{"title":"Can Social Media Bridge the Information Gap in Africa and Improve Early Diagnosis of Glaucoma by Improving Health Seeking Behaviour?","authors":"Aisha Abubakar, Fitzgerald Anazor, M. Mustapha","doi":"10.4103/njo.njo_24_22","DOIUrl":"https://doi.org/10.4103/njo.njo_24_22","url":null,"abstract":"","PeriodicalId":376849,"journal":{"name":"Nigerian Journal of Ophthalmology","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126292838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shahir U Bello, U. Eze, M. Umar, M. Abdull, O. Babalola
Aim: To estimate the direct health care cost of glaucoma in patients attending glaucoma clinic at National Eye Centre, Kaduna. Methods: The study was a hospital-based observational, cross-sectional study of 150 consecutive glaucoma patients on follow-up visits to the glaucoma clinic from November, 2017 to January, 2018. The study was conducted using a structured interviewer-administered questionnaire. The study investigated the patients’ monthly income, the method of funding glaucoma treatment, and cost of treatment of glaucoma. Data obtained were entered and analyzed using SPSS version 24 with level of significance set at 95% confidence interval. Results: There were a total of 150 patients who participated in the study, with a male-to-female ratio of M:F ratio is 1.2:1. Majority of respondents (65%) in the study were below the age of 60 years with a mean age of 55.36 (SD+/−13.7). The average monthly income of respondents was NGN 4,600 for unskilled workers, NGN 28,812 for skilled workers, and NGN 97,111 for professionals. The mean monthly direct health cost was NGN 9,954 and majority (91.7%) of the patients fund their treatment out of pocket. Only 14 (9.3%) patients were subscribers of the National Health Insurance Scheme. None among the unskilled and unemployed respondents had monthly direct costs below their average monthly income. The insured patients spent an average of 1.5% and 4.5%, respectively of their total monthly income on antiglaucoma medication and glaucoma surgery unlike the uninsured group who have spent 10.1% and 10.5%, respectively on medications and surgery. Conclusion: Data from this study have shown that up to one-tenth of the monthly income can be spent on glaucoma care alone. Health policy makers should consider making glaucoma a priority disease to ensure that patients on treatment have affordable, equitable, and of good quality in order to prevent consequent glaucoma-related blindness.
目的:估计在卡杜纳国家眼科中心青光眼诊所就诊的青光眼患者的直接医疗保健费用。方法:本研究是一项以医院为基础的观察性横断面研究，研究对象为2017年11月至2018年1月在青光眼诊所连续随访的150例青光眼患者。该研究采用结构化的访谈问卷进行。研究调查了患者的月收入、青光眼治疗的资助方式和青光眼治疗的费用。使用SPSS version 24输入数据并进行分析，显著性水平设置为95%置信区间。结果:共有150例患者参与研究，男女比例M:F比为1.2:1。研究中大多数受访者(65%)年龄在60岁以下，平均年龄为55.36岁(SD+/ - 13.7)。受访者的平均月收入是非熟练工人为4,600越南盾，熟练工人为28,812越南盾，专业人员为97,111越南盾。平均每月直接医疗费用为9,954奈拉，大多数(91.7%)患者自付治疗费用。只有14名(9.3%)患者加入了国家健康保险计划。在没有技术和失业的受访者中，没有人的月直接成本低于他们的月平均收入。有保险的患者每月用于抗青光眼药物和青光眼手术的费用分别占总收入的1.5%和4.5%，而没有保险的患者每月用于药物和手术的费用分别占总收入的10.1%和10.5%。结论:这项研究的数据表明，每月高达十分之一的收入可用于青光眼护理。卫生政策制定者应考虑将青光眼作为一种重点疾病，以确保接受治疗的患者获得负担得起的、公平的和高质量的治疗，从而预防青光眼相关性失明。
{"title":"Economic burden of glaucoma in Nigeria: Estimating the direct health care cost in a tertiary eye clinic","authors":"Shahir U Bello, U. Eze, M. Umar, M. Abdull, O. Babalola","doi":"10.4103/njo.njo_17_22","DOIUrl":"https://doi.org/10.4103/njo.njo_17_22","url":null,"abstract":"Aim: To estimate the direct health care cost of glaucoma in patients attending glaucoma clinic at National Eye Centre, Kaduna. Methods: The study was a hospital-based observational, cross-sectional study of 150 consecutive glaucoma patients on follow-up visits to the glaucoma clinic from November, 2017 to January, 2018. The study was conducted using