Head, Department of Glaucoma and Research, Tilganga Institute of Ophthalmology, Kathmandu, Nepal.
Nepal J Ophthalmol. 2021 Jan;13(25):112-121. doi: 10.3126/nepjoph.v13i1.35606.
Glaucoma is a leading cause of blindness worldwide. The diagnosis and management of glaucoma is especially difficult in the developing countries. Lack of cost effective screening strategies, low income, low rates of literacy and inadequate infrastructures and human resources for eye care services are the obstacles for delivering glaucoma service. Majority of people with glaucoma in developing countries usually present at an advanced stage at the time of diagnosis; which negatively affects their quality of life. Further research, proper allocation of resources and collaborative effort by blindness prevention programs will hopefully provide new evidences on cost effective ways to screen and manage glaucoma in the future. This article aims to highlight the burden of glaucoma and ways to address the challenges in developing countries.
青光眼是全球范围内导致失明的主要原因之一。在发展中国家，青光眼的诊断和管理尤其具有挑战性。缺乏具有成本效益的筛查策略、低收入、低识字率以及眼科保健服务基础设施和人力资源不足，都是提供青光眼服务的障碍。发展中国家大多数青光眼患者在诊断时通常已经处于晚期；这对他们的生活质量产生了负面影响。进一步的研究、资源的合理分配以及防盲规划的协作努力，有望为未来提供有关筛查和管理青光眼的具有成本效益的方法的新证据。本文旨在强调青光眼的负担以及解决发展中国家面临的挑战的方法。
