Addressing Unmet Surgical Needs in an Underserved Nigerian Community: Report of a 'Town and Gown' Initiative.

Background: Access to quality and timely care prevents unnecessary deaths and morbidity from potentially curable surgical diseases. This study describes the magnitude of unmet surgical needs in a Nigerian community and describes the experiences garnered during a surgical outreach organized by a tertiary institution in an underserved community.

Methods: This is a descriptive study highlighting details of a surgical outreach to a community in south-Western part of Nigeria.

Trends in Eye Removal Surgeries at a Tertiary Care Hospital Over Three Decades.

Purpose: To determine the trends in eye removal surgeries at a tertiary hospital in Nigeria over 26 years.

Methods: A retrospective comparative review of clinical records of all patients who had eye removal surgery at a tertiary hospital in Ile-Ife, Nigeria, between 2014 and 2019 was done. Patients' demographic and clinical data, including indication for eye removal and type of surgery were analysed and compared with two earlier studies at the same hospital between 1994 and 2013.

Epidemiology and Management of Oculoplastic Disorders at a Tertiary Hospital: A 4-Year Review.

Purpose: To describe the epidemiology and management of oculoplastic disorders at a tertiary hospital in Nigeria.

Methods: 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.

Assessment of parasympathetic cardiovascular activity in primary open-angle glaucoma.

Purpose: To describe the pattern of quantitative parasympathetic cardiovascular autonomic function among patients with normal-tension glaucoma (NTG) and high-tension primary open-angle glaucoma (HTG) patients.

Methodology: This was cross-sectional study of ninety-two subjects enrolled into three groups: HTG (31 patients), NTG (31 patients) and Control (30 patients). All the participants had anthropometric assessment, ophthalmic examination, baseline cardiovascular examination and the three parasympathetic components of Ewing's battery of autonomic cardiovascular function tests namely heart rate (HR) response to deep breathing, HR response to Valsalva manoeuvre and HR response to standing.

Distribution of phthisis bulbi and status of fellow eyes at a tertiary eye-care centre in Nigeria: a ten-year review.

Background: Phthisis bulbi is an irreversible cause of visual loss with insufficient evidence about its aetiology and status of patients' fellow eyes.

Objectives: To identify the distribution of patients with phthisis bulbi and determine the status of their fellow eyes at Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.

Methods: We analysed data retrospectively retrieved from medical records of patients diagnosed with phthisis bulbi at initial clinic visit from January 2008 to December 2017.

Intraocular pressure variation after conventional extracapsular cataract extraction, manual small incision cataract surgery and phacoemulsification in an indigenous black population.

Introduction: intraocular pressure changes have been reported following the various cataract surgical technique. This study aims to compare the intra-ocular pressure (IOP) variation following conventional extra-capsular cataract extraction (ECCE), manual small incision cataract surgery (MSICS) and phacoemulsification in an indigenous black population.

Methods: a comparative cross-sectional study of adult patients aged 40 years and above who had pressure was measured with Goldman's applanation tonometer pre-operatively and 1 day, 1 week, 1 month as well as 3 month post-operative periods and recorded.

B-mode sonographic evaluation of optic nerve sheath diameter and lens thickness in Nigerian adults with glaucoma.

Objective: This study was done to investigate the effect(s) of glaucoma on the ocular optic nerve sheath diameter and lens thickness using B-mode ultrasonography.

Materials And Methods: One hundred and twenty study participants were recruited; 60 subjects with glaucoma and 60 age- and sex-matched controls without glaucoma. The optic nerve sheath diameter and lens thickness of both eyes were measured using a linear high frequency transducer with frequency of 6.

Relationship between Refraction, Anthropometrics, and Educational Status in a Nigerian Young Adult Population.

Purpose: The study aimed at determining the relationship between refraction and anthropometric measurements and the relationship between the level of education and refractive status in a Nigerian young adult population.

Materials And Methods: Healthy volunteers from the students and staff of a teaching hospital in South-Western Nigeria were studied. Demographic profiles including participants' highest educational status, parental educational level, and the age at first formal school enrollment were documented.

Axial length/corneal radius of curvature ratio and refractive status in an adult Nigerian population.

Aim/background: Associations between axial length (AL) to corneal radius of curvature (CR) ratio and refractive status in a healthy Nigerian adult population were studied.

Materials And Methods: Healthy students and members of staff of Obafemi Awolowo Teaching Hospitals Complex, Ile-Ife, South West Nigeria, free of obvious ocular diseases except possible refractive errors were recruited. Consecutive consenting volunteers were recruited by simple random sampling and a proportionate sample of each population based on its representative fraction in the hospital community was recruited.

Relationship between intraocular pressure, anterior chamber depth and lens thickness in primary open-angle glaucoma patients.

Introduction: To investigate the relationship between intraocular pressure (IOP), anterior chamber depth (ACD) and lens thickness (LT) in primary open-angle glaucoma (POAG) patients and compare with age- and sex-matched controls.

Methods: A cross-sectional analytical study of 62 newly diagnosed POAG patients compared with 62 age- and sex-matched control subjects in a tertiary eye clinic. Socio-demographic data and ocular examinations were documented.

