Use Of Traditional Eye Medicines Research Articles

Prevalence of traditional eye medicine and self-treatment in Gurage Zone, Rural Ethiopia

IntroductionTraditional medicines are commonly used worldwide, especially in Africa—however, there is limited information on the prevalence and types of traditional eye medicine utilization in Ethiopia. The goal of this study was to determine the prevalence, the type and nature of traditional eye medicine use and practices related to self-medication for ophthalmic diseases in a rural Ethiopian population.MethodsA cross-sectional study was conducted in six randomly selected primary health centers in rural Gurage Zone, Southern Ethiopia. Health-seeking behavior, use of self-medication, and traditional eye medicine were assessed in the population using a semi-structured questionnaire.Descriptive statistics and multivariable logistic regression analysis were computed to determine associated factors for using self-medication and traditional eye medicine.ResultOf the 814 participants interviewed, 487 (59.8%) reported using traditional eye medicine, mainly for combinations of symptoms of ocular redness, irritation, and eye discharge (95.5%). Besides, 604 (74.2%) participants reported self-treatment with tetracycline 1% eye ointment. Older age, females, low income, no formal education, and lack of access to media were risks for utilizing traditional eye medicine.ConclusionThe use of traditional eye medicine and self-treatment are common in this population. Regulatory legislation, public awareness, and making eye care are vital activities required to monitor such practices.

Ocular complications and associated factors among traditional eye medicines users attending the eye clinic at Mulago national referral hospital, Uganda.

Over the past decades there has been a phenomenal increase in the use of Traditional Eye medicines (TEM) worldwide and there are several factors that compel patients to use TEM. We conducted a study to determine the types of traditional eye medicine, ocular complications, and associated factors among traditional eye medicine users at the Mulago National Referral Hospital (MNRH) eye clinic. A hospital-based cross-sectional study among TEM users at MNRH eye clinic from June to August 2021. Epi Data version 4.2 and STATA version 15 used for analysis. A modified Poisson regression with robust standard errors was used to determine the associated factors. Overall, 182 TEM users (males:53.3%) were enrolled, with a mean age of 36±21SD years. The most frequently used type of TEM were plant products (47.8%). 70% of TEM users had ocular complications, the most frequent manifestation was conjunctivitis (53.9%). Ocular complications were significantly associated with living in the urban areas (p< 0.006) and participants who reported ease and availability of TEM (p < 0.001). Plant-based products were the most frequently used types of TEM, a large proportion of the TEM users were found with sight-threatening ocular complications.

Knowledge, attitude and practice of traditional eye medicine use among patients attending a tertiary care hospital

Purpose This study is intended to assess Knowledge, Attitude and Practice of traditional eye medicine (TEM) use among the patients attending a tertiary care hospital. Settings and design Hospital-Based, Cross-Sectional, Observational Study Methods and material Questionnaire-based assessment of knowledge, attitude and practice regarding TEM use. Results TEM usage was not gender-dependent. The dependent factors were age, marital status, religious beliefs and socio-economic status. Married and lower socio-economic status participants were more prone to seek TEM. Commonly used TEM were, rose water (31.3%), castor oil (17.9%) and Cucumber (14.9%). 35.8% used TEM following foreign body falling into eye. The commonest symptoms for using TEM were redness (73.1%) and watering (59.7%). 71.64% sought TEM following acquaintances’ advice. 43.28% self-medicated. 87.1% did not have any improvement in symptoms following use of TEM. 58.2% consulted an ophthalmologist within 1 week of no improvement in initial symptoms/following complications from TEM usage. Lack of knowledge was the commonest reason quoted for delay in consultations. Conclusions TEM is ineffective, cause ocular complications and can even lead to irreversible blindness. This study gives us an in-depth idea on the need for health education, awareness and reform policies to improve eye health.

Prevalence of traditional eye medicine use and its associated factors among adult ophthalmic patients in Gondar region of Ethiopia in 2020

: Traditional medicines are commonly used throughout the world, especially in Africa. About 13.2–82.3% of the population uses traditional eye medicine. These are forms of biologically based therapies, practices, or partially processed agents that are applied to the eye or administered orally to achieve a desired ocular therapeutic effect. To determine the prevalence and associated factors of traditional eye medicine use among adult ophthalmic patients attending the University of Gondar Comprehensive Specialized Hospital-Tertiary Eye Care and Training Center, Northwest Ethiopia, 2020. A cross-sectional study within the hospital was conducted on 502 newly admitted adult ophthalmic patients who were selected by using a systemic random sampling method from August 15 to 21 October 2020. Of the total (502) subjects, 93.1% of subjects participated in the study. From the total participants, 22.31% (112) (95% confidence interval (CI: 19–26%)) used traditional eye medicine in the past two years. Positive family history of traditional eye medicine use (Adjusted odds ratio(AOR = 11.1(95% CI: 4.8–25.6)), availability of traditional healers (AOR = 3.7 (95% CI: 1.6–8.6)), residency in the rural (AOR = 24.9 (95% CI: 10.4–59.7)), family income of 300–1,500 adjusted odds ratio (AOR) = 6.6 (95% CI: 1.9–22.9)), and ≥ 6 months (AOR = 8.5 (95% CI: 3.02–23.7) were significantly associated with traditional eye medicine use The driving issues for using TEM were the availability and costs of modern medicine. The prevalence of TEM is higher than in the previous study conducted in Ethiopia.

Prevalence of self-medication use, and the attitude and practices toward traditional eye medicines regarding eye symptoms

Background: Self-medication is defined by the World Health Organization (WHO) as the selection and use of medicines by individuals to treat self-recognized illnesses or symptoms [4]. Use of traditional eye medicines or ophthalmic medicines without the supervision of an ophthalmologist may have adverse effects on the patient’s visual outcome. It is well known that this attitude and practice carries pharmacological and toxicological risks, such as a delayed diagnosis or inappropriate treatment, causing side-effects, intoxication or harmful drug interactions, which can aggravate the individual’s condition and eventually negatively impact the patient’s visual prognosis [5]. Materials and methods: The study was a cross-sectional study. All data was collected using an online self-designed questionnaire that contained demographic data, such as the patient’s age, gender and level of education. There were also questions regarding the knowledge, attitude and practice of using over-the-counter (OTC) eye medication and TEM use among the Saudi population living in the Kingdom of Saudi Arabia. Result: The study sample included 894 respondents. Results showed that in the past 12 months, only 6.82% of respondents used eye medications without visiting an ophthalmologist. The most common self-prescribed medications were anti-allergic and antibiotics. The results revealed that 148 respondents had previously used TEMs (16.4%). The majority of respondents (86.6%) preferred medications over TEM to treat eye diseases. Key words: self-medication, traditional eye medication, Saudi Arabia, ophthalmology, eye

Attitude Towards Traditional Eye Medicine and Associated Factors Among Adult Ophthalmic Patients Attending University of Gondar Comprehensive Specialized Hospital-Tertiary Eye Care and Training Center, Northwest Ethiopia.

BackgroundTraditional eye medicine is a form of biologically based therapies, practices, or partially processed organic or inorganic agents that can be applied to the eye and lead to a blinding complication. Attitude towards those medicines plays a pertinent role in the practice of those traditional eye medicines.ObjectiveTo determine attitude towards traditional eye medicine and associated factors among adult ophthalmic patients attending University of Gondar Comprehensive Specialized Hospital-Tertiary Eye Care and Training Center, Northwest Ethiopia, 2020.MethodsA hospital-based cross-sectional study was conducted on 417 newly presenting adult ophthalmic patients who were selected by using a systematic random sampling method from June 22 to August 11, 2020. The data from the interview-based structured questionnaire were entered into Epi Info 7 and analyzed by SPSS 20. Frequency and cross-tabulations were used for descriptive analysis. Association between variables was analyzed using binary logistic regression through the enter method with a 95% confidence interval.ResultsA total of 417 subjects with a 98.8% response rate have participated in the study. Of the total study subjects, 60.7% (253) (95% CI: 19–26%) had a positive attitude towards traditional eye medicine. Residing in a rural area (AOR=6.46 (95% CI: 2.89–14.45)), positive family history of traditional eye medicine use (AOR=8.01 (95% CI: 4.17–15.37)) and availability of traditional healer (AOR=19.43 (95% CI: 12.06–31.64)) were significantly associated with a positive attitude towards traditional eye medicine.Conclusion and RecommendationMost adult ophthalmic patients had a positive attitude towards traditional eye medicine. Residing in a rural, availability of a traditional healer, and positive family history of traditional eye medicine use had a significant positive association with a positive attitude. Educating the traditional healers on safe practices is crucial in reducing the burden.

