical therapy did not depend on glaucoma severity. Purpose: To characterize treatment patterns for newly diagnosed glaucoma in sub-Saharan Africa (SSA). Methods: This was a multicenter cross-sectional study of adults newly diagnosed with glaucoma at 27 eye care centers in 10 African countries. In addition to demographic and clinical data, physician treatment recommendations (medication, laser, surgery, or no treatment) were recorded. Statistical analyses were performed using STATA version 14.0. Results: Data from 1201 patients were analyzed. Physicians were most likely to recommend primary medical therapy upon diagnosis of glaucoma (69.4%), with laser (13.2%), surgery (14.9%), and no treatment (2.5%) recommended to the remaining patients. All sites had medical therapy available and most (25/27, 92.6%) could provide surgical treatment; only 16/27 (59.3%) sites offered laser, and at these sites, 30.8% of eyes were recommended to undergo primary laser procedures. As glaucoma severity increased, the laser was recommended less, surgery more, and medications unchanged. Patient acceptance of medical therapy was 99.1%, laser 88.3%, and surgery 69.3%. Conclusions: Medical therapy for first-line glaucoma management is preferred by most physicians in SSA (69%). Laser therapy may be underutilized at centers where it is available. These findings underscore the need for comparative studies of glaucoma treatments in SSA to inform the development of evidence-based treatment guidelines and of programs to reduce glaucoma blindness in SSA. Strategic approaches to glaucoma therapy in SSA must address the question of whether medical therapy is the most optimal first-line approach in this setting. © 2023 Lippincott Williams and Wilkins. All rights reserved.
Authors & Co-Authors
Olawoye, Olusola Oluyinka
Nigeria, Ibadan
University of Ibadan
United Kingdom, Belfast
Queen's University Belfast
Washaya, Jennifer
Zimbabwe, Harare
University of Zimbabwe
W Gessesse, Girum
Ethiopia, Addis Ababa
St. Paul‘s Hospital Millennium Medical College
Balo, Komi Patrice
Togo, Lome
Sylvanus Olympio University Hospital Center
Agré, Jérémie
Unknown Affiliation
Macheka, Boniface
Zimbabwe, Harare
Sekuru Kaguvi Hospital
Kizor-Akaraiwe, Nkiru N.
Nigeria, Enugu
Enugu State University of Technology
Nigeria, Enugu
Eye Specialists Hospital
Pons, Jonathan
Swaziland, Siteki
Good Shepherd Hospital
Sarimiye, Tarela Frederick
Nigeria, Ibadan
University of Ibadan
Ashaye, Adeyinka Olusola
Nigeria, Ibadan
University of Ibadan
Garba, Farouk
Nigeria, Zaria
Ahmadu Bello University
Chitedze, Richard
Malawi, Malawi
The Eyes of Africa
Ibanga, Affiong Andem
Nigeria, Naukka
University of Nigeria
Mahdi, Abdull
Nigeria, Bauchi
Abubakar Tafawa Balewa University
Ogunro, Adunola
Nigeria
Eye Foundation Hospital Group
Budengeri, Patrick
Unknown Affiliation
Ajibode, Haroun Adetunji
Nigeria, Ago-iwoye
Olabisi Onabanjo University
Tamrat, Lemlem
Ethiopia, Addis Ababa
St. Paul‘s Hospital Millennium Medical College
Onakoya, Adeola Olukorede
Nigeria, Lagos
Lagos University Teaching Hospital
Okeke, Suhanya
Nigeria, Enugu
Enugu State University of Science and Technology
Giorgis, Abeba T.
Unknown Affiliation
Okosa, Chimdi Chuka
Nigeria, Naukka
University of Nigeria
Fowobaje, Kayode R.
Nigeria, Ibadan
University of Ibadan
Cook, Stephen
Unknown Affiliation
Lawrence, Scott D.
United States, Ann Arbor
University of Michigan Medical School
Chan, Ving Fai
United Kingdom, Belfast
Queen's University Belfast
Azuara-Blanco, Augusto
United Kingdom, Belfast
Queen's University Belfast
Congdon, Nathan Greenleaf
United Kingdom, Belfast
Queen's University Belfast
United States, New York
Orbis International
Realini, Tony D.
United States, Morgantown
West Virginia University
Statistics
Authors: 29
Affiliations: 20
Identifiers
Doi:
10.1097/IJG.0000000000002273
ISSN:
10570829
Research Areas
Health System And Policy
Study Design
Cross Sectional Study
Study Approach
Quantitative