Glaucoma in Sub-Saharan Africa: Epidemiology

A brilliant study from Kenya. J Glaucoma. Author manuscript; available in PMC 2019 May 1.
Published in final edited form as:
J Glaucoma. 2018 May; 27(5): 455–463.
doi: 10.1097/IJG.0000000000000941
PMCID: PMC5933523
PMID: 29557831
Glaucoma features in an East African population: a six-year cohort study of older adults in Nakuru, Kenya.

Prevalence of Glaucoma: slightly more than 4,0%.

Challenges in Africa good outlined:

Management of glaucoma remains a major challenge in SSA with limited availability and poor adherence to medical treatment when available. A primary surgical approach has problems also, in that patients presenting due to visual loss in one eye need to be persuaded to undergo surgery, most frequently with direct financial costs to them, in the other eye which they do not as yet consider to have a problem. The operation of choice, trabeculectomy augmented by antimetabolites, does not improve the vision in most cases, but in fact can lead to visual acuity reduction. Identification of new treatment options in Africa therefore remains a priority.