Attitude and its Associated Factors among Adults towards Traditional Eye Medicine in Gondar City, Northwest Ethiopia: A Cross-sectional Study

Abstract Background: Traditional medicines are commonly practiced in Africa. It is believed to be alternative health care used in the developing world. It is a more widely available and affordable alternative to pharmaceutical drugs. In Africa, about 13.2- 82.3% of the population utilizes traditional eye medicine. This study aimed to assess attitude and its associated factors among adults towards traditional eye medicine in Gondar city, North West Ethiopia. Methods: A community-based cross-sectional study was conducted on 600 study participants using a pre-tested structured questionnaire. Data analysis was performed using Statistical Package for Social Sciences (SPSS) version 20 computer software. Association and strength between the outcome variable and independent variables were determined using the odds ratio with a 95 % confidence interval. Results: A total of 633 subjects were included in the study with a 95 % response rate. From the total study subjects, 292 (48.7 %) (95% CI: 44.7-52.7%)) had a good attitude towards traditional eye medicine use. Variables like being male (AOR=2.00(95% CI: 1.23-2.68)), family history of traditional eye medicine use (AOR=3.31(95% CI: 2.01-5.47)), availability of traditional healer (AOR=1.81(95% CI: 1.12-2.95)) and absence of health insurance (AOR=1.63(95% CI: 1.14-2.55)) were variables significantly associated with good attitude towards traditional eye medicine use. Conclusion: The result of this study shows that attitude towards traditional eye medicine use for the treatment of eye disease was fairly good. It indicates that almost half of the study participants had a good attitude towards traditional eye medicine use. Even though the attitude is fairly good, still it needs improvement. Male sex, family history of traditional eye medicine use, availability of traditional healers, and absence of health insurance had a statistically significant relationship with good attitude towards traditional eye medicine use. Community awareness creation through the joint up effort by the health ministry of Ethiopia and traditional healers about traditional eye medicine use can help to build the right perception and reduce the risk of complications. Keywords: Attitude, Traditional Eye Medicine, Gondar City, Ethiopia

Ocular Complications Resulting from the Use of Traditional Herbal Medicine in Central Saudi Arabia: A Review.

The present paper reviewed the ocular complications resulting from the use of traditional eye medicine in Central Saudi Arabia. We performed a literature search of the PubMed database using the keywords “traditional medicine,” “herbal medicine,” “ocular injuries,” and “visual impairments,” covering all years available for peer-reviewed full-text articles, letters, and review chapters of books. An additional search was performed in Google Scholar. All published materials were in English. Several ocular symptoms and disorders, including conjunctival cicatrization, symblepharon formation, obliteration of the fornices and the canaliculi, keratinization of the cornea, dryness, central corneal thinning, and corneal epithelial defect, have been associated with the use of traditional herbal medicine. In addition, the use of traditional eye medicine may result in corneal edema, opacity, ulceration, and perforation. Early recognition of ocular injuries could avoid or at least delay long-term sequelae. Ophthalmologists should be aware of the side effects of traditional remedies. Furthermore, public education, early detection of symptoms, and timely intervention may prevent permanent damage to the eyes.

Practice and Associated Factors among Adult Residents towards Traditional Eye Medicine in Gondar City, North West Ethiopia

