Middle East African Journal of Ophthalmology

ORIGINAL ARTICLE
Year
: 2022  |  Volume : 29  |  Issue : 1  |  Page : 7--14

The quality of life of medically versus surgically treated primary open-angle glaucoma patients at a Nigerian hospital


Femi C Oduneye1, Kareem O Musa2, Sefinat A Agboola3, Oluwatobi O Idowu4, Adeola O Onakoya2 
1 Department of Ophthalmology, Prince Abdulaziz Bin Musaad Hospital, Arar, Northern Border region, Saudi Arabia
2 Department of Ophthalmology (Guinness Eye Centre), Lagos University Teaching Hospital, College of Medicine of the University of Lagos, Lagos, Nigeria
3 Department of Ophthalmology (Guinness Eye Centre), Lagos University Teaching Hospital, Lagos, Nigeria
4 Product Development Clinical Science, Genentech Inc. South San Francisco, CA, USA

Correspondence Address:
Dr. Femi C Oduneye
Prince Abdulaziz Bin Musaad Hospital, Arar, Northern Border
Saudi Arabia

PURPOSE: The purpose of this study is to compare the quality of life (QoL) of medically treated versus surgically treated primary open-angle glaucoma (POAG) patients attending Lagos University Teaching Hospital, Lagos, Nigeria. METHODS: The study was a hospital-based, comparative cross-sectional study. Consecutive consenting POAG participants who met the inclusion criteria were recruited until the sample size was achieved. QoL of all participants was assessed using the glaucoma QoL-15 and National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) questionnaires. Analysis was done using the IBM statistical package for the social sciences version 25.0. RESULTS: The study involved 81 participants who were only on medical treatment for POAG and 81 age- and sex-matched POAG participants who had trabeculectomy surgery. Surgically treated participants had a lower mean intraocular pressure 11.68 mmHg when compared to the medically treated participants 14.82 mmHg. Medically treated participants however had a better overall mean glaucoma QoL using the glaucoma QoL-15 (medical 34.36 ± 10.4, surgical 39.11 ± 13.9 P = 0.015) and NEI-VFQ-25 questionnaires (medical 68.32 ± 15.0, surgical 62.44 ± 18.8 P = 0.029). Controlling for the severity of glaucoma using the glaucoma QoL-15 questionnaire, medically treated participants had a better QoL only among participants with severe POAG (medical 49.13 ± 5.9, surgical 54.06 ± 4.6 P = 0.003). While using the NEI-VFQ-25 questionnaire, medically treated participants had a significantly better QoL only among participants with moderate (medical 74.70 ± 6.6, surgical 67.07 ± 15.6 P = 0.012) and severe POAG (medical 54.52 ± 6.3, surgical 45.51 ± 10.0 P = 0.004). CONCLUSION: The study demonstrated that although participants that had trabeculectomy had a lower mean intraocular pressure, their overall mean QoL was reduced compared to the medically treated participants.


How to cite this article:
Oduneye FC, Musa KO, Agboola SA, Idowu OO, Onakoya AO. The quality of life of medically versus surgically treated primary open-angle glaucoma patients at a Nigerian hospital.Middle East Afr J Ophthalmol 2022;29:7-14


How to cite this URL:
Oduneye FC, Musa KO, Agboola SA, Idowu OO, Onakoya AO. The quality of life of medically versus surgically treated primary open-angle glaucoma patients at a Nigerian hospital. Middle East Afr J Ophthalmol [serial online] 2022 [cited 2023 Feb 6 ];29:7-14
Available from: http://www.meajo.org/article.asp?issn=0974-9233;year=2022;volume=29;issue=1;spage=7;epage=14;aulast=Oduneye;type=0