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To describe the epidemiology and management of oculoplastic disorders at a tertiary hospital in Nigeria.This was a retrospective review of patients with oculoplastic disorders at the Department of Ophthalmology, Obafemi Awolowo University Teaching Hospitals Complex, IleIfe, Nigeria from January 2013 to December 2016. The general ophthalmology service records were reviewed to identify patients with oculoplastic disorders. Data retrieved from patient records included date of initial visit, age at presentation, gender, oculoplastic diagnosis and aetiology, modality of treatment given, and indications for patient referrals.There were 563 (7.4%) patients with oculoplastic disorders, out of 7,575 ophthalmology department patients. They had 573 oculoplastic disorders in all. There were 281 (49.9%) males and 282 (50.1%) females. The median age at presentation was 28 years (range, 1 day to 100 years). Eyelid laceration (n=68; 11.9%) and chalazion (n=63; 11%) were the commonest disorders. Trauma (n=125; 21.8%) was the commonest aetiology, followed by inflammatory (n=121; 21.1%) and infective (n=108; 18.8%) causes. There were 162 (28.3%) surgical interventions; eyelid repair (n=67; 41.4%) was the commonest, followed by evisceration (n=25; 15.4%), and excisional biopsy (n=25; 15.4%). No patient had ptosis or lacrimal surgery. Orbital disorders (n=21; 42.9%) were the commonest indication for a referral elsewhere.Eyelid laceration was the commonest oculoplastic disorder, trauma was the commonest aetiology, and eyelid repair was the commonest oculoplastic surgery done. Further training in oculoplastics with emphasis on ptosis, lacrimal and orbital surgery, as well as the provision of equipment needed for optimal oculoplastic service delivery are recommended.Décrire l’épidémiologie et la gestion des troubles oculoplastiques dans un hôpital tertiaire du Nigeria.Il s’agissait d’un examen rétrospectif des patients atteints de troubles oculoplastiques au département d’ophtalmologie, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria, de janvier 2013 à décembre 2016. Les dossiers du service d’ophtalmologie générale ont été examinés afin d’identifier les patients souffrant de troubles oculoplastiques. Les données extraites des dossiers des patients comprenaient la date de la première visite, l’âge au moment de la présentation, le sexe, le diagnostic oculoplastique et l’étiologie, la modalité du traitement administré et les indications pour le renvoi des patients.563 (7,4 %) des 7 575 patients du service d’ophtalmologie présentaient des troubles oculoplastiques. Ils présentaient 573 troubles oculoplastiques au total. Il y avait 281 (49,9%) hommes et 282 (50,1%) femmes. L’âge médian à la présentation était de 28 ans (intervalle de 1 jour à 100 ans). Paupière (n=68 ; 11,9%) et le chalazion (n=63 ; 11%) étaient les troubles les plus courants. Le traumatisme (n=125 ; 21,8%) était l’étiologie la plus fréquente, suivie par les causes inflammatoires (n=121 ; 21,1%) et infectieuses (n=108 ; 18,8%). Il y a eu 162 (28,8 %) interventions chirurgicales ; la réparation de la paupière (n=67 ; 41,4 %) était la plus courante, suivie de l’éviscération (n=25 ; 15,4%) et de la biopsie excisionnelle (n=25 ; 15,4%). Aucun patient n’a subi de ptose ou de chirurgie lacrymale. Les troubles orbitaux (n=21 ; 42,9%) étaient l’indication la plus fréquente d’un renvoi ailleurs.La lacération de la paupière était le trouble oculoplastique le plus courant, le traumatisme était l’étiologie la plus courante et la réparation de la paupière était la chirurgie oculoplastique la plus courante. Il est recommandé de poursuivre la formation en oculoplastie en mettant l’accent sur le ptosis, la chirurgie lacrymale et orbitale, ainsi que de fournir l’équipement nécessaire à une prestation optimale des services oculoplastiques.Troubles oculoplastiques, prévalence, chirurgie, traumatisme.

