Aim: To report a case of acquired Brown syndrome in a child following trauma and its response to oral steroids. Case Report: A 4-year-old child was brought to us with complaints of adopting abnormal head posture following a fall while playing and injuring his head. On examination, he had features of the acquired Brown syndrome of the right eye. Magnetic resonance imaging of the brain and orbits was normal. A course of oral steroids was given and the symptoms resolved after a month of treatment. Conclusion: Acute onset of abnormal head posture following trauma warrants keen evaluation of ocular movements and cover tests in all gazes to ascertain the cause. Acquired Brown syndrome should be considered in children following head trauma and it responds well to oral steroids.
{"title":"Resolution of Posttraumatic Brown Syndrome in a Child Following Treatment with Oral Steroid: A Case Report","authors":"S. Murthy, P. Tripathi","doi":"10.4103/njo.njo_27_21","DOIUrl":"https://doi.org/10.4103/njo.njo_27_21","url":null,"abstract":"Aim: To report a case of acquired Brown syndrome in a child following trauma and its response to oral steroids. Case Report: A 4-year-old child was brought to us with complaints of adopting abnormal head posture following a fall while playing and injuring his head. On examination, he had features of the acquired Brown syndrome of the right eye. Magnetic resonance imaging of the brain and orbits was normal. A course of oral steroids was given and the symptoms resolved after a month of treatment. Conclusion: Acute onset of abnormal head posture following trauma warrants keen evaluation of ocular movements and cover tests in all gazes to ascertain the cause. Acquired Brown syndrome should be considered in children following head trauma and it responds well to oral steroids.","PeriodicalId":376849,"journal":{"name":"Nigerian Journal of Ophthalmology","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128404198","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}
Y. Babalola, T. Oluleye, O. Majekodunmi, M. Ijaduola
A 54-year-old female Nigerian presented with a 1-week history of sudden deterioration of vision in both eyes. There was no antecedent history of ocular trauma, floaters, nor flashes of light. However, she gave a history of a febrile illness associated with headaches and malaise 2 weeks prior to onset of ocular symptoms. She is a known retroviral-positive patient on treatment with highly active antiretroviral therapy for the past 5 years but is not a known hypertensive nor diabetic. At presentation, the best corrected visual acuity was hand movement in both eyes. Anterior segment examination of both eyes revealed fine keratic precipitates on the corneal endothelium with flare and inflammatory cells in the anterior chamber and grade 1 nuclear sclerosis. Dilated binocular indirect ophthalmoscopy of both eyes revealed pink disks with blurred margins total exudative retinal detachments. An assessment of Vogt–Koyanagi–Harada syndrome in a patient with human immunodeficiency virus/acquired immunodeficiency syndrome was made. Bilateral exudative detachment resolved with improvement of her best corrected visual acuity to 6/9 in both eyes after systemic treatment with steroids.
{"title":"A Tale of Two Syndromes: Vogt–Koyanagi–Harada Disease and Acquired Immunodeficiency Syndrome in a Nigerian Female","authors":"Y. Babalola, T. Oluleye, O. Majekodunmi, M. Ijaduola","doi":"10.4103/njo.njo_18_21","DOIUrl":"https://doi.org/10.4103/njo.njo_18_21","url":null,"abstract":"A 54-year-old female Nigerian presented with a 1-week history of sudden deterioration of vision in both eyes. There was no antecedent history of ocular trauma, floaters, nor flashes of light. However, she gave a history of a febrile illness associated with headaches and malaise 2 weeks prior to onset of ocular symptoms. She is a known retroviral-positive patient on treatment with highly active antiretroviral therapy for the past 5 years but is not a known hypertensive nor diabetic. At presentation, the best corrected visual acuity was hand movement in both eyes. Anterior segment examination of both eyes revealed fine keratic precipitates on the corneal endothelium with flare and inflammatory cells in the anterior chamber and grade 1 nuclear sclerosis. Dilated binocular indirect ophthalmoscopy of both eyes revealed pink disks with blurred margins total exudative retinal detachments. An assessment of Vogt–Koyanagi–Harada syndrome in a patient with human immunodeficiency virus/acquired immunodeficiency syndrome was made. Bilateral exudative detachment resolved with improvement of her best corrected visual acuity to 6/9 in both eyes after systemic treatment with steroids.","PeriodicalId":376849,"journal":{"name":"Nigerian Journal of Ophthalmology","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123973921","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}
A. Amita, Angelo Doniho, Devina Permatasari, Kristian Kusnadi, A. Halim
Introduction: This study evaluates the difference between two intraocular lens (IOL) power calculation formulas in postphacoemulsification surgery patients with the axial length (AXL) ranging from 22.00 to 24.50 mm. Aim: This study aimed to know the accuracy and the relevancy of Sanders–Retzlaff–Kraff (SRK) II IOL formula compared with Barret Universal II IOL formula to minimize the refractive prediction error (RPE) Value in eyes with normal AXL. Methods: This retrospective study reviews the medical records of 35 patients who had cataract surgery. The differences of RPE value in SRK II and Barrett Universal II IOL formula were analyzed using repeated-measures analysis of variance. Results: There is no statistically significant difference in the RPE value between the two IOL formulas. Each formula has the standard deviation of RPE value ±0.50 D in 62.8% of patients and ±1.00 D in 94.3% to 97.1% of patients. Conclusion: The RPE distribution range in both formulas in eyes with normal AXL was within the benchmark standard of The United Kingdom National Health Service. SRK II formula can be preferred in a high backlog country.
