open access

Vol 8 (2023): Continuous Publishing
Original paper
Published online: 2023-07-25
Get Citation

commerciallyThe magnitude and associated factors of ocular lesions/complications among leprosy patients treated at Boru Meda General Hospital, Ethiopia: Cross-sectional study design, 2021

Fentaw Bialfew1, Kassahun Alemu Gelaye2, Yeshimebet Ali Dawed3, Feleke Tilahun Zewdu1, Abdulkerim Mengistu4
·
Ophthalmol J 2023;8:87-93.
Affiliations
  1. Boru Meda General Hospital, Dessie, Ethiopia
  2. Gondar University, Institute of Public Health, Gondar, Ethiopia
  3. Wollo University, School of Public Health, Dessie, Ethiopia
  4. Amhara Regional Health Bureau, Bahir Dar, Ethiopia

open access

Vol 8 (2023): Continuous Publishing
ORIGINAL PAPERS
Published online: 2023-07-25

Abstract

BACKGROUND: Leprosy, also known as Hansen’s disease, is one of the world’s oldest diseases, and it is one of the major blinding diseases. Visual impairment in leprosy patients needs special consideration by dermatologists and ophthalmologists, not only preventable but also has a severe burden that affects productivity if not managed early. Nevertheless, little was understood about ocular complications and associated factors among leprosy patients in low income countries like Ethiopia, including the study locality.

MATERIAL AND METHODS: An institution based cross-sectional study was conducted among a total of 423 leprosy patients at the dermatology clinic at Boru Meda Hospital, Dessie, Ethiopia. The collected data were entered into EpiData v3.1 and exported to the statistical package for SPSS v.20 for statistical analysis. The odds ratio (OR) and a 95% confidence interval (CI) were estimated to measure the strength of the association between dependent and independent variables. p ≤ 0.05 was used to determine the level of statistical significance.

RESULT: 419 leprosy patients participated in this study, accounting for a response rate of 99%. The proportion of ocular complications was found to be 69.9% (95% CI: 65.09–73.9). Age 40 years and above [adjusted odds ratio (AOR) = 5.2, 95% CI: 3.14–8.83], presence of leprosy reaction (AOR = 1.92, 95% CI: 1.12–3.24), and leprosy disability grading [grade 1 disability (AOR = 2.9, 95% CI: 1.35–6.33), grade 2 disability (AOR = 3.0,95% CI: 1.36–7.08) ]were associated with the presence of ocular complication among leprosy patients.

CONCLUSION: Our finding showed that the ocular complication/lesion magnitude was high. Age 40 and above, the presence of leprea reaction and disability were significant factors associated with developing ocular complications among leprosy patients. Our results emphasize the need for solid collaboration efforts and commitment to handling ophthalmologic complications among leprosy patients aged 40 and above with leprosy reactions and disabilities.

Abstract

BACKGROUND: Leprosy, also known as Hansen’s disease, is one of the world’s oldest diseases, and it is one of the major blinding diseases. Visual impairment in leprosy patients needs special consideration by dermatologists and ophthalmologists, not only preventable but also has a severe burden that affects productivity if not managed early. Nevertheless, little was understood about ocular complications and associated factors among leprosy patients in low income countries like Ethiopia, including the study locality.

MATERIAL AND METHODS: An institution based cross-sectional study was conducted among a total of 423 leprosy patients at the dermatology clinic at Boru Meda Hospital, Dessie, Ethiopia. The collected data were entered into EpiData v3.1 and exported to the statistical package for SPSS v.20 for statistical analysis. The odds ratio (OR) and a 95% confidence interval (CI) were estimated to measure the strength of the association between dependent and independent variables. p ≤ 0.05 was used to determine the level of statistical significance.

RESULT: 419 leprosy patients participated in this study, accounting for a response rate of 99%. The proportion of ocular complications was found to be 69.9% (95% CI: 65.09–73.9). Age 40 years and above [adjusted odds ratio (AOR) = 5.2, 95% CI: 3.14–8.83], presence of leprosy reaction (AOR = 1.92, 95% CI: 1.12–3.24), and leprosy disability grading [grade 1 disability (AOR = 2.9, 95% CI: 1.35–6.33), grade 2 disability (AOR = 3.0,95% CI: 1.36–7.08) ]were associated with the presence of ocular complication among leprosy patients.

CONCLUSION: Our finding showed that the ocular complication/lesion magnitude was high. Age 40 and above, the presence of leprea reaction and disability were significant factors associated with developing ocular complications among leprosy patients. Our results emphasize the need for solid collaboration efforts and commitment to handling ophthalmologic complications among leprosy patients aged 40 and above with leprosy reactions and disabilities.

Get Citation

Keywords

magnitude; associated factors; leprosy; ocular complication/lesions

About this article
Title

commerciallyThe magnitude and associated factors of ocular lesions/complications among leprosy patients treated at Boru Meda General Hospital, Ethiopia: Cross-sectional study design, 2021

Journal

Ophthalmology Journal

Issue

Vol 8 (2023): Continuous Publishing

Article type

Original paper

Pages

87-93

Published online

2023-07-25

Page views

895

Article views/downloads

201

DOI

10.5603/OJ.2023.0013

Bibliographic record

Ophthalmol J 2023;8:87-93.