Traditional medicines are commonly used in Africa. About 13.2–82.3% of the population use traditional eye medicine. The aim of this study was to assess practice and associated factors among adult residents towards traditional eye medicine in Gondar city, North West Ethiopia. Methods. A community-based cross-sectional study was conducted on 600 participants by using a pretested structured questionnaire. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 20 computer software. Association and strength between dependent and independent variables were determined using odds ratio with a 95% confidence interval. Results. A total of 600 respondents participated in the study with a 95 % response rate. From the total study participants, 73 (12.2%) (95% CI: 10–15%) had used traditional eye medicine in the past two years. Variables such as being unmarried (AOR = 0.48 (95% CI: 0.17–0.83)), being illiterate (AOR = 5.40 (95% CI: 5.3–12.3)), living in traditional healers available area (AOR = 2.84 (95% CI: 1.44–7.56)), poor access to modern eye care services (AOR = 2.11 (95% CI: 1.06–4.19)), and positive family history of traditional eye medicine use (AOR = 4.00 (95% CI: 1.84–8.67)) were significantly associated with traditional eye medicine practice. Conclusion. The proportion of traditional eye medicine practice was low in the past two years in Gondar city, Ethiopia, as compared to most African and Asian studies like south East Nigeria and Nepal, respectively. This may be due to the presence of tertiary eye care centers in the city that lets the residents prefer modern eye medicines over traditional eye medicines. Positive family history of traditional eye medicine use, being unmarried, being illiterate, poor access to modern eye care service, and availability of traditional healers had a significant association with the practice of traditional eye medicine. Community awareness about traditional eye medicine use is important to reduce the risk of complications even if the proportion is low.

Use of Traditional Eye Medicine and Self-Medication among Population of Taif City, Saudi Arabia : A Cross Sectional Study

Use of Traditional Eye Medicine and Self-Medication among Population of Taif City, Saudi Arabia : A Cross Sectional Study

Epidemiology of Microbial Keratitis in Uganda: A Cohort Study

ABSTRACTPurpose: To describe the epidemiology of Microbial Keratitis (MK) in Uganda.Methods: We prospectively recruited patients presenting with MK at two main eye units in Southern Uganda between December 2016 and March 2018. We collected information on clinical history and presentation, microbiology and 3-month outcomes. Poor vision was defined as vision < 6/60).Results: 313 individuals were enrolled. Median age was 47 years (range 18–96) and 174 (56%) were male. Median presentation time was 17 days from onset (IQR 8–32). Trauma was reported by 29% and use of Traditional Eye Medicine by 60%. Majority presented with severe infections (median infiltrate size 5.2 mm); 47% were blind in the affected eye (vision < 3/60). Microbiology was available from 270 cases: 62% were fungal, 7% mixed (bacterial and fungal), 7% bacterial and 24% no organism detected. At 3 months, 30% of the participants were blind in the affected eye, while 9% had lost their eye from the infection. Delayed presentation (overall p = .007) and prior use of Traditional Eye Medicine (aOR 1.58 [95% CI 1.04–2.42], p = .033) were responsible for poor presentation. Predictors of poor vision at 3 months were: baseline vision (aOR 2.98 [95%CI 2.12–4.19], p < .0001), infiltrate size (aOR 1.19 [95%CI 1.03–1.36], p < .020) and perforation at presentation (aOR 9.93 [95% CI 3.70–26.6], p < .0001).Conclusion: The most important outcome predictor was the state of the eye at presentation, facilitated by prior use of Traditional Eye Medicine and delayed presentation. In order to improve outcomes, we need effective early interventions.

Traditional eye medicine use in microbial keratitis in Uganda: a mixed methods study.

Background: Traditional eye medicine (TEM) is frequently used to treat microbial keratitis (MK) in many parts of Africa. Few reports have suggested that this is associated with a worse outcome. We undertook this large prospective study to determine how TEM use impacts presentation and outcome of MK and to explore reasons why people use TEM for treatment in Uganda. Methods: In a mixed method prospective cohort study, we enrolled patients presenting with MK at the two main eye units in Southern Uganda between December 2016 and March 2018 and collected information on history, TEM use, microbiology and 3-month outcomes. We conducted qualitative interviews with patients, carers traditional healers on reasons why people use TEM. Outcome measures included presenting vision and at 3-months, comparing TEM Users versus Non-Users. A thematic coding framework was deployed to explore reasons for use of TEM. Results: Out of 313 participants enrolled, 188 reported TEM use. TEM Users had a delayed presentation; median presenting time 18 days versus 14 days, p= 0.005; had larger ulcers 5.6 mm versus 4.3 mm p=0.0005; a worse presenting visual acuity median logarithm of the minimum angle of resolution (Log MAR) 1.5 versus 0.6, p=0.005; and, a worse visual acuity at 3 months median Log MAR 0.6 versus 0.2, p=0.010. In a multivariable logistic regression model, distance from the eye hospital and delayed presentation were associated with TEM use. Reasons for TEM use included lack of confidence in conventional medicine, health system breakdown, poverty, fear of the eye hospital, cultural belief in TEM, influence from traditional healers, personal circumstances and ignorance. Conclusion: TEM users had poorer clinical presentation and outcomes. Capacity building of the primary health centres to improve access to eye care and community behavioural change initiatives against TEM use should be encouraged.

