Relationship of glaucoma severity and medical treatment compliance with depression

Session Details

Session Title: Presented Poster Session: Glaucoma I

Venue: Poster Village: Pod 3

First Author: : J.Gamiochipi Arjona MEXICO

Co Author(s): :    Y. Azses Halabe   P. Tolosa Tort   M. Turati Acosta   J. Jiménez Román              

Abstract Details

Purpose:

To assess the prevalence of depression according to the severity of glaucoma and the relationship between level of compliance to glaucoma medical treatment and the severity of depression in glaucoma patients.

Setting:

This study was made in the glaucoma department of a third level hospital reference at the Asociación Para Evitar la Ceguera in Mexico city, Mexico

Methods:

Cross-sectional study. Patients with glaucoma diagnosis completed 2 questionaries. The Beck depression inventory II, validated and translated for its application in Mexican population, and the Morisky-green test to assess compliance. Glaucoma severity was classified according to Hoddap-Parish-Anderson. Fisher’s exact test was performed to compare the proportion of patients within each level of depression across all levels of glaucoma severity. A multinomial logistic regression model was fit to assess the relationship between level of compliance and the presence of depression (levels 2 to 4) as compared to no depression.

Results:

113 patients were analyzed, 51.33% reported depression. Out of all the patients with depression, 23.08% had moderate glaucoma, 53.85% had severe and 15.38% had one eye with visual acuity of no light perception due to glaucoma. Fisher’s exact test revealed a statistically significant association between glaucoma severity and severity of depression (p<0.0001). Patients who reported symptoms of depression had an OR of 54.47 (p=0.0002) for poor compliance and an OR of 6.26 for medium compliance.

Conclusions:

The diagnosis and severity of glaucoma have a linear relation with depression and its severity. There is a clear relation between depression and compliance, which might lead to a vicious cycle is this patients. The integration of a multidisciplinary team with psychiatrists and psychologists might improve the prognosis of patients with glaucoma.

Financial Disclosure:

None