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Resolution of Posttraumatic Brown Syndrome in a Child Following Treatment with Oral Steroid: A Case Report 儿童创伤后布朗综合征在口服类固醇治疗后的解决:一个病例报告
Pub Date : 2022-01-01 DOI: 10.4103/njo.njo_27_21
S. Murthy, P. Tripathi
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.
目的:报告一例创伤后儿童获得性布朗综合征及其对口服类固醇的反应。病例报告:一名4岁儿童在玩耍时跌倒,头部受伤,头部姿势异常。经检查,他具有右眼获得性布朗综合征的特征。大脑和眼眶的磁共振成像正常。给予一个疗程的口服类固醇,治疗一个月后症状消失。结论:创伤后急性发作的异常头部姿势需要敏锐的眼球运动评估和所有眼睛的覆盖试验来确定病因。儿童头部外伤后应考虑获得性布朗综合征,口服类固醇治疗效果良好。
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引用次数: 0
A Tale of Two Syndromes: Vogt–Koyanagi–Harada Disease and Acquired Immunodeficiency Syndrome in a Nigerian Female 两种综合征的故事:尼日利亚女性的Vogt-Koyanagi-Harada病和获得性免疫缺陷综合征
Pub Date : 2022-01-01 DOI: 10.4103/njo.njo_18_21
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.
54岁尼日利亚女性,双眼视力突然恶化1周。之前没有眼部外伤史,没有飞蚊症,也没有闪光。然而,在出现眼部症状前2周,她有发热病史,伴有头痛和不适。她是一名已知的逆转录病毒阳性患者,在过去5年中接受了高效抗逆转录病毒治疗,但没有已知的高血压或糖尿病。在呈现时,双眼的最佳矫正视力是手的运动。双眼前段检查显示角膜内皮上有细小的角膜沉淀,前房有光斑和炎症细胞,核硬化1级。双眼间接扩眼镜检查发现边缘模糊的粉红色盘状视网膜全渗出性脱离。对一例人类免疫缺陷病毒/获得性免疫缺陷综合征患者的Vogt-Koyanagi-Harada综合征进行了评估。双侧渗出性脱离在全身类固醇治疗后,双眼最佳矫正视力改善至6/9。
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引用次数: 0
Comparison of the Sanders–Retzlaff–Kraff II and Barrett Universal II Intraocular Lens Formula in Eyes with Normal Axial Lengths Sanders-Retzlaff-Kraff II型和Barrett通用II型人工晶状体配方在正常眼轴长的比较
Pub Date : 2022-01-01 DOI: 10.4103/njo.njo_46_21
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.
摘要:本研究评估两种人工晶状体(IOL)度数计算公式在超声乳化术后眼轴长(AXL)为22.00 ~ 24.50 mm患者中的差异。目的:本研究旨在了解Sanders-Retzlaff-Kraff (SRK) II型人工晶状体公式与Barret Universal II型人工晶状体公式的准确性和相关性,以降低AXL正常眼的屈光预测误差(RPE)值。方法:回顾性分析35例白内障手术患者的医疗记录。采用重复测量方差分析分析SRK II和Barrett Universal II IOL配方RPE值的差异。结果:两种人工晶状体配方的RPE值差异无统计学意义。各配方的RPE值标准差为±0.50 D, 62.8%的患者为±0.50 D, 94.3% ~ 97.1%的患者为±1.00 D。结论:两方在AXL正常眼的RPE分布范围均在英国国民健康服务体系的基准标准内。在高积压的国家,可以优先使用SRK II配方。
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引用次数: 0
Acute Acquired Comitant Esotropia after Amniotic Membrane Transplantation in a Case of Vernal Keratoconjuctivitis 羊膜移植术后急性获得性共同性内斜视一例春性角膜结膜炎
Pub Date : 2022-01-01 DOI: 10.4103/njo.njo_4_21
S. Murthy, N. Nikhil, Khushboo D Gupta
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.
急性获得性共同性内斜视(AACE)是一种罕见的斜视形式在大龄儿童和成人。它的特点是急性发作伴发内斜视和复视。它可以由单眼遮挡、视力丧失、身体压力或高度近视引起。我们描述了一个患有慢性春性角膜结膜炎的儿童,由于羊膜移植后融合破裂而出现了AACE。据我们所知,羊膜移植后的AACE尚未见报道。
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引用次数: 1
Relationship between Anthropometric Parameters, Neck Circumference, and Intraocular Pressure among Normal Adults in Ile-Ife Ile-Ife中正常成人的人体测量参数、颈围和眼压的关系
Pub Date : 2022-01-01 DOI: 10.4103/njo.njo_17_21
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
目的:探讨尼日利亚Ile-Ife地区成人人群的人体测量参数、颈围(NC)和眼内压(IOP)之间的关系。方法:对尼日利亚Ile-Ife地区Obafemi Awolowo大学教学医院的学生和工作人员中随机选择的450名非青光眼患者进行描述性横断面研究。获得了研究机构的伦理许可,并获得了受试者的书面知情同意。记录受试者的人口统计资料,测量人体测量参数、NC和IOP。数据采用SPSS 23.0统计软件进行分析。采用双变量线性回归模型进行相关性分析,P < 0.05为统计学显著水平。结果:共纳入调查对象450人,其中男性194人(43.1%),女性256人(56.9%)。平均年龄34.26±11.78岁。身高、体重、体质指数(BMI)和NC的平均值分别为1.67±0.09 m、70.7±14 kg、25.49±4.91 kg/m2和34.65±2.79 cm。男性的体重和身高明显高于女性,但女性的体重指数高于女性。所有受试者的平均眼压为14.40±3.26 mmHg。体重、BMI、IOP随年龄的增加而显著增高,平均IOP随身高(P = 0.045)、体重(P = 0.005)、NC (P = 0.0005)、BMI (P = 0.0001)的增加而显著增高。结论:体重、BMI和NC增加与IOP升高显著相关,IOP升高是青光眼的危险因素
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引用次数: 0
Nigerian Journal of Ophthalmology Editorial Comments 尼日利亚眼科杂志编辑评论
Pub Date : 2022-01-01 DOI: 10.4103/njo.njo_6_22
B. Olusanya
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引用次数: 0
Refractive Profile in Duane Retraction Syndrome Duane后缩综合征的屈光剖面
Pub Date : 2022-01-01 DOI: 10.4103/njo.njo_5_21
S. Murthy, K. Gupta
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.
