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Is angle closure glaucoma a problem in Nigeria?
1Department of Ophthalmology, University College Hospital; University of Ibadan, Ibadan, Oyo, Nigeria.
Nigerian Journal of Clinical Practice
|February 21, 2014
Summary
Angle closure glaucoma (ACG) affects 9.2% of patients in Nigeria, predominantly women, often presenting with advanced disease and vision loss. Early diagnosis and intervention are crucial to prevent blindness from this common condition.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Public Health
Background:
- Angle closure glaucoma (ACG) is a significant cause of irreversible blindness worldwide.
- Understanding the demographic and clinical characteristics of ACG is essential for targeted interventions.
Purpose of the Study:
- To characterize angle closure glaucoma (ACG) patients at University College Hospital (UCH), Ibadan, Nigeria.
- To identify the prevalence and clinical features of ACG in a Nigerian population.
Main Methods:
- A prospective study evaluated 336 new glaucoma patients over one year.
- Ophthalmic evaluations included visual acuity, slit-lamp examination, tonometry, gonioscopy, and perimetry.
- Exclusion criteria included prior incisional surgery and corneal opacities hindering gonioscopy.
Main Results:
- 9.2% of patients (31 individuals) presented with angle closure (with or without glaucoma).
- The mean age was 59.0 years, with a female predilection (58.1%).
- 45.2% had at least one blind eye, and 54.8% presented with advanced glaucoma; mean presenting IOP was 28.7 mmHg.
Conclusions:
- Angle closure glaucoma is a prevalent condition in this Nigerian cohort.
- A significant proportion of patients present with advanced disease and vision impairment.
- Prompt diagnosis and effective management are vital to prevent vision loss.
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