a structured interviewer-administered questionnaire. The study investigated the patients’ monthly income, the method of funding glaucoma treatment, and cost of treatment of glaucoma. Data obtained were entered and analyzed using SPSS version 24 with level of significance set at 95% confidence interval. Results: There were a total of 150 patients who participated in the study, with a male-to-female ratio of M:F ratio is 1.2:1. Majority of respondents (65%) in the study were below the age of 60 years with a mean age of 55.36 (SD+/−13.7). The average monthly income of respondents was NGN 4,600 for unskilled workers, NGN 28,812 for skilled workers, and NGN 97,111 for professionals. The mean monthly direct health cost was NGN 9,954 and majority (91.7%) of the patients fund their treatment out of pocket. Only 14 (9.3%) patients were subscribers of the National Health Insurance Scheme. None among the unskilled and unemployed respondents had monthly direct costs below their average monthly income. The insured patients spent an average of 1.5% and 4.5%, respectively of their total monthly income on antiglaucoma medication and glaucoma surgery unlike the uninsured group who have spent 10.1% and 10.5%, respectively on medications and surgery. Conclusion: Data from this study have shown that up to one-tenth of the monthly income can be spent on glaucoma care alone. Health policy makers should consider making glaucoma a priority disease to ensure that patients on treatment have affordable, equitable, and of good quality in order to prevent consequent glaucoma-related blindness.","PeriodicalId":376849,"journal":{"name":"Nigerian Journal of Ophthalmology","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127300421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Aniemeka, J. Buchan, A. Adeke, Abubakar Dange, Nanaishat Momoh
Aim: To estimate the number of cataract surgeries performed from 1 January 2017 to 31 December 2019 in government hospitals in Nigeria and explore factors affecting their cataract surgical activity. Methods: This was a retrospective study conducted between 1 August 2020 and 4 October 2020 through online survey emailed to respondents working in 55 government-owned hospitals in the 36 Nigerian states and federal capital territory. Information obtained included a number of cataract surgeries performed yearly and correlation analysed between variables obtained using IBM Statistical Package for Social Sciences software for Windows version 22 (SPSS Inc., Chicago, Illinois, USA). Results: A total of 40 institutions were included in the study, 26 (65%) federal government and 16 (35%) state government institutions. About 70,792 cataract surgeries were performed during the study period with the North-West geopolitical zone performing 47.7% of the surgeries. The average price for cataract surgical service in government hospital was USD($)77.45(±7.08) (surgical fee) and USD ($) 128.23(±11.96) (total treatment cost) with a wide variation from zone-to-zone. Lower fees were associated with increased surgical volumes, and GNI per capita of each state did not influence the price set for surgery or the number of surgeries performed. Provision of outreach services, free surgeries, and having an eye manager correlated to increased cataract surgical numbers (P < 0.05). Conclusion: There is need to improve existing strategies to increase cataract surgical numbers in government institutions such as increased advocacy for funding for eye care services, conducting frequent outreaches, establishing and redistribution of satellite centres to underserved communities and fostering surgical relationships between institutions to improve surgeon’s competency and cataract surgical outcome.