{"title":"Comparison of the Sanders–Retzlaff–Kraff II and Barrett Universal II Intraocular Lens Formula in Eyes with Normal Axial Lengths","authors":"A. Amita, Angelo Doniho, Devina Permatasari, Kristian Kusnadi, A. Halim","doi":"10.4103/njo.njo_46_21","DOIUrl":"https://doi.org/10.4103/njo.njo_46_21","url":null,"abstract":"Introduction: This study evaluates the difference between two intraocular lens (IOL) power calculation formulas in postphacoemulsification surgery patients with the axial length (AXL) ranging from 22.00 to 24.50 mm. Aim: This study aimed to know the accuracy and the relevancy of Sanders–Retzlaff–Kraff (SRK) II IOL formula compared with Barret Universal II IOL formula to minimize the refractive prediction error (RPE) Value in eyes with normal AXL. Methods: This retrospective study reviews the medical records of 35 patients who had cataract surgery. The differences of RPE value in SRK II and Barrett Universal II IOL formula were analyzed using repeated-measures analysis of variance. Results: There is no statistically significant difference in the RPE value between the two IOL formulas. Each formula has the standard deviation of RPE value ±0.50 D in 62.8% of patients and ±1.00 D in 94.3% to 97.1% of patients. Conclusion: The RPE distribution range in both formulas in eyes with normal AXL was within the benchmark standard of The United Kingdom National Health Service. SRK II formula can be preferred in a high backlog country.","PeriodicalId":376849,"journal":{"name":"Nigerian Journal of Ophthalmology","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129953003","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}
Acute acquired comitant esotropia (AACE) is an uncommon form of strabismus in older children and adults. It is characterized by acute onset concomitant esotropia and diplopia. It can occur as a result of monocular occlusion, vision loss, physical stress, or high myopia. We describe a child with chronic vernal keratoconjunctivitis with nonhealing shield ulcer who presented with AACE due to disruption of fusion following amniotic membrane transplantation. To the best of our knowledge, AACE following amniotic membrane transplantation has not been reported till date.
