Survey of glaucoma in an eye clinic in Ghana, West Africa

J Glaucoma. 2002 Oct;11(5):421-5. doi: 10.1097/00061198-200210000-00009.


Purpose: To report the various types of glaucoma among West African patients presenting to an eye clinic in Ghana.

Methods: A complete evaluation was performed in 198 consecutive Ghanaian glaucoma patients. Main outcome measures included intraocular pressure, visual acuity, gonioscopy findings, visual field, and total number of glaucoma medications.

Results: The most common form of glaucoma was primary open-angle glaucoma (44.2%). Open-angle glaucoma suspects also comprised a large percentage of the group (30.5%). Chronic angle-closure glaucoma was diagnosed in 6.6% of the patients.

Conclusions: Primary open-angle glaucoma is the most common form of glaucoma being treated in this outpatient eye clinic in Ghana. Chronic angle-closure glaucoma was the second most common form of glaucoma in this series and was usually undiagnosed due to a lack of gonioscopic evaluation. Gonioscopy is an important diagnostic tool that should be promoted to guide more effective glaucoma treatment in this region. Pseudoexfoliation and pseudoexfoliation-associated glaucoma were not seen in this population.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Aged
  • Ambulatory Care Facilities / statistics & numerical data
  • Female
  • Ghana / epidemiology
  • Glaucoma / epidemiology*
  • Gonioscopy
  • Health Surveys
  • Humans
  • Intraocular Pressure
  • Male
  • Middle Aged
  • Ophthalmology / statistics & numerical data
  • Visual Fields