目的:估计2017年1月1日至2019年12月31日尼日利亚政府医院白内障手术的数量，并探讨影响其白内障手术活动的因素。方法:这是一项回顾性研究，于2020年8月1日至2020年10月4日期间通过电子邮件向在尼日利亚36个州和联邦首都地区55家政府所有医院工作的受访者进行在线调查。获得的信息包括每年进行的一些白内障手术，并使用IBM Statistical Package for Social Sciences for Windows version 22软件(SPSS Inc.， Chicago, Illinois, USA)分析变量之间的相关性。结果:共纳入40个机构，其中26个(65%)联邦政府机构，16个(35%)州政府机构。在研究期间进行了约70,792例白内障手术，其中西北地缘政治地区进行了47.7%的手术。公立医院白内障手术的平均价格为手术费77.45美元(±7.08美元)和总治疗费用128.23美元(±11.96美元)，区域间差异较大。较低的费用与手术量的增加有关，而各州的人均国民总收入并不影响手术价格或手术数量。提供外联服务、免费手术和眼部管理人员与白内障手术数量增加相关(P < 0.05)。结论:需要改进现有的策略来增加政府机构的白内障手术数量，如增加对眼科保健服务资金的宣传，开展频繁的外诊，在服务不足的社区建立和重新分配卫星中心，以及促进机构之间的手术关系，以提高外科医生的能力和白内障手术的效果。
{"title":"Estimated Number of Cataract Surgeries Performed in Government Hospitals in Nigeria and Factors Affecting Cataract Surgical Activity","authors":"D. Aniemeka, J. Buchan, A. Adeke, Abubakar Dange, Nanaishat Momoh","doi":"10.4103/njo.njo_42_21","DOIUrl":"https://doi.org/10.4103/njo.njo_42_21","url":null,"abstract":"Aim: To estimate the number of cataract surgeries performed from 1 January 2017 to 31 December 2019 in government hospitals in Nigeria and explore factors affecting their cataract surgical activity. Methods: This was a retrospective study conducted between 1 August 2020 and 4 October 2020 through online survey emailed to respondents working in 55 government-owned hospitals in the 36 Nigerian states and federal capital territory. Information obtained included a number of cataract surgeries performed yearly and correlation analysed between variables obtained using IBM Statistical Package for Social Sciences software for Windows version 22 (SPSS Inc., Chicago, Illinois, USA). Results: A total of 40 institutions were included in the study, 26 (65%) federal government and 16 (35%) state government institutions. About 70,792 cataract surgeries were performed during the study period with the North-West geopolitical zone performing 47.7% of the surgeries. The average price for cataract surgical service in government hospital was USD($)77.45(±7.08) (surgical fee) and USD ($) 128.23(±11.96) (total treatment cost) with a wide variation from zone-to-zone. Lower fees were associated with increased surgical volumes, and GNI per capita of each state did not influence the price set for surgery or the number of surgeries performed. Provision of outreach services, free surgeries, and having an eye manager correlated to increased cataract surgical numbers (P < 0.05). Conclusion: There is need to improve existing strategies to increase cataract surgical numbers in government institutions such as increased advocacy for funding for eye care services, conducting frequent outreaches, establishing and redistribution of satellite centres to underserved communities and fostering surgical relationships between institutions to improve surgeon’s competency and cataract surgical outcome.","PeriodicalId":376849,"journal":{"name":"Nigerian Journal of Ophthalmology","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117310528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: To investigate the determinants of eye disorders in patients with rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE) in a Tertiary Hospital in Northern Nigeria. Methods: This hospital-based study was conducted among patients with RA and SLE. Information was obtained on patients’ socio-demographics, type of rheumatic disease, disease duration, activity, and prescribed medications. RAPID 3 was used among both RA and SLE patients to measure and classify disease activity as: >12 = high; 6.1–12 = moderate; 3.1–6 = low; <3= remission. Each patient had detailed ocular examination. Statistical significance was set at P < 0.05. Results: The female:male ratio was 4.3:1 for RA and all SLE patients were females. Eye disorders were present in 42% of all patients, the most common being dry eyes (38%), refractive errors (18%), and cataracts (16%). The least findings were corneal opacities (2%) and lateral rectus palsy (2%). Mean duration of disease in years was significantly higher among RA patient that had eye disorders (7.23 ± 3.44) than those without (2.23 ± 1.23) (P < 0.001). It was also higher among SLE patients with eye disorders (6.73 ± 3.93) than those without (2.13 ± 1.06) (P < 0.001). Most RA patients with eye disorders had moderate [21 (28%)] to severe [8 (11%)] disease activity whereas majority of patients without eye disorders had low activity [16 (22%)] and near remission [26 (35%)] (P < 0.001). Most SLE patients with eye disorders had moderate [9 (35%)] to severe [1 (4%)] disease activity whereas majority of patients without eye disorders had low activity [3 (12%)] and near remission [12 (46%)]. Conclusion: Eye disorders are common among RA and SLE patients, and are influenced by longer disease duration, higher disease activity, and older age. Gender and drug therapy were not found to influence the presence of eye disorders. Eye examination should be done on all RA and SLE patients at regular intervals.