{"title":"Acute Acquired Comitant Esotropia after Amniotic Membrane Transplantation in a Case of Vernal Keratoconjuctivitis","authors":"S. Murthy, N. Nikhil, Khushboo D Gupta","doi":"10.4103/njo.njo_4_21","DOIUrl":"https://doi.org/10.4103/njo.njo_4_21","url":null,"abstract":"Acute acquired comitant esotropia (AACE) is an uncommon form of strabismus in older children and adults. It is characterized by acute onset concomitant esotropia and diplopia. It can occur as a result of monocular occlusion, vision loss, physical stress, or high myopia. We describe a child with chronic vernal keratoconjunctivitis with nonhealing shield ulcer who presented with AACE due to disruption of fusion following amniotic membrane transplantation. To the best of our knowledge, AACE following amniotic membrane transplantation has not been reported till date.","PeriodicalId":376849,"journal":{"name":"Nigerian Journal of Ophthalmology","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116913634","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}
Adetola Feyijimi, B. Adegbehingbe, A. Adeoye, C. Ihemedu
Aim: To determine the relationship between anthropometric parameters, neck circumference (NC), and intraocular pressure (IOP) among the adult population in Ile-Ife, Nigeria Method: A descriptive cross-sectional study was conducted among 450 randomly selected nonglaucoma subjects from the students and staff population of Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. Ethical clearance for the study was obtained from the institution and written informed consent was obtained from subjects. The demographic profile of subjects was documented and measurements of anthropometric parameters, NC, and IOP were carried out. Data were analyzed using statistical software SPSS 23.0. The bivariate linear regression model was used for correlation analysis and the level of statistical significance was set at P < 0.05. Results: Four hundred and fifty subjects were examined comprising 194 males (43.1%) and 256 females (56.9%). The mean age was 34.26 ± 11.78 years. The mean values for height, weight, body mass index (BMI), and NC were 1.67 ± 0.09 m, 70.7 ± 14 kg, 25.49 ± 4.91 kg/m2, and 34.65 ± 2.79 cm, respectively. The weight and height were significantly higher in males than in females but BMI was higher in females. The mean IOP for all the subjects was 14.40 ± 3.26 mmHg. Weight, BMI, and IOP significantly increased with age, and mean IOP also significantly increased with increasing height (P = 0.045), weight (P = 0.005), NC (P = 0.0005), and BMI (P = 0.0001). Conclusion: Increased weight, BMI, and NC were found to be significantly associated with IOP elevation, which is a risk factor for glaucoma
{"title":"Relationship between Anthropometric Parameters, Neck Circumference, and Intraocular Pressure among Normal Adults in Ile-Ife","authors":"Adetola Feyijimi, B. Adegbehingbe, A. Adeoye, C. Ihemedu","doi":"10.4103/njo.njo_17_21","DOIUrl":"https://doi.org/10.4103/njo.njo_17_21","url":null,"abstract":"Aim: To determine the relationship between anthropometric parameters, neck circumference (NC), and intraocular pressure (IOP) among the adult population in Ile-Ife, Nigeria Method: A descriptive cross-sectional study was conducted among 450 randomly selected nonglaucoma subjects from the students and staff population of Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. Ethical clearance for the study was obtained from the institution and written informed consent was obtained from subjects. The demographic profile of subjects was documented and measurements of anthropometric parameters, NC, and IOP were carried out. Data were analyzed using statistical software SPSS 23.0. The bivariate linear regression model was used for correlation analysis and the level of statistical significance was set at P < 0.05. Results: Four hundred and fifty subjects were examined comprising 194 males (43.1%) and 256 females (56.9%). The mean age was 34.26 ± 11.78 years. The mean values for height, weight, body mass index (BMI), and NC were 1.67 ± 0.09 m, 70.7 ± 14 kg, 25.49 ± 4.91 kg/m2, and 34.65 ± 2.79 cm, respectively. The weight and height were significantly higher in males than in females but BMI was higher in females. The mean IOP for all the subjects was 14.40 ± 3.26 mmHg. Weight, BMI, and IOP significantly increased with age, and mean IOP also significantly increased with increasing height (P = 0.045), weight (P = 0.005), NC (P = 0.0005), and BMI (P = 0.0001). Conclusion: Increased weight, BMI, and NC were found to be significantly associated with IOP elevation, which is a risk factor for glaucoma","PeriodicalId":376849,"journal":{"name":"Nigerian Journal of Ophthalmology","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126984221","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}
Aim: To study the refractive error profile of patients with Duane retraction syndrome (DRS). Methods: We conducted a retrospective analysis of patients diagnosed with DRS between January 2015 and December 2018 at a tertiary eye center. All case files of patients diagnosed with DRS were retrieved and analyzed. Following parameters were collected from the records: demographic data, laterality of involvement, type of DRS, type of refractive error, presence of anisometropia, and presence of amblyopia, if any. Type of refractive error was correlated with type of DRS. Results: Seventy-seven eyes of 74 patients were included with age range of 2 to 65 years. There were 42 female patients and 32 male patients. Exotropic DRS with unilateral presentation was the commonest pattern. Left eye was predominantly involved in unilateral DRS. Hyperopia (58.1%) was the most common refractive error in both esotropic and exotropic DRS. Anisometropia was present in 16% cases, with anisoastigmatism being the most common refractive error in them. Amblyopia was reported in only three cases with anisometropia being the cause. Abnormal head posture was reported in most of the patients (81%). Upshoots and downshoots were common in exotropic DRS. Conclusion: Hyperopia was the most common refractive error in both esotropic and exotropic DRS. Amblyopia was reported in a few cases and was due to anisometropia. This underscores the importance of proper evaluation of refractive error in patients with DRS.
