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ArticleInternational ophthalmology2020

Glaucoma care and follow-up in sub-Saharan Africa: Is there a need for modification of counselling practices to improve awareness, knowledge and treatment acceptance profiles? A prospective cross-sectional study.

Nkechi Judith Uche, Nnenma N Udeh, Chimdi M Chuka-Okosa, Nkiru N Kizor-Akaraiwe, Enoch O Uche

Registry-linked trialAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in International ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07690397 (GLAUCO-TECH Study), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07690397 phase4active not recruitingnot on this mapstarted 2026, after this paper: background citation

GLAUCO-TECH Study: Safety & Efficacy of Preservative-free vs. Preserved Dorzolamide-Timolol-Brimonidine. Impact on the Ocular Surface, Glaucoma Progression, Tear Proteomics, and AI/Chatbot-led Patient Follow-up.

TypeinterventionalSponsorTecnoquimicasRan2026 to 2027Enrolled140ConditionsPrimary Open-Angle Glaucoma (POAG), Ocular HypertensionArmsPreservative-free dorzolamide-timolol-brimonidine combination, Preservative dorzolamide-timolol-brimonidine combination
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Nkechi Judith UcheDepartment of Ophthalmology, College of Medicine, University of Nigeria, Ituku/Ozalla Campus, Enugu, 400001, Nigeria. amazingnkechi@yahoo.com.ORCID http://orcid.org/0000-0002-3333-060X
Nnenma N UdehDepartment of Ophthalmology, College of Medicine, University of Nigeria, Ituku/Ozalla Campus, Enugu, 400001, Nigeria.
Chimdi M Chuka-OkosaDepartment of Ophthalmology, College of Medicine, University of Nigeria, Ituku/Ozalla Campus, Enugu, 400001, Nigeria.
Nkiru N Kizor-AkaraiweDepartment of Ophthalmology, College of Medicine, ESUT, Parklane, Enugu, Nigeria.
Enoch O UcheDepartment of Surgery, College of Medicine, University of Nigeria, Ituku/Ozalla Campus, Enugu, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBlindness from glaucoma is prevalent in parts of Africa. Lack of awareness, late diagnosis, poor acceptance and compliance to treatment as well as unorthodox care practices are among many contributing factors. Strategies that improve glaucoma awareness and treatment acceptance are required to resolve this trend. PURPOSE: To evaluate the influence of counselling on glaucoma awareness, willingness to accept glaucoma surgery and eye care practices among primary open-angle glaucoma patients on medical treatment.

methodsA prospective cross-sectional interviewer-administered questionnaire-based study evaluating the demographics, glaucoma awareness, acceptance of operative care and use of traditional eye medications among patients with primary open-angle glaucoma on medical treatment followed up over a 12-month period.

resultsA total of 120 eligible participants were recruited. Glaucoma awareness and basic knowledge were 93.3 and 12%, respectively. Educational attainment and positive family history were associated with glaucoma awareness (p = 0.027 and p = 0.042, respectively). Seventy-five (62.5%) participants accepted glaucoma surgery as a treatment option. However, the duration of medical treatment was inversely related to the acceptance of glaucoma surgery (odds ratio = - 0.390, p = 0.009). Twelve (10.5%) participants use traditional eye medication for their current eye problem.

conclusionGlaucoma counselling should be performed with a content template that delivers all relevant information to patients and caregivers. This will bridge gaps in knowledge and improve the early presentation, acceptance of glaucoma surgery and eye care practices.

Indexed as

AwarenessHealth Knowledge, Attitudes, PracticePatient Acceptance of Health CarePatient ComplianceAdultAfrica South of the SaharaAgedAged, 80 and overCross-Sectional StudiesFemaleFiltering SurgeryFollow-Up StudiesGlaucomaHumansIncidenceIntraocular PressureCounselling practicesGlaucoma awarenessGlaucoma surgeryTreatment acceptance

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.