Choice of Surgery in Glaucoma in National Hospital, Abuja, Nigeria
Keywords:Glaucoma, trabeculectomy, surgery, acceptability
Aim: This was a prospective study which was carried out among patients with Primary open angle glaucoma at the Eye clinic of the National Hospital, Abuja with the aim of determining the acceptability of surgery as primary treatment for glaucoma.
Method: All glaucoma patients presenting for the first time in the hospital eye clinic with a diagnosis of primary open angle glaucoma were enrolled in the study. Data was obtained using interviewer administered questionnaires and ocular examination included visual acuity, gonioscopy, slit lamp examination, funduscopy, tonometry, central corneal thickness and visual fields. Data analysis was done using the Statistical Package for Social Sciences (SPSS) version 15.
Results: A total of 152 patients were seen in the eye clinic within the study period. The male to female ratio was 1.34:1. Seventy six patients (50%) accepted to have glaucoma surgery at initial presentation. The major reasons for not accepting surgery were fear of surgery in 39 patients (51.32%), and knowledge that there will be no visual improvement following the surgery in 18 patients (23.68%). Male gender (P<0.01) and living outside Abuja (P<0.05) were significantly associated with acceptance of glaucoma surgery.
Conclusion: Half of the patients accepted to have glaucoma surgery at initial presentation. There is the need for adequate education of all glaucoma patients. Increased sensitization to glaucoma surgery is needed to improve success of glaucoma management