Outcome of Glaucoma Drainage Device Surgeries in Nigeria
- PMID: 40717058
- DOI: 10.4103/njcp.njcp_328_25
Outcome of Glaucoma Drainage Device Surgeries in Nigeria
Abstract
Background: Glaucoma is the leading cause of functional low vision and irreversible blindness in Nigeria and constitutes a significant public health burden. Glaucoma Drainage Devices(GDD) an increasingly popular option for glaucoma treatment and are relatively new in Nigeria.
Aim: To evaluate the clinical outcomes, number of anti-glaucoma medications and complications in patients who had glaucoma drainage devices implants from a certified skills transfer training program.
Methods: This was a one year retrospective case series review of patients with GDD implants during a skills transfer certification training program in Nigeria in 2023.
Results: Twenty three participants made up of 14 males and 9 females with a mean age of 57.6 SD 14.7 underwent a GDD surgical procedure. The mean pre-operative intraocular pressure of the participants was 23.6±8.7, which dropped to 14 mmHg ± 4.9 mmHg at one year (P = 0.007). The average number of medications of the participants before the GDD implants was 3.3±0.9, and this reduced to 1.4 ± 1.3 medication at one year (P = 0.003). One patient had scleral melting and another had accelerated cataract with tube-cornea touch.
Conclusion: The satisfactory clinical outcome from this procedure justifies the benefits of GDD surgical skill transfer program. We recommend the use of GDD implants as a treatment option for glaucoma in Nigeria.
Keywords: Glaucoma; Nigeria; glaucoma drainage device; outcome; surgeries.
Copyright © 2025 Nigerian Journal of Clinical Practice.
References
REFERENCES
-
- Foster PJ, Buhrmann R, Quigley HA, Johnson GJ. The definition and classification of glaucoma in prevalence surveys. Br J Ophthalmol 2002;86:238–42.
-
- MEDIA | Federal Ministry of Health and Social Welfare. Available from: https://www.health.gov.ng/Glaucomaweek.[Last accessed on 2024 Aug 17].
-
- Kyari F, Entekume G, Rabiu M, Spry P, Wormald R, Nolan W, et al. A Population-based survey of the prevalence and types of glaucoma in Nigeria: Results from the Nigeria National Blindness and Visual Impairment Survey. BMC Ophthalmol 2015;15:176.
-
- Quigley HA, Buhrmann RR, West SK, Isseme I Scudder M, Oliva MS. Long term results of glaucoma surgery among participants in an east African population survey. Br J Ophthalmol 2000;84:860–4.
-
- WHO global health emergency appeal: Nigeria. Available online from https://www.who.int/publications/m/item/who-global-health-emergency-appe.... [Last accessed on 2024 Aug 17].
MeSH terms
LinkOut - more resources
Full Text Sources
Medical