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International Journal of Clinical Medicine Research

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Prevalence and Risk Factors of Glaucoma Among Adults in Rural and Urban Communities of Ilorin West Local Government Area, North-Central Nigeria

International Journal of Clinical Medicine Research
Vol.3 , No. 1, Publication Date: Jan. 4, 2016, Page: 6-12

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Authors

[1]	Durowade K. A., Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria.
[2]	Salaudeen A. G., Department of Epidemiology and Community Health, University of Ilorin, Ilorin, Nigeria.
[3]	Akande T. M., Department of Epidemiology and Community Health, University of Ilorin, Ilorin, Nigeria.
[4]	Musa O. I., Department of Epidemiology and Community Health, University of Ilorin, Ilorin, Nigeria.
[5]	Olokoba L. B., Department of Ophthalmology, Kwara State General Hospital, Ilorin, Nigeria.
[6]	Ibrahim T., Department of Ophthalmology, Federal Teaching Hospital, Ido-Ekiti, Nigeria.
[7]	Omokanye L. O., Department of Obstetrics and Gynaecology, University of Ilorin, Ilorin, Nigeria.
[8]	Adebola O. E., Department of Epidemiology and Community Health, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
[9]	Fasiku M. M., Department of Epidemiology and Community Health, University of Ilorin Teaching Hospital, Ilorin, Nigeria.

Abstract

Glaucoma is becoming an increasingly important cause of blindness, as the world’s population ages. Glaucoma, however, presents perhaps an even greater public health challenge than cataracts; because the blindness it causes is irreversible. This study assessed the prevalence and risk factors of glaucoma among adults in rural and urban communities of Ilorin West Local Government Area, North-Central Nigeria. This was a cross-sectional comparative study. Respondents were selected through a Multi-stage sampling technique. Interviewer- administered structured questionnaire and clinical report form were used to collect data. Data was analyzed using SPSS version 15. Bivariate, correlation analysis and multivariate regression analyses were used to analyze data. Level of statistical significance was set at p<0.05. The prevalence of glaucoma was higher in the rural, 56 (12.4%), compared with the urban area, 37 (8.2%) with a p value of 0.037. Age of respondents, educational status, hypertension; and intra-ocular pressure, were found to be associated with glaucoma. However, the multivariate regression analysis identified only age and intra-ocular pressure as the two significant predictors of glaucoma in both the rural and urban areas of this study. The high prevalence of glaucoma obtained from this study attest to the high burden of glaucoma in the study communities. Regular community-based eye screening will be useful in early detection of glaucoma. In addition, government should make eye care services available at the primary health care centres at reduced cost to enhance geographical and financial access.

