Malawi Medical Journal
College of Medicine, University of Malawi and Medical Association of Malawi
Vol. 26, No. 3, 2014, pp. 60-62
Bioline Code: mm14015
Full paper language: English
Document type: Research Article
Document available free of charge
Malawi Medical Journal, Vol. 26, No. 3, 2014, pp. 60-62
© Copyright 2014 - Malawi Medical Journal
Presentation of Primary Open Angle Glaucoma (POAG) at Lions Sight First Eye Hospital in Blantyre, Malawi|
Kayange, P. C.; Nkume, H. B.; Feyi-Waboso, A.; Kalua, K.; Msukwa, G. & Schwering Schulze, M.
Primary open angle glaucoma (POAG) is the most common type of glaucoma in
Africa. We carried out a study to determine the clinical presentation pattern of
patients with primary open angle glaucoma (POAG) at a tertiary hospital in Malawi.
A cross-sectional study
Lions Sight First Eye Hospital—a major referral and teaching state eye hospital in
Study participants were newly diagnosed POAG patients at specialist eye clinic
during study period.
A total of 60 POAG patients were recruited into the study. The mean age was 58.7
years (SD= 16.6, range 18 - 86). There were more male (44, 73.3%) than female (16,
27.7%) patients. The majority of patients (73%) presented one year after onset of
visual symptoms. Twenty-six patients (43%) had unilateral blindness (visual acuity
< 3/60; WHO classification), while nine patients (15%) presented with bilateral
blindness. A vertical cup-to-disc ratio (CDR) of 0.8 or worse was seen in 92 eyes
(79%). The mean intraocular pressure (IOP) reading was 35.5 mmHg (SD 13.30).
Of the thirty-three eyes that successfully underwent visual field analysis, very
advanced defects were recorded in 12 eyes (36%).
This study demonstrates delayed presentation and male predominance among
POAG patients at a tertiary eye hospital in Malawi. Glaucoma intervention
programmes should aim at identifying patients with treatable glaucoma with
particular attention to women.
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