Background: Dry Eye Disease (DED) or Dry Eye Syndrome (DES) is the fast growing public health problem characterized by deficiency in the quantity and/or quality of tear film due to tear deficiency or excessive tear evaporation. It negatively affects the health and the quality of life of individuals. Although dry eye is a common eye disease world-wide, many people are undiagnosed and untreated especially in underdeveloped countries. Aim: To determine the prevalence of dry eye disease in Aluu community.

To determine the proportion of participants with elevated intraocular pressure and abnormal vertical cup disc ratio in a glaucoma screening event in a rural community in Nigeria. Methods: 242 eyes of 121 participants at a one-day screening programme were examined. Visual acuity was accessed using Snellen literate and illiterate charts, followed by a pen torch examination of the anterior segment. The posterior segment was accessed using a direct ophthalmoscope (Welch Allyn, USA). All participants had intraocular accessed using Keeler non contact tonometer and those with signifi cant media opacity preventing view of the posterior pole had cycloplegic examination after dilatation with 1%Tropicamide drops. Data generated was expressed as percentages and means. Results: 121 participants (242 eyes) were examined. There were 42 males and 79 females giving a M:F ratio of 1:1.86. Age range of participants was 0-90years with a peak in the 5th decade. Mean age was 32 years. 79.3% of participants had normal visual acuity of 6/4-6/18, while 9.5% had visual acuity worse than 6/60. 83% of eyes had intraocular pressure within normal level, <21mmHg, 12.4% within 21-30mmHg and 4.6% >30mmHg. 73.1% of eyes had Vertical Cup disc ratio (VCDR) <0.5, 10.7% had 0.5-0.7 and 6.6%>0.7. 9.6% of eyes could not be accessed due to media opacities. Conclusion: 6.6% of participants had suspicious discs and 4.6% participants had intraocular pressures above 30mmHg. Opportunistic screening for glaucoma remains one of the important modes of case detection for glaucoma in the developing climes and should be encouraged as a way to address the scourge of this blinding disease.

Aims:  To assess the demographic characteristics and referral pattern of patients with glaucoma presenting at the University of Port Harcourt Teaching Hospital. Study Design: A hospital-based cross- sectional study. Place and Duration of Study: The Ophthalmology department, University of Port Harcourt Teaching Hospital between November 2018 and January 2019. Methodology: Ninety-four (94) consenting consecutive Primary open angle glaucoma (POAG) patients above 18 years attending the glaucoma clinic of the Ophthalmology department of the hospital were recruited. All patients had a comprehensive eye examination and were diagnosed as POAG patients and were receiving treatment. Patients with secondary glaucoma were excluded from the study. A questionnaire was used to retrieve information on sources of referral, and distance travelled to assess care. Data analysis employed the Epi Info Version 7.1.4. Significant differences in the comparison of means were determined by independent t-test while the difference in proportions was determined using Chi square statistics. Statistical significance was set at p=.05 Results: A total of 94 glaucoma patients on treatment at our facility were involved in the study. Mean age was 48.49±11.46years. Age range was 25-78years with M: F ratio =1.6:1. 36.2% had secondary education. Majority of referrals (36.3%) were by fellow patients, and most patients (42.6%) travelled less than an hour to access care. 68.1% had prior awareness of glaucoma before visit to clinic. Majority of patients had advanced glaucoma (45.7%) at presentation. Conclusion: A large proportion of POAG patients presenting in our facility had advanced glaucoma and most referrals were from patients already accessing care and media. Advocacy to improve awareness and prompt referral of affected patients will help to reduce the problems associated with glaucoma in our environment

Objective: To determine the pattern of eye disorders among Nigerian Niger Delta region residents as a basis for preventive ophthalmology. Methodology: This study was a retrospective study involving an eleven-year cumulative review of clinical records from the Ophthalmology Clinic of University of Port Harcourt Teaching Hospital. Data on eye disorders were retrieved from the Ophthalmology Clinic records and manually entered into a computer-spread sheet. Double entry check was performed to avoid errors in computer entry. The respective eye disorders from the records were summed to obtain the absolute and relative cumulative frequencies and appropriately presented using horizontal bar chart. Data analyzed with United States Centers for Disease Control and Prevention (CDC) Epi-Info version 7 software. Results: The cumulative total record from the Ophthalmology Clinic was 55,109 from a total of 41 eye disorders. The absolute and relative frequencies of the identified eye disorders from the clinic are presented in horizontal bar chart. The top five ocular disorders were glaucoma (26.97%), refractive error (26.06%), cataract (10.60%), allergic conjunctivitis (9.31%) and bacterial conjunctivitis (5.02%) while the least common cases seen include pan uveitis (0.08%), herpes zoster ophthalmicus (0.07%) pingueculum (0.07%), painful blind eye (0.06%) and orbital cellulitis (0.05%). The anterior segment subspecialty (34.76%) accounted for majority of cases seen followed by glaucoma subspecialty (26.97%), oculoplasty (4.04%), vitreo-retinal (2.4%), paediatric (0.74%), neuro-ophthalmology (0.7%). Cases which cut-across more than one subspecialty group accounted for 28.19%. Conclusion: The commonest eye disorders identified in this study are among the major causes of avoidable blindness in developing countries including Nigeria. To reduce the burden of blindness and visual impairment would involve a concerted effort to tackle these disorders especially by developing the various ophthalmic subspecialties.

Aim: A number of ophthalmic procedures are essential in the management of ocular disorders and are an integral part of ophthalmic practice all over the world.  As different therapeutic methods evolve, some ophthalmic procedures have become outdated and some have been modified or replaced by various forms of laser therapy, leading to an increase in uptake of ophthalmic procedures in this country. Also though our patients still prefer non-surgical therapy, when surgery is performed, the results are much improved leading to greater patient satisfaction. This is a result of the use of more sophisticated and expensive surgical equipment and better surgical techniques. The ophthalmic procedures analyzed here were carried out in a general ophthalmic clinic without any subspecialty affiliation. Methodology: This is a retrospective review of ophthalmic procedures carried out in a specialist facility over a five year period. Information on age, sex and type of ocular procedure was retrieved from case notes of patients and entered into excel sheets. Data was exported from excel sheets for statistical analysis. Results: A total of 111 patients had Ophthalmic procedures over the 5 –year period under review with a mean age of 56.7±18.5 years and age range from 7 to 89 years. Sixty-three of the patients (56.8%) were males while forty-eight (43.2%) were females (M:F = 4:3). The commonest ophthalmic procedure carried out was cataract extraction which accounted for 48.6% of cases followed by yag laser capsulotomy (19.8%) and pterygium excision (18%). No surgical or laser procedures for glaucoma were performed during this period. Conclusion: Ophthalmic procedures are a very important mode of treatment of eye disorders. The most common procedure performed in our study was cataract extraction and more males than females underwent both cataract surgery and pterygium excision while more females had laser capsulotomy.