Paediatric Refractive Errors in an Eye Clinic in Osogbo, Nigeria

Michaeline, Isawumi; Sheriff, Agboola; Bimbo, Ayegoro

doi:10.4314/ejhs.v26i2.8

Cited by 11 publications

(11 citation statements)

References 18 publications

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“…As expected, myopia, which starts in childhood and progresses with age [28], was predominantly diagnosed in this younger age group (56.6% below the age of 30), whereas hyperopia was symptomatic at all ages, with its peak at age 50 and older. Similar to our study with 34.9% of refractive errors at young ages, a study investigating children in Osogbo, Nigeria by Isawumi et al [24] analysed a very similar number of refractive errors with 27.8% in children aged 3-16.…”

Section: Discussionsupporting

confidence: 90%

Ocular Morbidity—A Critical Analysis to Improve Outpatient Services in an Eye Department in a Sub-Saharan Megacity

Mukwanseke¹,

Kilangalanga²,

Lutete³

et al. 2021

JCM

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The aim of this study was to analyse outpatient services in an ophthalmic clinic of a church-run hospital providing secondary level care in an African megacity, paying special attention to the poorest users of the services. The range of examination was reviewed from 500 patient records of all ages consecutively chosen on random days attending the outpatient department for the first time in order to optimize workflow and to analyse the offered treatment modalities. Mean age was 41.9 ± 21.9 years, and 53.6% of the patients were female. Of the patients, 74.8% presented with visual impairment. The most frequent findings were refractive errors (35.8%), presbyopia (21.2%), allergic conjunctivitis (14.0%), cataract (13.2%) and glaucoma (6.4%). Patient management consisted of optical treatment (49.6%), surgery (11.4%) and medical treatment (39.0%). These results show the importance of the demand in refractive services and the need to train specific service providers. Knowing the frequencies of common conditions enables more appropriate diagnostic and treatment strategies, e.g., the importance of refractive errors, and should lead to improvements in training, staffing, therapeutics and patient outcomes. This approach can be applied to many other outpatient services and should be evaluated in light of the city’s impoverished health outreach and educational situation.

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Section: Discussionsupporting

confidence: 90%

Ocular Morbidity—A Critical Analysis to Improve Outpatient Services in an Eye Department in a Sub-Saharan Megacity

Mukwanseke¹,

Kilangalanga²,

Lutete³

et al. 2021

JCM

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“…The number of female patients with refractive error is more than males across different studies. [ 8 22 23 24 26 ] In our study also, similar trend is found ( P = 0.000). The percentage of female patients in our study is more than other studies probably because our institute is situated in a place with matrilineal society.…”

Section: Discussionsupporting

confidence: 89%

“…There are some hospital-based studies on the proportion of refractive errors available from some other countries. [ 22 23 24 25 26 ]…”

Section: Discussionmentioning

confidence: 99%

Refractive errors among patients attending the ophthalmology department of a medical college in North-East India

Natung

Taye

Lyngdoh

et al. 2017

J Family Med Prim Care

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Purpose:To determine the magnitude and pattern of refractive errors among patients attending the ophthalmology department of a new medical college in North-East India.Materials and Methods:A prospective study of the new patients (age ≥5 years), who were phakic and whose unaided visual acuities were worse than 20/20 but improved with pinhole, was done. Complete ophthalmic examination and refraction with appropriate cycloplegia for age were done for the 4582 eligible patients. Spherical equivalents (SE) of refractive errors of the right eyes were used for analysis.Results:Of the 4582 eligible patients, 2546 patients had refractive errors (55.56%). The proportion of emmetropia (SE − 0.50–+0.50 diopter sphere [DS]), myopia (SE <−0.50 DS), high myopia (SE >−5.0 DS), and hypermetropia (>+0.50 DS for adults and >+2.0 DS for children) were 53.1%, 27.4%, 2.6%, and 16.9%, respectively. The proportion of hyperopia increased till 59 years and then decreased with age (P = 0.000). The proportion of myopia and high myopia decreased significantly with age after 39 years (P = 0.000 and P = 0.004, respectively). Of the 1510 patients with astigmatism, 17% had with-the-rule (WTR), 23.4% had against-the-rule (ATR), and 19% had oblique astigmatisms. The proportion of WTR and ATR astigmatisms significantly decreased (P = 0.000) and increased (P = 0.000) with age, respectively.Conclusions:This study has provided the magnitude and pattern of refractive errors in the study population. It will serve as the initial step for conducting community-based studies on the prevalence of refractive errors in this part of the country since such data are lacking from this region. Moreover, this study will help the primary care physicians to have an overview of the magnitude and pattern of refractive errors presenting to a health-care center as refractive error is an established and significant public health problem worldwide.

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“…19 This paper presents a scoping review 20 to gain knowledge about school vision screening amongst preschoolers and schoolchildren in Kenya and Nigeria and their vision problems. 21,22 The authors searched for a model to learn from in relation to care for visual health amongst young people.…”

Section: Introductionmentioning

confidence: 99%

Visual impairments amongst preschool and school attendees: A scoping review of vision school screening in Nigeria and Kenya

Langeggen

Ofochebe

2022

Afr. vis. eye health

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Background: The United Nations Convention on the Rights of the Child emphasises the importance of quality education and good health. Vision problems affect the academic performance of schoolchildren in developing and under-resourced countries. The most prevalent vision problem amongst children is uncorrected refractive errors (URE). Aim: To gain knowledge about vision problems and visual impairments (VI) through school vision screening amongst children in Kenya and Nigeria. Method: A scoping review of online databases (Web of Science and PubMed) and one African registry (African Journals Online) for articles from January 2011 until April 2021 was conducted. The authors included 26 articles of the 439 screened. Results:The literature revealed inconsistencies in how VI was defined. The main cause of vision problems is URE. Furthermore, there is a lack of systematic school vision screening tools and programmes. Conclusion:Efficient eye care services to schoolchildren aged 3-18 years in Kenya and Nigeria must involve multiple disciplinary interventions and governmental responsibility. Collaboration models between public and private health sectors, nongovernmental organisations and families are necessary to prevent VI amongst children. Better vision enhances school performance.

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Paediatric Refractive Errors in an Eye Clinic in Osogbo, Nigeria

Cited by 11 publications

References 18 publications

Ocular Morbidity—A Critical Analysis to Improve Outpatient Services in an Eye Department in a Sub-Saharan Megacity

Ocular Morbidity—A Critical Analysis to Improve Outpatient Services in an Eye Department in a Sub-Saharan Megacity

Refractive errors among patients attending the ophthalmology department of a medical college in North-East India

Visual impairments amongst preschool and school attendees: A scoping review of vision school screening in Nigeria and Kenya

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