Ophthalmology- Scholarly Publications

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Browsing Ophthalmology- Scholarly Publications by Author "Ikuomenisan, S.J"

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  • Item
    Open Access
    Spectrum of Childhood Strabismus seen at Lagos University Teaching Hospital, Lagos, Nigeria
    (Nigerian Quarterly Journal of Hospital Medicine, 2017) Musa, K.O; Ikuomenisan, S.J; Idowu, O.O; Salami, M.O; Olowoyeye, A.O
    Background: Strabismus is the misalignment of the visual axes of the eyes. It may lead to the development of amblyopia, impaired reading performance, absent or reduced binocular single vision as well as reduced self-esteem. Objectives: To describe the spectrum of childhood strabismus seen at Guinness Eye Centre of the Lagos University Teaching Hospital, Lagos, Nigeria with a view to determining the most common type of strabismus as well as associated probable risk factors. Methods: A retrospective, descriptive study of all new patients below the age of 16 years who were diagnosed to have strabismus (squint) at the Guinness Eye Centre, Lagos University Teaching Hospital between January, 2012 and December, 2015. Their case files were retrieved and relevant information extracted. Information obtained included age at presentation, gender, duration of symptoms before presentation, presenting visual acuity and family history of strabismus in first degree relatives. Also, type of strabismus, extent of deviation, refraction, ocular and systemic comorbidities, pregnancy, delivery as well as developmental history were extracted. Results: One hundred and sixty-six new cases of children below 16 years of age with strabismus were seen during the period under review constituting 9.1% of 1,815 new paediatric ophthalmic presentations during the same period. There were 105 (63.3%) females with a male to female ratio of 1:1.7. The most common types of strabismus were alternating, constant, comitant and esotropia documented in 83 (53.0%), 139 (83.7%), 159 (95.8%) and 108 (65.1%) patients respectively. Forty-five (41.7%) out of the 108 patient with esotropia had congenital/infantile esotropia being the most common while the most common type of exotropia was intermittent seen in 22 (43.2%) out of the 51 exotropic patients. Hypermetropia was significantly associated with esodeviation (p=0.04) while myopia was significantly associated with exodeviation (p=0.003). Also, positive family history of strabismus in first degree relatives was found to be associated with exodeviation. Conclusion: The most common type of childhood strabismus in this study was comitant strabismus (based on variability with gaze) and esotropia (based on direction of deviation). Keywords: Spectrum, Childhood, Strabismus, Nigerian, Hospital.
  • Item
    Open Access
    Utilization and Perception of Primary Eye Care Services at the Ogudu Primary Health Centre by Staff of Kosofe Local Government Secretariat, Lagos State, Nigeria
    (Nigerian Quarterly Journal of Hospital Medicine, 2017) Ikuomenisan, S.J; Aribaba, O.T; Musa, K.O
    Aim: To determine the level of utilization and perception of primary eye care services at the Ogudu primary health centre by Kosofe Local Government Secretariat staff. Methods: A descriptive cross-sectional study carried out among Kosofe Local Government Secretariat staff. Ethical approval for the study was granted by the Health Research and Ethics Committee of Lagos University Teaching Hospital. All willing and consenting staff of the secretariat were enrolled in the study. Data were collected using semi- structured, interviewer administered questionnaires and analyzed using Epi Info 7.0.9.7 statistical software. Results: A total of 416 respondents participated in the study out of which 222 (53.7%) were males and 194 (46.3%) were females. The mean age of the respondents was 36.3 + 9.7 years and the age range was from 17 to 65 years. Majority (96.8%) of respondents had presented at the eye clinic at one time or the other. Most respondents (97.1%) were satisfied with the cost of eye care services, 82.6%expressed satisfaction with the short waiting time, 52.3% were satisfied with the overall eye care services rendered at eye clinic while 54.4% of the respondents will recommend the eye clinic to people. The major areas of dissatisfaction were poor toilet facility, lack of eye drops at the clinic pharmacy, inability of the clinic to dispense prescribed glasses and lack of adequate equipment. Conclusion: Majority of the respondents had utilized the eye care service and about half were satisfied with the quality of eye care service received. Evaluation of patients' assessment and perception of eye care services should be done periodically to improve and strengthen the quality of health care delivery. Key words: Utilization, perception, primary eye care services, Ogudu, Kosofe.