{"title":"Determinants of Eye Disorders in Patients with Rheumatoid Arthritis and Systemic Lupus Erythematosus in a Tertiary Hospital in Northern Nigeria","authors":"R. Muhammad, M. Abdullahi, K. Oladigbolu, A. Umar","doi":"10.4103/njo.njo_8_22","DOIUrl":"https://doi.org/10.4103/njo.njo_8_22","url":null,"abstract":"Objectives: To investigate the determinants of eye disorders in patients with rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE) in a Tertiary Hospital in Northern Nigeria. Methods: This hospital-based study was conducted among patients with RA and SLE. Information was obtained on patients’ socio-demographics, type of rheumatic disease, disease duration, activity, and prescribed medications. RAPID 3 was used among both RA and SLE patients to measure and classify disease activity as: >12 = high; 6.1–12 = moderate; 3.1–6 = low; <3= remission. Each patient had detailed ocular examination. Statistical significance was set at P < 0.05. Results: The female:male ratio was 4.3:1 for RA and all SLE patients were females. Eye disorders were present in 42% of all patients, the most common being dry eyes (38%), refractive errors (18%), and cataracts (16%). The least findings were corneal opacities (2%) and lateral rectus palsy (2%). Mean duration of disease in years was significantly higher among RA patient that had eye disorders (7.23 ± 3.44) than those without (2.23 ± 1.23) (P < 0.001). It was also higher among SLE patients with eye disorders (6.73 ± 3.93) than those without (2.13 ± 1.06) (P < 0.001). Most RA patients with eye disorders had moderate [21 (28%)] to severe [8 (11%)] disease activity whereas majority of patients without eye disorders had low activity [16 (22%)] and near remission [26 (35%)] (P < 0.001). Most SLE patients with eye disorders had moderate [9 (35%)] to severe [1 (4%)] disease activity whereas majority of patients without eye disorders had low activity [3 (12%)] and near remission [12 (46%)]. Conclusion: Eye disorders are common among RA and SLE patients, and are influenced by longer disease duration, higher disease activity, and older age. Gender and drug therapy were not found to influence the presence of eye disorders. Eye examination should be done on all RA and SLE patients at regular intervals.","PeriodicalId":376849,"journal":{"name":"Nigerian Journal of Ophthalmology","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129085672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective To raise the awareness of the use of topical 5-fluorouracil in management of recurrent ocular surface squamous neoplasia. Methods A case series study carried out at an Ophthalmic clinic, in Western Nigeria. The subjects were managed for ocular surface squamous neoplasm. Results Three patients aged 31–52 years were seen in the period of study. They were operated upon and early recurrence was noted in them. 5-Flourouracil eye drop was used in the management of recurrent tumor with good results. Conclusion There was good response with the use of topical 5-fluorouracil for the management of recurrent ocular surface squamous neoplasia.
{"title":"A Report of Three Cases of Ocular Surface Squamous Neoplasia Treated with 5-Fluorouracil Drops","authors":"J. Ubah, O. Otuka","doi":"10.4103/njo.njo_5_22","DOIUrl":"https://doi.org/10.4103/njo.njo_5_22","url":null,"abstract":"Objective To raise the awareness of the use of topical 5-fluorouracil in management of recurrent ocular surface squamous neoplasia. Methods A case series study carried out at an Ophthalmic clinic, in Western Nigeria. The subjects were managed for ocular surface squamous neoplasm. Results Three patients aged 31–52 years were seen in the period of study. They were operated upon and early recurrence was noted in them. 5-Flourouracil eye drop was used in the management of recurrent tumor with good results. Conclusion There was good response with the use of topical 5-fluorouracil for the management of recurrent ocular surface squamous neoplasia.","PeriodicalId":376849,"journal":{"name":"Nigerian Journal of Ophthalmology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117212527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Retinitis pigmentosa (RP) is a genetic abnormality affecting the retina cells and is responsible for a progressive visual impairment which at the end results in an irreversible blindness. In some rare cases, this inherited disease can be associated with other systemic abnormalities. In this report, three different families were presented with familial syndromic RP: Usher syndrome (RP and congenital deafness) reported in three members of the same family: RP associated with Marfan syndrome and RP associated with macular dystrophy in two siblings. All our patients are children from first-degree consanguineous marriages with no previous history of blindness or eye disease in each family. This case series demonstrates the variability of systemic associations with RP and its occurrence in consanguineous marriages.
