UKZN Lecturer Awarded Optometry PhD Focusing on the Management of Keratoconus

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Lecturer Dr Nonkululeko Gcabashe was awarded a PhD in Optometry for her thesis titled: A Keratoconus Management Framework for the Public Sector in KwaZulu-Natal which addresses critical gaps in eye care services and offers innovative solutions for managing keratoconus (KC) patients in public health facilities.

Under the supervision of Professor Vanessa R Moodley and Professor Rekha Hansraj, Gcabashe’s research aims to revolutionise the treatment and management of keratoconus, a progressive eye disorder that distorts the cornea, leading to visual impairment. Her study is particularly significant as it addresses the lack of South African data on keratoconus management, especially within the KwaZulu-Natal region.

Reflecting on her accomplishment, Gcabashe expressed a mix of disbelief and gratitude, describing her doctoral journey as a test of mental strength, especially when faced with challenges such as the disruption caused by the COVID-19 pandemic during the crucial data collection phase. Despite these obstacles, Gcabashe persevered, driven by her commitment to improving eye care services for underserved communities.

Gcabashe’s research findings underscore the urgent need for enhanced protocols and guidelines for managing keratoconus patients in public health facilities. By assessing current human and infrastructural capacity, as well as operational protocols, her study provides a comprehensive framework to ensure timely and effective clinical management of keratoconus at all levels of care.

Gcabashe’s study lays the foundation for future advancements in keratoconus management and sets a benchmark for public health interventions in the region.

When asked about her motivation for pursuing this field of research, Gcabashe cited her first-hand experience working in the contact lens clinic at the UKZN Eyeclinic. Witnessing the challenges faced by keratoconus patients, including limited access to care and financial constraints, inspired her to advocate for improved services within the public sector.

Despite encountering numerous challenges during her study, including difficulties accessing patient records and scheduling interviews with key stakeholders, Gcabashe remained resilient. She credited the unwavering support of her family, friends, and colleagues for helping her overcome these obstacles and reach this significant milestone.

Gcabashe’s academic journey was characterised by outstanding support from the University, particularly through funding provided by the University Capacity Development Programme (UCDP) research office which enabled her to navigate the demanding requirements of her research while balancing her teaching responsibilities.

Originally from Dundee in KwaZulu-Natal, Gcabashe’s passion for optometry stems from her upbringing and her mother’s dedication to healthcare. She was drawn to optometry as a means of serving her community and improving the quality of life for individuals with visual impairments.

In her leisure time, Gcabashe enjoys running, finding solace and rejuvenation in physical activity. Looking to the future, she remains committed to advancing eye care services and promoting equitable access to quality healthcare for all.

Gcabashe’s achievement stands as a testament to her dedication and perseverance in advancing public health initiatives. Her pioneering research promises to make a lasting impact on the lives of keratoconus patients and serves as a beacon of hope for enhanced eye care services in KwaZulu-Natal.

Words: Nombuso Dlamini

Photograph: Supplied