To evaluate the scanning laser tomography characteristics of the optic nerve head in patients with primary open angle (POAG) glaucoma using the Heidelberg retina tomography (HRT II).A clinic-based retrospective study.A total of 84 eyes of 42 POAG patients with good quality HRT II Images were studied at Charles Nicolle Hospital University department of Ophthalmology out-patient clinic, Tunis.Characteristics of optic disc pattern of glaucoma patients were documented using the HRT II. Association of disc area with the other HRT parameters and inter-eye difference in the HRT parameters were assessed using simple and multiple regression analysis. MAIN OUT-COME MEASURES: Disc area, cup area, rim area, cup-to-disc area ratio, cup volume, rim volume, mean cup depth, maximum cup depth and mean retinal nerve fibre layer thickness.Twenty-seven males and 15 females were studied. The mean age of glaucoma patients was 48.9±2.7 years. The mean disc area, cup area, cup-to-disc area ratio and rim area were 2.19±0.46 (range, 1.23 - 3.16mm2), 0.95±0.94 (range 0.08 - 2.15), 0.42±0.21(range 0.004-0.92), 1.25± 0.46 (range 0.18-2.64) respectively. Disc area was positively correlated to the cup area (p=0.001), rim area (p=0.001), cup to disc area ratio (p=0.03), and mean cup depth (p=0.02).The glaucoma diagnosis score was strongly correlated with the rim area (p0.001), cup area (p0.001), mean cup depth (p0.001) and cup disc area ratio (p0.001). Absolute inter eye parameter between the two eyes were positively correlated with disc area (p0.05).There was a significant correlation of the parameters between the two eyes and between the disc area and some other HRT parameters.

Integration of primary eye-care (PEC) into the existing primary healthcare (PHC) system is efficient in reaching rural communities. Baseline assessment of human and material resources for primary eye-care delivery in a rural local government area of southwestern Nigeria with projected population of 126,625 was conducted. Data on number and cadre of all PHC facilities and health-workers were collected. All facilities were visited and materials required for basic PEC inspected. Forty-one (42.3%) community health extension workers, 42 (43.3%) health assistants, 3 (3.1%) community officers of health and 11 (11.2%) registered nurses administered PHC in 27 health facilities. No worker had training in PEC and none of the centres had all the materials for basic PEC delivery. Although procurement of materials and training of health-workers in basic PEC delivery is required, the healthcare facilities and workers currently available are adequate to commence integration of PEC into the PHC system.