Traditional eye medicine use in microbial keratitis in Uganda: a mixed methods study

Background: Traditional eye medicine (TEM) is frequently used to treat microbial keratitis (MK) in many parts of Africa. Few reports have suggested that this is associated with a worse outcome. We undertook this large prospective study to determine how TEM use impacts presentation and outcome of MK and to explore reasons why people use TEM for treatment in Uganda. Methods: In a mixed method prospective cohort study, we enrolled patients presenting with MK at the two main eye units in Southern Uganda between December 2016 and March 2018 and collected information on history, TEM use, microbiology and 3-month outcomes. We conducted qualitative interviews with patients, carers traditional healers on reasons why people use TEM. Outcome measures included presenting vision and at 3-months, comparing TEM Users versus Non-Users. A thematic coding framework was deployed to explore reasons for use of TEM. Results: Out of 313 participants enrolled, 188 reported TEM use. TEM Users had a delayed presentation; median presenting time 18 days versus 14 days, p= 0.005; had larger ulcers 5.6 mm versus 4.3 mm p=0.0005; a worse presenting visual acuity median logarithm of the minimum angle of resolution (Log MAR) 1.5 versus 0.6, p=0.005; and, a worse visual acuity at 3 months median Log MAR 0.6 versus 0.2, p=0.010. In a multivariable logistic regression model, distance from the eye hospital and delayed presentation were associated with TEM use. Reasons for TEM use included lack of confidence in conventional medicine, health system breakdown, poverty, fear of the eye hospital, cultural belief in TEM, influence from traditional healers, personal circumstances and ignorance. Conclusion: TEM users had poorer clinical presentation and outcomes. Capacity building of the primary health centres to improve access to eye care and community behavioural change initiatives against TEM use should be encouraged.

Traditional eye medicine use in microbial keratitis in Uganda: a mixed methods study

Background: Traditional eye medicine (TEM) is frequently used to treat microbial keratitis (MK) in many parts of Africa. Few reports have suggested that this is associated with a worse outcome. We undertook this large prospective study to determine how TEM use impacts presentation and outcome of MK and to explore reasons why people use TEM for treatment in Uganda. Methods: In a mixed method prospective cohort study, we enrolled patients presenting with MK at the two main eye units in Southern Uganda between December 2016 and March 2018 and collected information on history, TEM use, microbiology and 3-month outcomes. We conducted qualitative interviews with patients, carers traditional healers on reasons why people use TEM. Outcome measures included presenting vision and at 3-months, comparing TEM Users versus Non-Users. A thematic coding framework was deployed to explore reasons for use of TEM. Results: 188 out of 313 participants reported TEM use. TEM Users had a delayed presentation; median presenting time 18 days versus 14 days, p= 0.005; had larger ulcers 5.6 mm versus 4.3 mm p=0.0005; a worse presenting visual acuity median logarithm of the minimum angle of resolution (Log MAR) 1.5 versus 0.6, p=0.005; and, a worse visual acuity at 3 months median Log MAR 0.6 versus 0.2, p=0.010. In a multivariable logistic regression model, distance from the eye hospital and delayed presentation were associated with TEM use. Reasons for TEM use included lack of confidence in conventional medicine, health system breakdown, poverty, fear of the eye hospital, cultural belief in TEM, influence from traditional healers, personal circumstances and ignorance. Conclusion: TEM users had poorer clinical presentation and outcomes. Capacity building of the primary health centres to improve access to eye care and community behavioural change initiatives against TEM use should be encouraged.

