The Impact of Glaucoma on the Mental Health of Primary Open-Angle Glaucoma Patients Attending a Teaching Hospital in South East Nigeria.

Journal: Journal of the West African College of Surgeons

Volume: 10

Issue: 2

Year of Publication: 

Affiliated Institutions:  Department of Ophthalmology, Federal Medical Centre, Owerri, Imo State, Nigeria. Department of Ophthalmology, Imo State University, Owerri, Imo State, Nigeria.

Abstract summary 

To evaluate the effect of glaucoma on the mental health of primary open-angle glaucoma patients using Hospital Anxiety and Depression Scale (HADS).This was a hospital-based comparative study in which 180 glaucoma patients and controls 18 years and above who met the inclusion criteria were selected consecutively in the Eye Clinic of Federal Medical Centre, Owerri, Imo State, in 2017. Data were collected using a questionnaire and the HADS protocol. All the participants underwent comprehensive ocular examination, and glaucoma was graded using visual field perimetric indices and mean deviation.The mean age for cases was 58.14 ± 13.88 years, whereas that of the control group was 57.19 ± 13.76 years. The majority of glaucoma respondents had the moderate form of the disease followed by the severe form. The glaucoma patients showed evidence of poor mental health with 59 (32.8%) of them anxious and 39 (21.7%) depressed compared to controls ( < 0.001). The mean scores for anxiety and depression were 6.02 ± 4.8 and 5.20 ± 4.5, respectively, for glaucoma patients, whereas those for the control group were 0.63 ± 1.8 and 0.64 ± 2.1, respectively ( < 0.001). There was no uniform correlation between the mental health of patients and the variables under study.Primary open-angle glaucoma affects the mental health of patients. This effect is worsened by the severity of the disease and influenced by the occupation and educational level of the patients. Multidisciplinary management of primary open-angle glaucoma patients is recommended.

Authors & Co-authors:  Ubochi Chinemerem C CC Achigbu Eberechukwu O EO Nkwogu Florence U FU Onyia Onyinye E OE Okeke Chiamaka J CJ

Study Outcome 

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Statistics
Citations :  Bassi CJ, Galanis JC. Binocular visual impairment in glaucoma. Ophthalmology. 1991;98:1406–11.
Authors :  5
Identifiers
Doi : 10.4103/jwas.jwas_59_21
SSN : 2276-6944
Study Population
Male,Female
Mesh Terms
Other Terms
Glaucoma;impact;mental health
Study Design
Case Control Trial,Cross Sectional Study
Study Approach
Country of Study
Nigeria
Publication Country
India