Evidence map›Paper›PMID 42670513›Full record

ReviewClinical optometry2026

Global Prevalence and Clinical Consequences of Traditional Eye Medicine: A Descriptive Review.

Kgolane Fredson Hlakudi, Pheagane Motsime William Nkoana

Abstract readReview
In one paragraph

Review in Clinical optometry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Kgolane Fredson Hlakudi *Department of Optometry, University of Limpopo, Polokwane, South Africa.ORCID 0009-0008-3698-3017
Pheagane Motsime William Nkoana *Department of Optometry, University of Limpopo, Polokwane, South Africa.ORCID 0000-0003-2086-8002

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Traditional eye medicine (TEM) is widely used in low- to middle-income countries as an accessible, affordable, and culturally accepted approach to eye care. Despite its prevalence, persons using TEM commonly present for formal late for eye care after the onset of significant ocular complications. Purpose: To synthesize evidence on global TEM utilization, perceptions, determinants, types, administration methods, and associated ocular complications. Methods: Google Scholar, ScienceDirect, Scopus, PubMed and grey literature up to September 2025 were used to conduct a comprehensive literature search. Studies reporting on TEM use, perceptions, determinants, remedies, administration, and ocular outcomes were included. Fifty-seven studies met inclusion criteria following systematic screening. Results: TEM prevalence varied widely, from 4.3% in Nigeria to 80% in Ethiopia, with other regions reporting rates of 36-65.7%. TEM was used to manage redness, itching, tearing, pain, poor vision, cataracts, and glaucoma. Remedies included plant extracts, honey, rosewater, milk, salts, animal products, and ritualistic substances, administered topically, orally, dermally, nasally, auricularly, or in combination. Determinants of use include accessibility, affordability, cultural beliefs, family influence, rural residence, and dissatisfaction with modern medicine. Perceptions were generally positive, particularly among older adults and communities with active traditional healers (THs). TEM use was frequently linked to ocular complications such as conjunctivitis, corneal ulcers, microbial keratitis, uveitis, staphyloma, panophthalmitis, and blindness. TEM users often presented later to eye care facilities, resulting in poorer visual outcomes compared to non-users. Conclusion: TEM remains a culturally entrenched and widely used form of eye care but carries substantial risks of ocular morbidity and vision loss. Reducing harmful outcomes requires strengthening access to formal eye care, educating communities, and engaging THs to promote safe practices.

Indexed as

determinantseye careocular complicationsperceptionsTEMTraditional eye medicine

Identifiers

PMID42670513
PMCPMC13526373

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.