AWARENESS OF GLAUCOMA AND PERCEIVED BARRIERS TO SCREENING AMONG OPHTHALMOLOGY OUTPATIENTS IN JODHPUR
Main Article Content
Keywords
Patient Awareness, Barriers to Screening, Glaucoma, Ophthalmology, Public Health.
Abstract
Background: As a leading cause of irreversible blindness globally, glaucoma frequently advances silently until late in its disease course and represents an immense physical and psychological burden for patients. Early diagnosis through population-based screening is crucial; however, knowledge and participation in screening activities are often poor.
Objective: Objective: This study aimed to assess the knowledge of glaucoma and perceived barriers to glaucoma screening among ophthalmology outpatients in Jodhpur, India.
Methods: A cross-sectional survey was conducted among 390 ophthalmology outpatients using a structured questionnaire. Data were analysed using descriptive statistics, the Chi-square test, and the independent sample t-test.
Results: The majority of the participants were over 45 years (75.4%) and mostly urban dwellers (57.4%). Despite the fact that 98.2% were aware of glaucoma, only 21% had high awareness. The chi-square test indicated that the relationship between education and knowledge was significant, χ²(8, N = 390) = 250.70, p < 001, had a large effect size (Cramér’s V=0.40). An independent samples t-test revealed that those participants who had not received a screening examination perceived more barriers than their counterparts (t(388)=6.03, p<. 001, d=0.7). The major barriers were high cost of eye tests (55.4%), dread for diagnosis (17.7%) and no perceived need (11.3%).
Conclusion: Although glaucoma is well known, awareness is superficial, and attendance was poor for the screening. The level of education was strongly associated with awareness, and perceived barriers were very problematic, including both financial and psychological ones. Measures to address health literacy, lower economic barriers, and implement community-based eye screenings are crucial to reducing blindness in primary eyes.
References
2. Krishnaiah, S., Das, T., & Thomas, R. (2005). Awareness of glaucoma in the rural population of southern India. Indian Journal of Ophthalmology, 53(3), 315–321. https://doi.org/10.4103/0301-4738.25743. PubMed
3. Kovai, V., Krishnaiah, S., Shamanna, B. R., Thomas, R., Rao, G. N., & Thulasiraj, R. D. (2007). Barriers to accessing eye care services among visually impaired populations in rural Andhra Pradesh, South India. Indian Journal of Ophthalmology, 55(5), 365–371. https://doi.org/10.4103/0301-4738.33823. PubMed
4. Nangia, V., Jonas, J. B., Sinha, A., Khanna, R. C., & Gupta, V. (2013). Prevalence and associated factors of glaucoma in rural central India — the Central India Eye and Medical Study. PLOS ONE, 8(11), e76434. https://doi.org/10.1371/journal.pone.0076434. PLOS
5. Gogate, P., Deshpande, R., Chelerkar, V., Deshpande, S., & Deshpande, M. (2011). Is glaucoma blindness a disease of deprivation and ignorance? A case–control study for late presentation of glaucoma in India. Indian Journal of Ophthalmology, 59(1), 29–35. https://doi.org/10.4103/0301-4738.73720. PMC
6. Rewri, P., Kaur, S., & Dutta, S. (2023). Towards better management of glaucoma in India. Indian Journal of Ophthalmology, 71(2), 459–464. https://doi.org/10.4103/ijo.IJO_3280_22. PMC
7. Meethal, N. S. K., & colleagues. (2024). Barriers and potential solutions to glaucoma screening in developing countries. The Glaucoma Journal, 1(1), 12–21. (Article/Review). PubMed
8. Killeen, O. J., Pillai, M. R., Udayakumar, B., et al. (2020). Understanding barriers to glaucoma treatment adherence among participants in South India. Ophthalmic Epidemiology, 27(3), 200–208. https://doi.org/10.1080/09286586.2019.1708121. PubMed
9. Newman-Casey, P. A., Robin, A. L., Blachley, T., et al. (2015). The most common barriers to glaucoma medication adherence: a cross-sectional survey. Ophthalmology, 122(7), 1308–1316. https://doi.org/10.1016/j.ophtha.2015.03.026. PMC
10. De-Gaulle, V. F., & Dako-Gyeke, P. (2016). Glaucoma awareness, knowledge, perception of risk and eye screening behaviour among residents of Abokobi, Ghana. BMC Ophthalmology, 16, 204. https://doi.org/10.1186/s12886-016-0376-0. BioMed Central
11. Soqia, J., & colleagues. (2023). Awareness and knowledge of glaucoma among visitors of a tertiary hospital: implications for screening and public health. BMC Ophthalmology. (2023) — article examining knowledge and screening behaviour. BioMed Central
12. Belete, B. K., & colleagues. (2022). Determinants for late presentation of glaucoma among adult patients: a case–control study. PLOS ONE. (2022) — examines late presentation and social determinants relevant to screening uptake. PLOS
13. Nangia, V., Jonas, J. B., Sinha, A., et al. (2013). Prevalence and risk factors for glaucoma in India: large population-based evidence and implications for screening. PLOS ONE. (See Nangia et al., 2013 for prevalence data and screening implications). PLOS
14. World Health Organization. (2019). World report on vision. World Health Organization. https://www.who.int/publications-detail-redirect/world-report-on-vision. World Health Organization
15. Centers for Disease Control and Prevention (CDC). (2024). Glaucoma — basic information. CDC Vision and Eye Health. https://www.cdc.gov/vision-health/about-eye-disorders/glaucoma.html. CDC
16. Newman-Casey, P. A., et al. (2015). (Supplementary) Patient-focused barriers to glaucoma care and medication adherence — a broad literature base summarizing forgetfulness, cost, difficulty instilling drops, misconceptions about need/effectiveness. Ophthalmology / PMC sources. PMC+1
17. Bott, D., et al. (2023). Barriers and enablers to medication adherence in glaucoma: a systematic synthesis. Ophthalmic & Physiological Optics / Open Access review. (2023) — conceptual framework of barriers (knowledge, skills, resources, memory). City Research Online
18. Kovai, V., & colleagues. (2007). (Supporting evidence) Structural, financial and social barriers — large survey evidence from rural South India showing economic and personal barriers to eye care uptake. Indian Journal of Ophthalmology. Lippincott Journals