目的:探讨Duane后缩综合征(DRS)患者屈光不正的特点。方法:我们对2015年1月至2018年12月在某三级眼科中心诊断为DRS的患者进行回顾性分析。检索并分析所有诊断为DRS患者的病例档案。从记录中收集以下参数:人口统计数据、受累侧边、DRS类型、屈光不正类型、有无屈光参差、有无弱视(如果有)。屈光不正类型与DRS类型相关。结果:纳入74例患者77眼,年龄2 ~ 65岁。女性42例,男性32例。外源性DRS以单侧表现最为常见。单侧DRS主要累及左眼。远视(58.1%)是内视和外视DRS中最常见的屈光不正。16%的患者存在屈光参差,其中最常见的屈光不正是各向异性散光。弱视仅在三个病例中被报道为屈光参差的原因。大多数患者(81%)报告头部姿势异常。上升和下降在外源性DRS中很常见。结论:远视是内视和外视DRS中最常见的屈光不正。少数病例报告弱视是由于屈光参差。这强调了正确评估屈光不正对DRS患者的重要性。
{"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}
引用次数: 0
Predictors of Clinical Outcome of Ulcerative Keratitis in a Tertiary Hospital 某三级医院溃疡性角膜炎临床预后的预测因素
Pub Date : 2021-07-01 DOI: 10.4103/njo.njo_11_20
O. Arinze, C. Ezisi, C. Ogbonnaya, N. Okoloagu
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.
目的和目的:在尼日利亚埃努古的尼日利亚大学教学医院确定溃疡性角膜炎临床预后的预测因素。方法:这是一项以医院为基础的61例溃疡性角膜炎患者的研究。获得参与者的社会人口统计学和临床信息。结果测量包括治疗结果(分为治疗结果好和治疗结果差)和治疗后视力结果(分为视力6/60或更好和视力低于6/60)。结果:研究共招募了61例患者。其中男性44例(72.1%),女性17例(27.9%)。虽然大多数55例(90.1%)溃疡愈合,但许多并发并发症,如穿孔伴内脏取出- 3(11.5%),全眼炎伴内脏取出- 3(11.5%),穿孔溃疡愈合伴视觉上明显的粘附性白细胞- 5(19.2%),无穿孔愈合的溃疡伴视觉上明显的角膜混浊- 6(23.1%),角膜血管化- 7(26.9%)和前葡萄肿- 2(7.7%)。不良治疗结果的预测因素包括症状持续时间超过1周、使用有害的传统眼科药物(tem)、溃疡大小≥4mm以及存在垂体后叶。治疗后视力不良的重要预测因素包括年龄40岁及以上、溃疡大小≥4mm、症状持续时间≥1周。结论:多数角膜溃疡愈合。然而,许多人也有并发症,导致严重的视力损害和眼部发病率。这在很大程度上是由于迟交和不加区分地使用术语。建议进行有效的眼睛健康教育和宣传,以鼓励溃疡性角膜炎的早期表现、预防和减少视力和眼部发病率。
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引用次数: 0
Editorial Comments: Nigerian Journal of Ophthalmology, July–December 2021 编辑评论:尼日利亚眼科杂志,2021年7月- 12月
Pub Date : 2021-07-01 DOI: 10.4103/njo.njo_53_21
N. Muhammad
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引用次数: 0
Barriers to Uptake of Cataract Surgical Services in a Tertiary Hospital 三级医院接受白内障手术服务的障碍
Pub Date : 2021-07-01 DOI: 10.4103/njo.njo_12_21
O. Obasuyi, C. Ukponmwan, O. Uhumwangho
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.
目的:了解尼日利亚埃多州Irrua专科教学医院(ISTH)眼科门诊白内障患者接受白内障手术的障碍。材料和方法:本研究是一项描述性的以医院为基础的研究,研究对象是在江户州伊鲁瓦市ISTH眼科诊所就诊的白内障患者。本研究采用了一份由访谈者填写的问卷,旨在确定接受白内障手术服务的障碍。收集受访者对白内障手术的意愿、不愿意手术的原因、导致意愿者最终不手术或延迟手术的因素的回答,并进行整理和分析。数据分析采用IBM SPSS软件,版本21。结果:共纳入400例患者,其中男性217例(54.3%),女性183例(45.8%),男女比例为1.2:1。188名(47%)受访者不知道该院有白内障手术服务,34名(15%)受访者在一周内接受手术,189名(80.4%)受访者在被告知有资格接受手术后超过一周才接受手术。对不良结果的恐惧和缺乏资金是推迟手术的主要原因。女性接受手术的可能性是男性的1.5倍。教育程度和离医疗机构的距离对接受白内障手术没有影响。结论:担心手术结果不佳,缺乏资金,缺乏对手术服务的了解是在ISTH接受白内障手术的障碍,改善手术结果和对现有手术服务的教育可能会提高白内障手术的接受程度。
{"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}
引用次数: 0
期刊
Nigerian Journal of Ophthalmology
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