Delay Along the Care Seeking Journey of Patients with Microbial Keratitis in Uganda

ABSTRACT Purpose To describe the care seeking journey and causes of delay among patients with Microbial Keratitis in Uganda. Methods A prospective cohort of patients presenting with microbial keratitis at the two main eye units in Southern Uganda (2016–2018). We collected information on demographics, home address, clinical history, and presentation pathway including, order of facilities where patients went to seek care, treatment advice, cost of care, and use of Traditional Eye Medicine. Presentation time was noted. We compared “direct” presenters versus “indirect” presenters and analysed predictors of delay. Results About 313 patients were enrolled. All were self-referred. Only 19% of the patients presented directly to the eye hospital. Majority (52%) visited one facility before presenting, 19% visited two facilities, 9% visited three facilities, and 2% visited four facilities. The cost of care increased with increase in the number of facilities visited. People in a large household, further distance from the eye hospital and those who used Traditional Eye Medicine were less likely to come directly to the eye hospital. Visiting another facility prior to the eye hospital and use of Traditional Eye Medicine aOR 1.58 (95%CI 1.03–2.43), p = .038 were associated with delayed presentation to the eye hospital. Conclusion This study provided information on patient journeys to seek care. Delay was largely attributable to having visited another health facility: a referral mechanism for microbial keratitis was non-existent. There is need to explore how these health system gaps can be strengthened.

Use of traditional eye medicine and self-medication in rural India: A population-based study.

ObjectiveTo determine the type and nature of traditional eye medicine (TEM), their sources and use and practices related to self-medication for ophthalmic diseases in a rural Indian population.MethodsA population-based, cross-sectional study was conducted in 25 randomly selected clusters of Rural Gurgaon, Haryana, India as part of CORE (Cornea Opacity Rural Epidemiological) study. In addition to comprehensive ophthalmic examination, health-seeking behavior and use of self-medication and TEM was assessed in the adult population using a semi-structured questionnaire. Physical verification of available ophthalmic medications in the enumerated households was conducted by the study team. Descriptive statistics were computed along with multivariable logistic regression analysis to determine associated factors for use of self-medication and TEM.ResultsOf the 2160 participants interviewed, 396 (18.2%) reported using ophthalmic medications without consulting an ophthalmologist, mainly for symptoms like watering (37.1%), redness (27.7%), itching (19.2%) and infection (13.6%). On physical verification of available eye drops that were being used without prescription, 26.4% participants were practicing self-medication. Steroid, expired/unlabeled and indigenous eye drops were being used by 151(26.5%), 120(21.1%) and 75 (13.2%) participants respectively. Additionally, 25.7% (529) participants resorted to home remedies like ‘kajal’(61.4%), honey (31.4%), ghee (11.7%) and rose water (9.1%).ConclusionUse of TEM is prevalent in this population. The rampant use of steroid eye drops without prescription along with use of expired or unlabelled eye drops warrants greater emphasis on safe eye care practices in this population. Public awareness and regulatory legislations must be implemented to decrease harmful effects arising due to such practices.

Traditional eye medicine use among ophthalmic patients attending a secondary health care center in Southeast Nigeria

Introduction: The perceived high cost of eye care services has been implicated as one of the reasons for the use of traditional eye medications (TEMs) in the country. Other factors including distance, tradition, ignorance, and failure of medical treatment among others have also been documented as determinants of TEM use. TEMs constitute a wide range of unorthodox therapies utilized for treatment of ocular disorders. They have been reported to have no beneficial effect rather causing more harm than good. Aim: This study sought to determine the prevalence, types, and ocular indications for TEM use in the study population. Methods: This was a cross-sectional study in which a structured questionnaire was used to collect relevant data from consecutive patients attending the eye clinic during the study. Results: At a prevalence of 15.8%, the highest use of TEM was noted among artisans, those in the seventh decade of life, with low level of education, ocular complaints of poor vision, and illness of <1 year duration. Its use though high, was not significantly associated with age, sex, education, occupation and illness duration. Roots and herbs were the most common types of TEM used. Conclusion: There was a high prevalence of use of TEM in this study. The deleterious effect of its use is known and has been reported in literature. Education and enlightenment of the public are needed and highly recommended.