{"title":"Refractive Profile in Duane Retraction Syndrome","authors":"S. Murthy, K. Gupta","doi":"10.4103/njo.njo_5_21","DOIUrl":"https://doi.org/10.4103/njo.njo_5_21","url":null,"abstract":"Aim: To study the refractive error profile of patients with Duane retraction syndrome (DRS). Methods: We conducted a retrospective analysis of patients diagnosed with DRS between January 2015 and December 2018 at a tertiary eye center. All case files of patients diagnosed with DRS were retrieved and analyzed. Following parameters were collected from the records: demographic data, laterality of involvement, type of DRS, type of refractive error, presence of anisometropia, and presence of amblyopia, if any. Type of refractive error was correlated with type of DRS. Results: Seventy-seven eyes of 74 patients were included with age range of 2 to 65 years. There were 42 female patients and 32 male patients. Exotropic DRS with unilateral presentation was the commonest pattern. Left eye was predominantly involved in unilateral DRS. Hyperopia (58.1%) was the most common refractive error in both esotropic and exotropic DRS. Anisometropia was present in 16% cases, with anisoastigmatism being the most common refractive error in them. Amblyopia was reported in only three cases with anisometropia being the cause. Abnormal head posture was reported in most of the patients (81%). Upshoots and downshoots were common in exotropic DRS. Conclusion: Hyperopia was the most common refractive error in both esotropic and exotropic DRS. Amblyopia was reported in a few cases and was due to anisometropia. This underscores the importance of proper evaluation of refractive error in patients with DRS.","PeriodicalId":376849,"journal":{"name":"Nigerian Journal of Ophthalmology","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122168645","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}
Aims and objectives: To determine the predictors of clinical outcome of ulcerative keratitis at the University of Nigeria Teaching Hospital, Enugu, Nigeria. Methods: This was a hospital-based study of 61 patients with ulcerative keratitis. Participants’ sociodemographics and clinical information were obtained. Outcome measures included treatment outcome (categorized into good treatment outcome and poor treatment outcome) and posttreatment visual outcome (categorized into visual acuity 6/60 or better and visual acuity worse than 6/60). Results: A total of 61 patients were recruited for the study. Of these, 44 (72.1%) were males and 17 (27.9%) were females. Although majority 55 (90.1%) of the ulcers healed, many developed complications such as perforation with evisceration − 3 (11.5%), panopthalmitis with evisceration − 3 (11.5%), healed perforated ulcers with visually significant adherent leukoma − 5 (19.2%), visually significant corneal opacities from ulcers that healed without perforation − 6 (23.1%), corneal vascularizattion − 7 (26.9%), and anterior staphloma − 2 (7.7%). Predictors of poor treatment outcome included duration of symptoms of more than 1 week, use of harmful traditional eye medictions (TEMs), size of ulcer ≥4mm, and presence of hypopyon. Significant predictors of poor posttreatment visual outcome included age 40 years and above, size of ulcer ≥4 mm, and duration of symptoms ≥1 week. Conclusions: Majority of the corneal ulcers healed. However, many also had complications that led to significant visual impairment and ocular morbidity. These are largely due to late presentation and indiscriminate use of TEMs. Effective eye health education and promotion are recommended to encourage early presentation, prevention, and reduction of visual and ocular morbidity from ulcerative keratitis.