{"title":"Retinal Degenerative Disease (Retinitis Pigmentosa) Associated with Nonocular Abnormalities: A Case Series in Niger","authors":"Hadjia Abba Kaka","doi":"10.4103/njo.njo_9_21","DOIUrl":"https://doi.org/10.4103/njo.njo_9_21","url":null,"abstract":"Retinitis pigmentosa (RP) is a genetic abnormality affecting the retina cells and is responsible for a progressive visual impairment which at the end results in an irreversible blindness. In some rare cases, this inherited disease can be associated with other systemic abnormalities. In this report, three different families were presented with familial syndromic RP: Usher syndrome (RP and congenital deafness) reported in three members of the same family: RP associated with Marfan syndrome and RP associated with macular dystrophy in two siblings. All our patients are children from first-degree consanguineous marriages with no previous history of blindness or eye disease in each family. This case series demonstrates the variability of systemic associations with RP and its occurrence in consanguineous marriages.","PeriodicalId":376849,"journal":{"name":"Nigerian Journal of Ophthalmology","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125409125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Glaucomatocyclitic crisis is a condition that elicits significant elevated intraocular pressure (IOP) with minimal non-granulomatous anterior uveitis. It is usually unilateral, occasionally recurrent, and easily treatable in most cases. It is seen mainly in young adults but is rarely reported in children. This is to report an uncommon case of glaucomatous cyclitic crisis (Posner-Schlossman syndrome) in a Nigerian child. Case report: A 15-year-old boy presented with pain, haloes around light, photophobia, and decreased vision in the left eye over the course of the day. He has a similar history from 5 years ago, with a brief resolution on steroid eye drops. Ocular examination in the left eye revealed minimal non-granulomatous anterior uveitis with significantly elevated intraocular pressure. He was treated with topical steroid and ocular hypotensive and his IOP was 14 mmHg at 14 hours, down from 44 mmHg at the start. The anterior chamber was quiet by the fourth day of treatment. The clinical picture in this child was consistent with Posner-Schlossman syndrome. Following resolution of the inflammation and discontinuation of all medications, the patient is being followed up as a glaucoma suspect because of the subtle disc finding and the slight risk of glaucoma development later. Conclusion: Although glaucomatocyclitic crisis is uncommon in children, it should be considered in the differential diagnosis of uveitis and glaucoma in paediatric patients.
{"title":"Glaucomatocyclitic Crisis in a Nigerian Child: A Case Report","authors":"T. Sarimiye, S. Adebusoye","doi":"10.4103/njo.njo_20_22","DOIUrl":"https://doi.org/10.4103/njo.njo_20_22","url":null,"abstract":"Background: Glaucomatocyclitic crisis is a condition that elicits significant elevated intraocular pressure (IOP) with minimal non-granulomatous anterior uveitis. It is usually unilateral, occasionally recurrent, and easily treatable in most cases. It is seen mainly in young adults but is rarely reported in children. This is to report an uncommon case of glaucomatous cyclitic crisis (Posner-Schlossman syndrome) in a Nigerian child. Case report: A 15-year-old boy presented with pain, haloes around light, photophobia, and decreased vision in the left eye over the course of the day. He has a similar history from 5 years ago, with a brief resolution on steroid eye drops. Ocular examination in the left eye revealed minimal non-granulomatous anterior uveitis with significantly elevated intraocular pressure. He was treated with topical steroid and ocular hypotensive and his IOP was 14 mmHg at 14 hours, down from 44 mmHg at the start. The anterior chamber was quiet by the fourth day of treatment. The clinical picture in this child was consistent with Posner-Schlossman syndrome. Following resolution of the inflammation and discontinuation of all medications, the patient is being followed up as a glaucoma suspect because of the subtle disc finding and the slight risk of glaucoma development later. Conclusion: Although glaucomatocyclitic crisis is uncommon in children, it should be considered in the differential diagnosis of uveitis and glaucoma in paediatric patients.","PeriodicalId":376849,"journal":{"name":"Nigerian Journal of Ophthalmology","volume":"404 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121809538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article reports a case of choroidal detachment (CD) probably from reduced volume of the globe and ocular hypotony following scleral fixation of intraocular lens (SFIOL) in a diabetic. Ocular hypotony is a complication of intraocular surgeries such as glaucoma filtering procedures, penetrating keratoplasty, and vitreous surgery. Urgent identification and management of CD is important to ensure a favorable visual outcome. We report a case of CD from prolonged ocular hypotony (OH) following SFIOL in a Nigerian male. Our patient was a 59-year-old diabetic male who presented with poor vision in left eye following cataract surgery. Left eye examination revealed quiet anterior segment with aphakia and a normal posterior segment. A +10 Dioptre sphere lens over the index eye improved visual acuity to 6/12. He was scheduled for SFIOL which was uneventful. He developed sudden decline in vision 1 week postoperative, examination revealed a serous choroidal detachment that resolved completely with high dose oral and topical steroids, systemic vitamin C, and doxycycline to a final unaided visual acuity of 6/24 at 2 weeks, and 6/9 at 3 months.
