Glaucoma awareness ; where do we stand ?

Authors

  • Professor Rekha Khandelwal Professor and Head Ophthalmology
  • Sejal Chandak Intern, NKP Salve Institute of Medical Sciences Nagpur

DOI:

https://doi.org/10.70284/njirm.v9i6.2437

Keywords:

Glaucoma, blindness, awareness, knowledge

Abstract

Background:

Glaucoma is group of ocular disorders resulting in damage to optic nerve and loss of visual field. If not managed at the required stage it may lead to irreversible form of blindness.

Purpose : To assess the awareness and knowledge of glaucoma in rural verses urban patients visiting eye-care center attached to  an academic institute of  Central India

 Materials and Methods: Observational cross-sectional study was conducted for a period of two months. By random sampling method, 300 subjects each from urban and rural settings were selected out of 1486 consecutive adults aged ≥ 40 years. Pre-validated, two separate brief structured questionnaires (urban and rural participants ) were used to assess the subject’s glaucoma awareness and knowledge. All  known primary/ secondary glaucoma or congenital/ juvenile glaucoma participants were excluded. The demographic data, socio-economic information, medical and ophthalmic history and examination was recorded.

Results: Out of 600 participants , 34% glaucoma awareness was recorded in urban participants while 21% awareness in rural participants. The difference in the proportion was statistically significant, as indicated by p-value of 0.0005 (p < 0.05). As regards age, significant association (p=0.006) was found across age distribution and levels of glaucoma awareness. Education level and socio-economic background also showed statistically significant association with glaucoma awareness.

Conclusion: The present study revealed that the level of awareness and knowledge about glaucoma in our study population was very low. Major contributing factors for low glaucoma awareness were background of population cohort, education and socio-economic background. There is a need to educate masses for glaucoma to prevent blindness.

References

References :
1. Quigley HA. Number of people with glaucoma worldwide. Br J Ophthalmol 1996;80:389-93.
2. Resnikoff S, Pascolini D, Etya'ale D, Kocur I, Pararajasegram R, Pokharel GP et al. Global data on visual impairment in the year 2002. Bull World Health Organ 2004;82:844-51.
3. George R, Ve RS, Vijaya L. Glaucoma in India: Estimated burden of disease. J Glaucoma 2010;19:391-7.
4. Rekhi GS, Kulshresta OP. Common causes of blindness: a pilot survey in Jaipur, Rajasthan. Ind J Ophthalmol 1991; 39:108-11.
5. Thylefors B, Negrel AD, Pararajasegaram R, Dadzie KY. Global data on blindness. Bull World Health Organ 1995;73:115-21.
6. Quigley HA, Broman AT. The number of people with glaucoma worldwide in 2010 and 2020. Br J Ophthalmol 2006;90:262-7.
7. Saw SM, Gazzard G, Friedman D, Foster PJ, Devereux JG, Wong ML, et al. Awareness of glaucoma and health beliefs of patients suffering primary acute angle closure. Br J Ophthalmol 2003;87:446-9.
8. Attebo K, Mitchell P, Cumming R, Smith W. Knowledge and beliefs about common eye diseases. Aust N Z J Ophthalmol 1997 ;25(4):283-7.
9. Pfeiffer N, Krieglstein GK, Wellek S. Knowledge about glaucoma in the unselected population: A German survey. J Glaucoma 2002 ;11(5):458-63.
10. Gasch AT, Wang P, Pasquale LR. Determinants of glaucoma awareness in a general eye clinic. Ophthalmology 2000;107(2):303-8.
11. Nkum G, Lartey S, Frimpong C, Micah F, Nkum B. Awareness and knowledge of glaucoma among adult patients at the eye clinic of a teaching hospital. Ghana Med J. 2015 ;49(3):195-9.
12. Dandona R, Dandona L, John RK, McCarty CA, Rao GN. Awareness of eye diseases in an urban population in southern India. Bull World Health Organ 2001;79(2):96-102.
13. Krishnaiah S, Kovai V, Srinivas M, Shamanna BR et al. Awareness of glaucoma in the rural population of Southern India. Indian J Ophthalmol 2005;53(3):205-8.
14. Sathyamangalam RV, Paul PG, George R et al. Determinants of glaucoma awareness and knowledge in urban Chennai. Indian J Ophthalmol 2009;57(5):355-360.
15. Parveen Rewri and Mukesh Kakkar. Awareness, knowledge, and practice: A survey of glaucoma in north Indian rural residents. Indian J Ophthalmol 2014;62(4):482-6.
16. Maharana PK, Rai VG, Pattebahadur R, Singhi S, Chauhan AK. Awareness and Knowledge of Glaucoma in Central India: A Hospital-Based Study. Asia Pac J Ophthalmol (Phila). 2017;6(3):243-249.
17. Javitt JC. Preventing blindness in Americans: the need for eye health education. Surv Ophthalmol 1995 ;40(1):41-4.
18. Thomas R, Korah S, Padma P. Glaucoma an emerging cause for preventable blindness. Indian J Commun Health 1997;3:52-63.
19. Grant WM, Burke JF. Why do some people go blind from glaucoma? Ophthalmology 1982;89:991-8.
20. Lau JT, Lee V, Fan D, Lau M, Michon J. Knowledge about cataract, glaucoma, and age related macular degeneration in the Hong Kong Chinese population. Br J Ophthalmol 2002;86(10):1080-4.
21. Tenkir A, Solomon B, Deribew A. Glaucoma awareness among people attending ophthalmic outreach services in Southwestern Ethiopia. BMC Ophthalmol 2010;10:17.
22. Vashist P, Singh S, Gupta N, Saxena R. Role of early screening for diabetic retinopathy in patients with diabetes mellitus: an overview. Indian J Community Med. 2011;36(4):247-52.
23. Baker H, Murdoch IE. Can a public health intervention improve awareness and health-seeking behavior for glaucoma? Br J Ophthalmol 2008;92:1671-5.

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Published

2019-01-09

How to Cite

Khandelwal, P. R., & Chandak, S. (2019). Glaucoma awareness ; where do we stand ?. National Journal of Integrated Research in Medicine, 9(6), 1–7. https://doi.org/10.70284/njirm.v9i6.2437

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Original Articles