Referral Pattern and Comanagement of Patients With Keratoconus in West Africa: A Survey-Based Study of Optometrists in Ghana and Nigeria
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View abstract on PubMed
Summary
This summary is machine-generated.Primary eye care practitioners in West Africa often lack the equipment and experience to manage keratoconus. Improved training and clinical guidelines are recommended for better patient care and management of this corneal condition.
Area Of Science
- Ophthalmology
- Optometry
- Public Health
Background
- Keratoconus is a progressive corneal disease affecting vision.
- Management requires specialized diagnostic tools and expertise.
- Understanding current practices in West Africa is crucial for improving care.
Purpose Of The Study
- To investigate the referral and management patterns of keratoconus patients.
- To identify challenges faced by primary eye care practitioners in Ghana and Nigeria.
- To inform the development of better clinical guidelines and training programs.
Main Methods
- An online survey was distributed to optometrists in Ghana and Nigeria.
- The questionnaire focused on keratoconus referral and management practices.
- Data were analyzed using statistical software.
Main Results
- Most practitioners lacked corneal topography equipment and experience with rigid gas-permeable (RGP) lens fitting.
- A significant percentage referred patients for RGP fitting and ophthalmology consultation due to corneal progression.
- Limited access to cornea surgeons and lack of co-management were reported.
Conclusions
- Current standards of care for keratoconus in West Africa are suboptimal.
- There is a need for enhanced clinical guidelines and further training for eye care practitioners.
- Interventions should focus on improving diagnostic capabilities and management skills for keratoconus.
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