This study evaluated the prevalence of HIV seropositivity among a suspected group and describes the ocular manifestations among patients seen at the eye clinic of Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife. Confirmatory diagnosis of HIV/AIDS by serologic tests was positive in 11 (28.9%) patients. Age range of 11 HIV/AIDS positive patients was 16 to 56 years, with a mean age of 32 +/- 2.7 years. There were 7 males and 4 females, giving a male to female ratio of 1.8:1. Of the 11 indexed patients, 1 had squamous cell carcinoma of the conjunctiva related to acquired Immunodeficiency Syndrome; four [36.4%] had herpes zoster ophthalmicus (3 males and I female) and herpes simplex keratitis (1).Others were lateral rectus muscle palsy and associated optic atrophy(1), uveitis(2), uniocular pan-uveitis with rubeosis iridis(1) and retinopathy (2). This study showed a significant proportion of patients suspected of HIV/AIDS among high risk patients were actually infected. A high index of suspicion is required in diagnosing HIV/AIDS among ophthalmic patients. Keywords : This study evaluated the prevalence of HIV seropositivity among a suspected group and describes the ocular manifestations among patients seen at the eye clinic of Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife. Confirmatory diagnosis of HIV/AIDS by serologic tests was positive in 11 (28.9%) patients. Age range of 11 HIV/AIDS positive patients was 16 to 56 years, with a mean age of 32 +/- 2.7 years. There were 7 males and 4 females, giving a male to female ratio of 1.8:1. Of the 11 indexed patients, 1 had squamous cell carcinoma of the conjunctiva related to acquired Immunodeficiency Syndrome; four [36.4%] had herpes zoster ophthalmicus (3 males and I female) and herpes simplex keratitis (1).Others were lateral rectus muscle palsy and associated optic atrophy(1), uveitis(2), uniocular pan-uveitis with rubeosis iridis(1) and retinopathy (2). This study showed a significant proportion of patients suspected of HIV/AIDS among high risk patients were actually infected. A high index of suspicion is required in diagnosing HIV/AIDS among ophthalmic patients. This study evaluated the prevalence of HIV seropositivity among a suspected group and describes the ocular manifestations among patients seen at the eye clinic of Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife. Confirmatory diagnosis of HIV/AIDS by serologic tests was positive in 11 (28.9%) patients. Age range of 11 HIV/AIDS positive patients was 16 to 56 years, with a mean age of 32 +/- 2.7 years. There were 7 males and 4 females, giving a male to female ratio of 1.8:1. Of the 11 indexed patients, 1 had squamous cell carcinoma of the conjunctiva related to acquired Immunodeficiency Syndrome; four [36.4%] had herpes zoster ophthalmicus (3 males and I female) and herpes simplex keratitis (1).Others were lateral rectus muscle palsy and associated optic atrophy(1), uveitis(2), uniocular pan-uveitis with rubeosis iridis(1) and retinopathy (2). This study showed a significant proportion of patients suspected of HIV/AIDS among high risk patients were actually infected. A high index of suspicion is required in diagnosing HIV/AIDS among ophthalmic patients. This study evaluated the prevalence of HIV seropositivity among a suspected group and describes the ocular manifestations among patients seen at the eye clinic of Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife. Confirmatory diagnosis of HIV/AIDS by serologic tests was positive in 11 (28.9%) patients. Age range of 11 HIV/AIDS positive patients was 16 to 56 years, with a mean age of 32 +/- 2.7 years. There were 7 males and 4 females, giving a male to female ratio of 1.8:1. Of the 11 indexed patients, 1 had squamous cell carcinoma of the conjunctiva related to acquired Immunodeficiency Syndrome; four [36.4%] had herpes zoster ophthalmicus (3 males and I female) and herpes simplex keratitis (1).Others were lateral rectus muscle palsy and associated optic atrophy(1), uveitis(2), uniocular pan-uveitis with rubeosis iridis(1) and retinopathy (2). This study showed a significant proportion of patients suspected of HIV/AIDS among high risk patients were actually infected. A high index of suspicion is required in diagnosing HIV/AIDS among ophthalmic patients. Keywords : Eye, HIV/AIDS, Suspicion Nigerian Journal of Surgical Science Vol. 16 (2) 2006: pp. 47-53

Burkitt's lymphoma is endemic in Nigeria; it forms about 39% of all childhood cancers. In recent times more of these cases are being seen presenting first to the Ear Nose and Throat clinic.This study is designed to look at the pattern of presentation of head and Neck Burkitt's lymphoma at a Nigerian Tertiary hospital and to evaluate current treatment modality.It is a retrospective study of all confirmed Burkitt's lymphoma of the head and neck region seen at the Obafemi Awolowo University Teaching Hospital Ile Ife (OAUTHC) between 1986 and 2002.The medical records of all the patients with the histopathologically confirmed Burkitt's lymphoma over a 17-year period (1986-2002) were evaluated. The proportion of the tumor affecting the Head and neck region were noted. The data extracted were entered into a questionnaire and analysis of data was done using the SPSS 10.0 software.A total of 196 cases of Burkitt's lymphoma were seen over the period out of which 140 (71.4%) were in the head and neck region. There was a male preponderance with the incidence of 72% and 28% in females. The peak age incidence was found to be within the first decade of life. The most common sites that were affected are; the jaw (65.9%), nasal and paranasal sinuses (12.2). Majority of the patients presented with advanced disease. Combination Chemotherapy comprising Cyclophosphamide, Oncovin, Methotrexate and Prednisolone (COMP) was the mainstay of management. The treatment outcome was only favorable in 36.6%. Default rate was (11.7%) while the mortality rate was (12.6%). Relapse\recurrence was found in (5.1%) of cases. Frank drug resistance was found in (2.6%). Blindness was found to be a major morbidity associated with this disease. Septicemia and severe anemia were found to be the major causes of mortality. Some complications of treatment were noted.The importance of the findings in this work was discussed in line with the existing literature.Head and neck remain the mostly affected parts in Burkitt's lymphoma in this environment. Presentation with advanced disease is the bane. This partly explains high morbidity and mortality in affected children.

No Abstract. Nigerian Journal of Ophthalmology Vol. 14 (2) 2006: pp. 60-64