Keywords

Prevalence, Risk Factors, Glaucoma, Nigeria

Reference

[01]	Sanford-Smith J. Glaucoma. In: Eye Diseases in Hot Climates.4^th ed. India: Elsevier. 2003: 298-315.
[02]	Thapa SS, Kelley KH, Rens GV, Paudyal I, Chang L. A novel approach to glaucoma screening and education in Nepal. BMC Ophthalmology. 2008; 8:21.
[03]	Barbara E, Klein K, Klein R, Kathryn L, Lintron P. Intraocular Pressure in an American Community. IOVS 1992; 33(7): 2224-8.
[04]	Krishnaiah S, Kovai V, Srinivas M, Shamanna BR, Rao GN,Thomas R. Awareness of Glaucoma in the Rural Population of Southern India. Ind Jour Ophthalmol. 2005; 53:205-208.
[05]	Le A, Mukesh BN, McCarthy CA, Taylor HR. Risk factors associated with the incidence of open-angle glaucoma: The visual impairment project. IOVS 2003; 44(9):3783-3789.
[06]	Chen SJ, Lu P, Zhang W, Lu JH. High myopia as a risk factor in primary open angle glaucoma. Int J Ophthalmol. 2012; 5(6): 750-753.
[07]	Tenkir A, Solomon B, Deribew A. Glaucoma awareness among people attending ophthalmic outreach services in Southwestern Ethiopia. BMC Opthalmology 2010; 10:17-22.
[08]	Ishikawa M, Sawada Y, Sato N, Yoshitomi T. Risk factors for Primary open-Angle Glaucoma in Japanese subjects attending community health screenings. Available at www.kenes.comLast accessed on 30/4/2011.
[09]	Nduaguba C, Lee RK. Glaucoma screenings: current trends, economic issues, technology, and challenges. Current opinion in Ophthalmology 2006;17:142-152.
[10]	Global Trends in the magnitude of blindness and visual impairment. Bulletin of the World Health Organization. Available at www.who.intLast accessed on 4/4/2011.
[11]	Sivalingam E. Glaucoma: An overview. Journal of Ophthalmic Nursing Technol.1996; 15(1):15-8.
[12]	Lieberman MF. Glaucoma in the World. The Elusive challenges of a major cause of blindness. Cataract & Refractive Surgery Today 2005:62-63.
[13]	Barbie OM. Characteristics of the Nigerian Low vision Population. J Nig Opt Assoc 2004; 11:3-7.
[14]	Resnikoff S, Pararajasegaram R. Blindness prevention programmes: past, present, and future. Bulletin of the World Health Organization 2001; 79: 222-226.
[15]	National Population Commission of Nigeria. Population Distribution by Age and Sex. Report of the 2006 Population and Housing Census. Available at www.population.gov.ng. Last accessed on 5^th May, 2010.
[16]	Ntim-Amponsah CT, Amoaku WMK, Ofosu-Amaah S,Ewusi RK, Idirisuriya-Khair R, Nyatepe-Coo N et al. Prevalence of Glaucoma in an African Population. Eye 2004; 18:491-497.
[17]	Yuan HP, Yu H, Xiao Z, Shao ZB, Zhang XL, Yang BB et al. The prevalence of primary angle-closure glaucoma and its causes in rural area of Shuangyang district in Changchum, Jilin province. Zhonghua Yan Ke Za Zhi 2007; 43(9):775-778.
[18]	Ramakrishnan R, Nirmalan PK, Krishnadas R, Thulasiraj RD, Tielsch JM, Katz J et al. Glaucoma in a rural population of Southern India. Ophthalmology 2003; 110(8):1484-1490.
[19]	Redondo-Sendino A, Guallar-Castillon P, Banegas JR, Rodriguez-Artalejo F. Gender differences in the utilization of health-care services among the older adult population of Spain. BMC Public Health 2006; 6:155-162.
[20]	Adulraheem IS., Oladipo AR, Amodu MO. Prevalence and Correlates of Physical Disability and Functional Limitation among Elderly Rural Population in Nigeria.2010; Volume 2011, Article ID 369894, 13 pages doi:10.4061/2011/369894.
[21]	Singh-Manoux A, Marmot M. Gender differences in the association between morbidity and mortality among middle-aged men and women. Am J Public Health 2008; 98(12): 2251-2257.
[22]	Adegbehingbe BO, Majengbasan TO. Ocular health status of rural dwellers in south-western Nigeria. Aust J. Rural Health 2007; 15(4): 269-272.
[23]	Measure DHS. Nigeria Demographic and Health Survey 2008. United State Agency for International Development. 2009: P 20–96.
[24]	Suh W, Kee C, Namil study group and Korean Glaucoma society. The distribution of intraocular pressure in urban and rural populations: the Namil study in South Korea. Am J Ophthalmol. 2012; 154(1):99-106.
[25]	Sakata K, Maia M, Matsumoto L, Oyamaguchi EK, Carvalho ACA, Knoblauch N et al. Analysis of the intra-ocular pressure in diabetic, hypertensive and normal patients (Glaucoma Project). Arq.Bras. Oftalmol. 2000; 63(3):1-7.
[26]	Wu SY, Leske C. Association with intra-ocular pressure in the Barbados eye study. Arch Ophthalmol. 1997; 115:1572-1576.
[27]	Langman MJS, Lancashire RJ, Cheng KK, Stewart PM. Systemic hypertension and glaucoma: mechanisms in common and co-occurrence. Br J Ophthalmol 2005; 89: 960-963.