Keywords

magnitude
associated factors
leprosy
ocular complication/lesions

Authors

Fentaw Bialfew
Kassahun Alemu Gelaye
Yeshimebet Ali Dawed
Feleke Tilahun Zewdu
Abdulkerim Mengistu

References (24)
  1. Malik A, Morris RW, ffytche TJ. The prevalence of ocular complications in leprosy patients seen in the United Kingdom over a period of 21 years. Eye. 2011; 25(6): 740–745.
  2. Ravanes JR, Cellona RV, Balagon N, et al. Longitudinal ocular survey of 202 Filipino patients with multi-bacillary (MB) leprosy treated with 2 year WHO-multiple drug therapy. Southeast Asian J Trop Med Public Health. 2011; 42(2): 323–330.
  3. Walker SL, Lockwood DN. The clinical and immunological features of leprosy. Br Med Bull. 2006; 77(78): 103–121.
  4. Sileshi B. Leprosy in Ethiopia: Epidemiological trends from 2000 to 2011. Adv Life Sci Health. 2015; 2(1): 33–44.
  5. Paul CL. Prevention of Blindness in Leprosy. 2nd ed. 2006: 6–48.
  6. World Health Organization. Classification of leprosy. WHO 2008. http://www.who.int/lep/classification/en/index.html.
  7. Mvogo CE, Bella-Hiag AL, Ellong A, et al. Ocular complications of leprosy in Cameroon. Acta Ophthalmol Scand. 2001; 79(1): 31–33.
  8. Federal Ministry of Health Ethiopia. Tuberculosis, Leprosy and TB/HIV prevention and control program manual. 4th ed. FMoH, Ethiopia 2008.
  9. Nongrum B, Chacko S, Mathew P, et al. Corneal astigmatism in leprosy and its importance for cataract surgery. Leprosy Rev. 2017; 88(1): 154–158.
  10. Rao SS. Perspectives on the impact of stigma in leprosy: strategies to improve access to health care. Res Rep Trop Med. 2015: 49.
  11. Hogeweg M, Keunen J. Prevention of blindness in leprosy and the role of the Vision 2020 Programme. Eye. 2005; 19(10): 1099–1105.
  12. Grzybowski A, Nita M, Virmond M. Ocular leprosy. Clin Dermatol. 2015; 33(1): 79–89.
  13. Handog E, Gabriel M, Co C. Leprosy in the Philippines: a review. Int J Dermatol. 2011; 50(5): 573–581.
  14. Mpyet C. Prevalence and causes of blindness and low vision in leprosy villages of north eastern Nigeria. Br J Ophthalmol. 2005; 89(4): 417–419.
  15. Mary EJB, Kirsteen JT, Ebenezer D. The Eye in Leprosy. 2nd ed. . Jaypee Brothers Medical Publishers Pvt. Ltd, New Delhi : 15–18.
  16. World Health Organization.. Global initiative for the elimination of avoidable blindness action plan 2006–2011. WHO, Geneva 2007.
  17. Courtright P, Daniel E, Ravanes J, et al. Eye disease in multibacillary leprosy patients at the time of their leprosy diagnosis: findings from the Longitudinal Study of Ocular Leprosy (LOSOL) in India, the Philippines and Ethiopia. Leprosy Rev. 2002; 73(3): 225–238.
  18. Boru Meda Hospital. Annual Service Report. Boru Meda, 2016/2017 (unpublished).
  19. Pranesh K, Gururaj VW, Shreyans PK. Ocular manifestations in leprosy. Int J Basic Appl Med Sci. 2014; 4(3): 192–195.
  20. Raga AAS. Ocular complications of leprosy in Yemen. Sultan Qaboos Univ Med J . 2010; 12(4): 458–464.
  21. Okpo E, Nwakuche PI, Ejukunemu BOM. Prevalence of low vision and blindness in a leprosarium in Kano State, Nigeria. J Nigerian Optometric Assoc. 2018; 20(2): 69–74.
  22. Abeje T, Negera E, Kebede E, et al. Performance of general health workers in leprosy control activities at public health facilities in Amhara and Oromia States, Ethiopia. BMC Health Services Research. 2016; 16(1): 122.
  23. Ffyche T. Blindness in leprosy, a forgotten complication. Aust N Z J Ophthalmol. 1989; 17(3): 257–60.
  24. Thompson K, Allardice G, Babu G, et al. Patterns of ocular morbidity and blindness in leprosy – a three centre study in Eastern India. Leprosy Rev. 2006; 77(2): 130–140.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

Publisher: VM Media Group sp. z o.o., Grupa Via Medica, 73 Świętokrzyska St., 80–180 Gdańsk

tel.:+48 58 310 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl