Nigerian Journal of Ophthalmology最新文献

Can Social Media Bridge the Information Gap in Africa and Improve Early Diagnosis of Glaucoma by Improving Health Seeking Behaviour? 社交媒体能否弥合非洲的信息鸿沟，并通过改善就医行为改善青光眼的早期诊断?

Nigerian Journal of Ophthalmology Pub Date : 2023-05-01 DOI: 10.4103/njo.njo_24_22

Aisha Abubakar, Fitzgerald Anazor, M. Mustapha

引用次数: 0

Economic burden of glaucoma in Nigeria: Estimating the direct health care cost in a tertiary eye clinic 尼日利亚青光眼的经济负担:估计三级眼科诊所的直接卫生保健费用

Nigerian Journal of Ophthalmology Pub Date : 2023-01-01 DOI: 10.4103/njo.njo_17_22

Shahir U Bello, U. Eze, M. Umar, M. Abdull, O. Babalola

{"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}

引用次数: 2

Estimated Number of Cataract Surgeries Performed in Government Hospitals in Nigeria and Factors Affecting Cataract Surgical Activity 尼日利亚政府医院白内障手术的估计数量和影响白内障手术活动的因素

Nigerian Journal of Ophthalmology Pub Date : 2023-01-01 DOI: 10.4103/njo.njo_42_21

D. Aniemeka, J. Buchan, A. Adeke, Abubakar Dange, Nanaishat Momoh

{"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}

引用次数: 0

Determinants of Eye Disorders in Patients with Rheumatoid Arthritis and Systemic Lupus Erythematosus in a Tertiary Hospital in Northern Nigeria 尼日利亚北部三级医院类风湿性关节炎和系统性红斑狼疮患者眼部疾病的决定因素

Nigerian Journal of Ophthalmology Pub Date : 2023-01-01 DOI: 10.4103/njo.njo_8_22

R. Muhammad, M. Abdullahi, K. Oladigbolu, A. Umar

{"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}

引用次数: 0

A Report of Three Cases of Ocular Surface Squamous Neoplasia Treated with 5-Fluorouracil Drops 5-氟尿嘧啶滴剂治疗眼表鳞状瘤变3例报告

Nigerian Journal of Ophthalmology Pub Date : 2023-01-01 DOI: 10.4103/njo.njo_5_22

J. Ubah, O. Otuka

引用次数: 0

Retinal Degenerative Disease (Retinitis Pigmentosa) Associated with Nonocular Abnormalities: A Case Series in Niger 与非眼异常相关的视网膜退行性疾病(色素性视网膜炎):尼日尔的一个病例系列

Nigerian Journal of Ophthalmology Pub Date : 2023-01-01 DOI: 10.4103/njo.njo_9_21

Hadjia Abba Kaka

引用次数: 0

Editorial Comments: Nigerian Journal of Ophthalmology, January–April 2023 编辑评论:尼日利亚眼科杂志，2023年1 - 4月

Nigerian Journal of Ophthalmology Pub Date : 2023-01-01 DOI: 10.4103/njo.njo_7_23

F. Adepoju

引用次数: 0

Glaucomatocyclitic Crisis in a Nigerian Child: A Case Report 尼日利亚儿童青光眼周期危象1例报告

Nigerian Journal of Ophthalmology Pub Date : 2023-01-01 DOI: 10.4103/njo.njo_20_22

T. Sarimiye, S. Adebusoye

{"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}

引用次数: 0

Ocular Hypotony Causing Choroidal Detachment Following Scleral Fixation of Intraocular Lens − A Case Report 人工晶状体巩膜固定术后眼球低张力引起脉络膜脱离1例报告

Nigerian Journal of Ophthalmology Pub Date : 2023-01-01 DOI: 10.4103/njo.njo_10_22

Idris Saka, M. Balogun, G. Yusuf

{"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}

引用次数: 0

Prevalence of low vision and barriers to uptake of low vision services in an adult population of Southwest Nigeria 尼日利亚西南部成人低视力患病率及接受低视力服务的障碍

Nigerian Journal of Ophthalmology Pub Date : 2023-01-01 DOI: 10.4103/njo.njo_14_22

Izuka A. Okwudishu, M. Ugalahi, B. Olusanya, C. Bekibele

{"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}

引用次数: 0