Use of traditional eye medicines by patients with corneal ulcer in India

Background: Instillation of traditional eye medicines (TEMs) into the eye is one of the causes associated with poor visual outcome and corneal blindness. Objective: To determine the use of TEM and factors for its use in patients with corneal ulcer. Materials and Methods: This prospective study was conducted on 189 new patients with corneal ulcer attending cornea clinic of Gandhi Memorial Hospital, Rewa, Madhya Pradesh (India). After complete eye examination, information was collected for use of TEM, sociodemographic profile, symptoms necessitating its use, and complication. Necessary treatment was given and final visual outcome was noted. Lab investigations were performed to identify organism. Result: TEM was used by 38% subjects, especially females and subjects residing in rural areas were found to be significantly associated with its use. Majority of TEM users were farmers (51.4%). The most common symptom was poor vision (66.7%) for use of TEM. Breast milk (40%) and plant products (29%) were most commonly applied TEMs. Central and entire corneal involvement was found to be significantly high among TEM users. Scarring and perforation occurred in 70.8% and 31.9% TEM users, respectively. No significant difference was found between organism identified and the use of TEM. Visual acuity up to 6/18 was found to be higher among non-TEM users (23.9%) as compared to TEM users (9.7%). At presentation, 38.9% TEM users had already lost their vision. Significant difference was found between presenting visual acuity and final visual acuity achieved in both groups. Conclusion: Intensive health education is needed for encouraging the uptake of eye care services, particularly in rural areas.

Traditional eye medicine practice in Benin-City, Nigeria

The use of traditional eye medicines as a form of eye care in Africa is very common. However, there is concern about the harmful effects of some traditional medicines on the eyes. This study was a cross-sectional survey conducted in Benin-City, Edo state, Nigeria. Sixty-eight traditional medicine practitioners (TMPs) who treated eye conditions participated in this study. Most (87%) were males and 13% were females. Their age ranged between 25 to 65 years with a mean age of 42.25 ± 2.14 years. Information was obtained through one-on-one oral interviews and a structured questionnaire consisting of open-ended questions. The most common method of training (46%) was by father-to-son tutelage. Conjunctivitis, itching and poor vision were the most common conditions treated by all practitioners. The majority of the TMPs (62%), practiced full time while 38% practiced part time. Forty six percent considered patients’ case histories as more important than physical examination of the eye while 54% felt both history and examination were equally important. Thirty-six percent of practitioners reported inverting the upper eyelids as part of their examination. Couching of cataracts was done by 38%. While 49% had referred ‘difficult’ or ‘stubborn’ cases to orthodox hospitals, 51% had never referred a case. Traditional healers are well accepted in their communities and will continue to be consulted by the people. Health education programs with emphasis on safe eye care practices need to be established for traditional healers. Working with healers and training them to recognize cases needing urgent referral and encouraging the use of non-harmful practices may provide a more sustainable health care structure in the community. Cooperation between these two aspects of medicine is extremely important for the provision of primary eye care services in rural Africa. (S Afr Optom 2013 72(4) 167-172)

Incidence and risk factors for traditional eye medicine use among patients at a tertiary eye hospital in Nigeria

To determine the incidence and risk factors for traditional eye medicine use among patients at the Guinness Eye Center Onitsha, Nigeria. Consecutive new adult ophthalmic patients seen at the Guinness Eye Center Onitsha between January and April 2007 were interviewed on the use of traditional eye medicines and the type of traditional eye medicine used. Of the 500 patients interviewed, 66 (13.2%) had used traditional eye medicines (TEM). The 66 patients, aged 18-84, were made up of 32 males and 34 females. The commonly used TEM were liquid from plant leaves and roots and other concoctions of unknown origin. Conjunctivitis and cataract constituted 54.5% of the ocular problems; 15(22.7%) patients had visual impairment while 5(7.6%) other patients were blind. Risk factors for TEM use include age above 50 years (P<0.001); residence outside Onitsha metropolis (P<0.001) or ≥ 25 kilometres away from our hospital (P<0.02) and lack of any formal education (P<0.02). Decision to use TEM was not affected bygender (P>0.05); chronic nature (P>0.05) or painfulness of the ocular disease (P>0.05). Traditional eye medicine is highly patronized by the people. Health education programmes with emphasis on safe eye care practices need be intensified in traditional healers and among the groups at risk.