A Cross-Sectional Study on Glaucoma Awareness and Knowledge among Spectacle Users and Non Users in an Ophthalmology Outpatient Setting in Kerala

Authors

  • Devika K Assistant Professor, Department of Ophthalmology, Government Medical College, Palakkad, Kerala, India. Author
  • Smitha M Assistant Professor, Department of Ophthalmology, Government Medical College, Palakkad, Kerala, India. Author
  • A M Raja Professor & HOD, Department of Ophthalmology, Government Medical College, Palakkad, Kerala, India. Author
  • Dhanya Lecturer, Department of Ophthalmology, Government Medical College, Palakkad, Kerala, India. Author

DOI:

https://doi.org/10.48165/ajm.2021.4.02.18

Keywords:

Glaucoma, Spectacle Users, Health Literacy, Blindness Pre vention, Screening

Abstract

Background Glaucoma remains a leading cause of irreversible blindness globally. While general population awareness studies exist, few have analysed the influence of prior interaction with eye care services through spectacle correction. Spectacle users theoretically have greater exposure to eye health education Objectives To compare the awareness and knowledge levels regarding glaucoma between spectacle users and non-spectacle users attending a tertiary care centre. Methods A hospital-based cross-sectional study was conducted from January 2021 to June 2021 in the Ophthalmology Outpatient Department (OPD) at Government Medical College Palakkad in Kerala. A total of 400 participants aged >40 years were recruited and divided into two groups: Group A (Spectacle Users, n=200) and Group B (Non-Spectacle Users, n=200). Data was collected using a pre-tested, structured questionnaire. Chi-square tests were used for statistical analysis. Results Awareness of glaucoma was significantly higher in Group A (62.5%) compared to Group B (21.5%) (p<0.001). Among those aware, knowledge regarding high intraocular pressure (IOP) as a risk factor was identified by 58.4% of Group A compared to only 27.9% of Group B. Misconceptions were prevalent in the non-spectacle group, with 65.1% equating glaucoma with cataracts, versus 32.8% in the spectacle group. The primary source of information for Group A was eye care professionals (52%), whereas Group B relied heavily on friends and media (78%). Conclusion: There is a stark disparity in health literacy regarding glaucoma between spectacle and non-spectacle users. Routine visits for refractive correction serve as a vital entry point for health education. Public health strategies must specifically target emmetropic individuals or those using over-the-counter reading glasses who bypass professional eye .

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References

1. Weinreb RN, Aung T, Medeiros FA. The pathophysiology and treatment of glaucoma: a review. JAMA 2014;311(18):1901-11.

2. Quigley HA, Broman AT. The number of people with glaucoma worldwide in 2010 and 2020. Br J Ophthalmol 2006;90(3):262- 7.

3. George R, Ve RS, Vijaya L. Glaucoma in India: estimated bur den of disease. J Glaucoma. 2010;19(6):391-7.

4. Dandona R, Dandona L, John RK, et al. Awareness of eye dis

eases in an urban population in southern India. Bull World Health Organ 2001;79(2):96-102.

5. Krishnaiah S, Kovai V, Srinivas M, et al. Awareness of glauco ma in the rural population of Southern India. Indian J Oph thalmol 2005;53(3):205-8.

6. Baky MM, AlZahrani H. Knowledge and Awareness of Glau coma among Spectacle Wearers in Saudi Arabia. Int J Med Res Prof.2017;3(4):112-6.

7. Topouzis F, Coleman AL, Harris A, et al. Factors associated with undiagnosed open-angle glaucoma: the Thessaloniki Eye Study. Am J Ophthalmol 2008;145(2):327-35.

8. Sathyamangalam RV, Paul PG, George R, et al. Determinants of glaucoma awareness and knowledge in urban Chennai. In dian J Ophthalmol 2009;57(5):355-60.

9. Aleixo PJC, Sena DF, Kara-Júnior N. Evaluation of glaucoma knowledge and its determinants in patients attending a tertia ry care hospital. Arq Bras Oftalmol 2019;82(6):495-500.

10. Altangerel U, Nallamshetty HS, Uhler T, et al. Knowledge about glaucoma and barriers to follow-up care in a com munity glaucoma screening program. Can J Ophthalmol 2003;38(1):66-72.

11. Pfeiffer N, Krieglstein GK. The anatomy of the optic nerve head in glaucoma. Graefes Arch Clin Exp Ophthalmol 2016;254(5):1021-5.

12. Rewri P, Kakkar M. Awareness, knowledge, and practice: A survey of glaucoma in north Indian rural residents. Indian J Ophthalmol 2014;62(4):482-6.

13. Prabhu M, Kang JM. The role of optometry in the early detec tion of glaucoma. Clin Exp Optom 2020;103(1):34-42. 14. Gasch AT, Wang P, Pasquale LR. Determinants of glau coma awareness in a general eye clinic. Ophthalmology 2000;107(2):303-8.

15. Livingstone I, Tarbert J, Giardini ME, et al. Refractive error and the risk of un-diagnosed glaucoma. Ophthalmic Epidemi ol 2012;19(3):150-6.

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Published

2021-08-16

How to Cite

A Cross-Sectional Study on Glaucoma Awareness and Knowledge among Spectacle Users and Non Users in an Ophthalmology Outpatient Setting in Kerala . (2021). Academia Journal of Medicine, 4(2), 78-82. https://doi.org/10.48165/ajm.2021.4.02.18