{"title":"Ocular Hypotony Causing Choroidal Detachment Following Scleral Fixation of Intraocular Lens − A Case Report","authors":"Idris Saka, M. Balogun, G. Yusuf","doi":"10.4103/njo.njo_10_22","DOIUrl":"https://doi.org/10.4103/njo.njo_10_22","url":null,"abstract":"This article reports a case of choroidal detachment (CD) probably from reduced volume of the globe and ocular hypotony following scleral fixation of intraocular lens (SFIOL) in a diabetic. Ocular hypotony is a complication of intraocular surgeries such as glaucoma filtering procedures, penetrating keratoplasty, and vitreous surgery. Urgent identification and management of CD is important to ensure a favorable visual outcome. We report a case of CD from prolonged ocular hypotony (OH) following SFIOL in a Nigerian male. Our patient was a 59-year-old diabetic male who presented with poor vision in left eye following cataract surgery. Left eye examination revealed quiet anterior segment with aphakia and a normal posterior segment. A +10 Dioptre sphere lens over the index eye improved visual acuity to 6/12. He was scheduled for SFIOL which was uneventful. He developed sudden decline in vision 1 week postoperative, examination revealed a serous choroidal detachment that resolved completely with high dose oral and topical steroids, systemic vitamin C, and doxycycline to a final unaided visual acuity of 6/24 at 2 weeks, and 6/9 at 3 months.","PeriodicalId":376849,"journal":{"name":"Nigerian Journal of Ophthalmology","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130324188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Izuka A. Okwudishu, M. Ugalahi, B. Olusanya, C. Bekibele
Aim: To determine the prevalence of functional low vision and barriers to uptake of low vision services in Oluyole Local Government Area, Oyo State with a view to obtaining data for proper planning of low vision services. Methods: A population-based cross-sectional study. Multistage random sampling technique with probability proportion to size was used to select respondents from the L.G.A. The study involved the administration of questionnaires to elicit basic demographic data, ocular history, and barriers to uptake of low vision services as well as ocular examination to determine the causes of low vision. Results: A total of 419 respondents participated in the study, 303 were females with male-to-female ratio of 1:2.6 and a mean age of 49.38 (± 13.17) years. Fourteen (3.3%) respondents were found to have functional low vision. The main causes of functional low vision were glaucoma (32%) and age-related macular degeneration (ARMD) (16%). Functional low vision was strongly associated with older age (p = 0.019) and the main barriers to utilization of low vision services were lack of awareness of the services and financial constraints. Conclusion: A significant burden of functional low vision was found in Oluyole Local Government Area of Oyo State. There is need for regular community-based surveys in other parts of the country to aid proper planning of low vision services in the host communities and the country as a whole. Also, more awareness needs to be created about common ocular diseases and facilities for appropriate treatment of these diseases.
{"title":"Prevalence of low vision and barriers to uptake of low vision services in an adult population of Southwest Nigeria","authors":"Izuka A. Okwudishu, M. Ugalahi, B. Olusanya, C. Bekibele","doi":"10.4103/njo.njo_14_22","DOIUrl":"https://doi.org/10.4103/njo.njo_14_22","url":null,"abstract":"Aim: To determine the prevalence of functional low vision and barriers to uptake of low vision services in Oluyole Local Government Area, Oyo State with a view to obtaining data for proper planning of low vision services. Methods: A population-based cross-sectional study. Multistage random sampling technique with probability proportion to size was used to select respondents from the L.G.A. The study involved the administration of questionnaires to elicit basic demographic data, ocular history, and barriers to uptake of low vision services as well as ocular examination to determine the causes of low vision. Results: A total of 419 respondents participated in the study, 303 were females with male-to-female ratio of 1:2.6 and a mean age of 49.38 (± 13.17) years. Fourteen (3.3%) respondents were found to have functional low vision. The main causes of functional low vision were glaucoma (32%) and age-related macular degeneration (ARMD) (16%). Functional low vision was strongly associated with older age (p = 0.019) and the main barriers to utilization of low vision services were lack of awareness of the services and financial constraints. Conclusion: A significant burden of functional low vision was found in Oluyole Local Government Area of Oyo State. There is need for regular community-based surveys in other parts of the country to aid proper planning of low vision services in the host communities and the country as a whole. Also, more awareness needs to be created about common ocular diseases and facilities for appropriate treatment of these diseases.","PeriodicalId":376849,"journal":{"name":"Nigerian Journal of Ophthalmology","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132917884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：