{"title":"Predictors of Clinical Outcome of Ulcerative Keratitis in a Tertiary Hospital","authors":"O. Arinze, C. Ezisi, C. Ogbonnaya, N. Okoloagu","doi":"10.4103/njo.njo_11_20","DOIUrl":"https://doi.org/10.4103/njo.njo_11_20","url":null,"abstract":"Aims and objectives: To determine the predictors of clinical outcome of ulcerative keratitis at the University of Nigeria Teaching Hospital, Enugu, Nigeria. Methods: This was a hospital-based study of 61 patients with ulcerative keratitis. Participants’ sociodemographics and clinical information were obtained. Outcome measures included treatment outcome (categorized into good treatment outcome and poor treatment outcome) and posttreatment visual outcome (categorized into visual acuity 6/60 or better and visual acuity worse than 6/60). Results: A total of 61 patients were recruited for the study. Of these, 44 (72.1%) were males and 17 (27.9%) were females. Although majority 55 (90.1%) of the ulcers healed, many developed complications such as perforation with evisceration − 3 (11.5%), panopthalmitis with evisceration − 3 (11.5%), healed perforated ulcers with visually significant adherent leukoma − 5 (19.2%), visually significant corneal opacities from ulcers that healed without perforation − 6 (23.1%), corneal vascularizattion − 7 (26.9%), and anterior staphloma − 2 (7.7%). Predictors of poor treatment outcome included duration of symptoms of more than 1 week, use of harmful traditional eye medictions (TEMs), size of ulcer ≥4mm, and presence of hypopyon. Significant predictors of poor posttreatment visual outcome included age 40 years and above, size of ulcer ≥4 mm, and duration of symptoms ≥1 week. Conclusions: Majority of the corneal ulcers healed. However, many also had complications that led to significant visual impairment and ocular morbidity. These are largely due to late presentation and indiscriminate use of TEMs. Effective eye health education and promotion are recommended to encourage early presentation, prevention, and reduction of visual and ocular morbidity from ulcerative keratitis.","PeriodicalId":376849,"journal":{"name":"Nigerian Journal of Ophthalmology","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125170629","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 identify the barriers to the uptake of cataract surgical services among patients with cataract attending the eye clinic in Irrua Specialist Teaching Hospital (ISTH), Edo State, Nigeria. Materials and methods: The study was a descriptive hospital-based study of patients with cataract attending the eye clinic of the ISTH, Irrua, Edo State. An interviewer-administered questionnaire designed to identify the barriers to the uptake of cataract surgical services was used for this study. Responses to questions on willingness to have cataract surgery, reasons for unwillingness, and the factors which made willing participants end up not having surgery or delaying their surgery were obtained, collated and analyzed. Data were analyzed with IBM SPSS Software, version 21. Results: Four hundred patients made of 217 (54.3%) males and 183 (45.8%) females in a ratio of 1.2:1 were participated in this study. One hundred and eighty-eight (47%) of respondents did not know that cataract surgical services were available at ISTH, 34 (15%) had surgery within a week, whereas 189 (80.4%) respondents had surgery more than a week after being told they were eligible for surgery. Fear of poor outcome and lack of finance ranked high in the list of reasons for the delay in surgery. Women were 1.5 times more likely to have surgery than men. Education and distance from health facility had no role to play in the uptake of cataract surgery. Conclusion: Fear of poor surgical outcome, lack of finances, and lack of knowledge of the availability of surgical services are impediments to access cataract surgery at ISTH and improving surgical outcome and education about available surgical services may improve the uptake of cataract surgery.
{"title":"Barriers to Uptake of Cataract Surgical Services in a Tertiary Hospital","authors":"O. Obasuyi, C. Ukponmwan, O. Uhumwangho","doi":"10.4103/njo.njo_12_21","DOIUrl":"https://doi.org/10.4103/njo.njo_12_21","url":null,"abstract":"Objective: To identify the barriers to the uptake of cataract surgical services among patients with cataract attending the eye clinic in Irrua Specialist Teaching Hospital (ISTH), Edo State, Nigeria. Materials and methods: The study was a descriptive hospital-based study of patients with cataract attending the eye clinic of the ISTH, Irrua, Edo State. An interviewer-administered questionnaire designed to identify the barriers to the uptake of cataract surgical services was used for this study. Responses to questions on willingness to have cataract surgery, reasons for unwillingness, and the factors which made willing participants end up not having surgery or delaying their surgery were obtained, collated and analyzed. Data were analyzed with IBM SPSS Software, version 21. Results: Four hundred patients made of 217 (54.3%) males and 183 (45.8%) females in a ratio of 1.2:1 were participated in this study. One hundred and eighty-eight (47%) of respondents did not know that cataract surgical services were available at ISTH, 34 (15%) had surgery within a week, whereas 189 (80.4%) respondents had surgery more than a week after being told they were eligible for surgery. Fear of poor outcome and lack of finance ranked high in the list of reasons for the delay in surgery. Women were 1.5 times more likely to have surgery than men. Education and distance from health facility had no role to play in the uptake of cataract surgery. Conclusion: Fear of poor surgical outcome, lack of finances, and lack of knowledge of the availability of surgical services are impediments to access cataract surgery at ISTH and improving surgical outcome and education about available surgical services may improve the uptake of cataract surgery.","PeriodicalId":376849,"journal":{"name":"Nigerian Journal of Ophthalmology","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114228833","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}