Associations between ocular biometry and anthropometric measurements in a Nigerian population.

Purpose: The study aimed at determining the associations between ocular biometry and anthropometric measurements in a Nigerian adult population.

Subjects And Methods: Participants were healthy members of staff and students of Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife. The height and weight were measured, and the body mass index (BMI) was calculated.

Visual impairment and blindness in type 2 diabetics: Ife-Ijesa diabetic retinopathy study.

Diabetes and blindness are important health issues globally; we determined the prevalence of blindness, diabetic retinopathy, and other eye diseases in Nigerian-type 2 diabetics. A prospective, cross-sectional study was conducted on consenting type 2 diabetic patients who had scheduled comprehensive eye examination including dilated funduscopy with +78DS. Visual status was graded using the WHO criteria.

Prevalence and pattern of eye disorders among commercial motorcycle riders in Ile-Ife, Osun state.

Aims And Objectives: To describe the prevalence and pattern of eye disorders existing among commercial motorcycle riders (CMRs) in Ile-Ife, Osun State. Materials, Subjects and Methods: A total of 1626 registered CMRs operated in 40 registered motorcycle assembly units in Ile-Ife. Using a multi- staged random sampling technique, a total of 322 riders were randomly selected from 10 units.

Causes of blindness in a special education school.

Background: Blind children and young adults have to overcome a lifetime of emotional, social and economic difficulties. They employ non-vision dependent methods for education.

Objective: To assess the causes of blindness in a special school in southwestern Nigeria to aid the development of efficient blindness prevention programmes.

Ophthalmic admissions in a tertiary hospital in Nigeria.

Background: Hospitalization for eye care is required for different reasons. The pattern of admissions into the ophthalmic wards of a sub-urban tertiary hospital was studied.

Methodology: Records of patients admitted into the Ophthalmology wards of the Obafemi Awolowo University Teaching Hospitals Complex Ile-Ife from January 2004 to December 2007 were reviewed and the age, sex, duration of admission and diagnosis recorded.

Efficacy of Garcinia kola 0.5% Aqueous Eye Drops in Patients with Primary Open-Angle Glaucoma or Ocular Hypertension.

Purpose: To evaluate the intraocular pressure (IOP) lowering efficacy of Garcinia kola 0.5% aqueous solution eye drops in patients with newly diagnosed primary open-angle glaucoma or ocular hypertension (POAG/OH).

Materials And Methods: A randomized, double-masked, multicenter, active-controlled prospective study.

Assessment of human and material resources available for primary eye-care delivery in rural communities of southwestern Nigeria.

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.

Confocal scanning laser tomography of the optic nerve head of glaucoma patients: inter-correlation of disc parameters.

Objective: 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).

Design: A clinic-based retrospective study.

Participants: 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.

Central nervous system stimulants: effect on visual functions and occurrence of road traffic accidents.

Objective: To determine the influence of the use of central nervous system (CNS) stimulants on visual functions and occurrence of road traffic accidents (RTA) amongst commercial drivers.

Design: A cross-sectional study in which two hundred and fifteen consecutive drivers were interviewed and their eyes examined.

Settings: Ife Central Local Government Area (LGA) of Osun State, Nigeria.

Knowledge, attitudes, and self care practices associated with glaucoma among hospital workers in Ile-Ife, Osun State, Nigeria.

This study was carried out to determine the level of correct knowledge about glaucoma and attitudes towards blindness prevention and treatment, and how these factors influence self care practices among teaching hospital workers. A random sample of the workers at Obafemi Awolowo University Teaching Hospital in Nigeria was interviewed. All respondents were asked the year of their last visit within the past one year to an eye care practitioner.

Blindness from bilateral bullous retinal detachment: tragedy of a Nigerian family.

Objective: To present a scourge of blindness possibly due to an inherited condition causing retinal detachment in 3 siblings

Methods: In February 2004, three siblings from a monogamous family from Ipetu-Ijesha in Osun state, Nigerian presented to the author consecutively with history of visual impairment/ blindness. A detailed history and comprehensive ocular examination was conducted on each of them. Information obtained included patients demographic, family history of blindness, eye diseases and other medical conditions.

A review of trabeculectomies at a nigerian teaching hospital.

Summary Background: Trabeculectomy is the commonest surgical procedure for glaucoma. The outcome of trabeculectomy in the treatment of all types of glaucoma over a 4-year period in a Nigerian population was reviewed.

Objective: To determine the surgical rate and effectiveness of trabeculectomy in lowering of intra ocular pressure (IOP) and preservation of visual acuity.

Neglected massive intracerebral abscess: an unusual cause of bilateral visual loss.

Background: Bilateral visual loss following chronically raised intracranial pressure is not uncommon especially in developing countries. However, this calls for concern when the cause of the raised intracranial pressure is neglected pyogenic cerebral abscess.

Case Summary: A sixteen year old male student presented to our unit with eight months history of recurrent headache associated with early morning vomiting.

Intra-operative 5-FU in Glaucoma Surgery: A Nigerian Teaching Hospital Experience.

Background: 5-Fluorouracil (5-FU) is an anti-metabolite used as an adjunct during the initial stages of a trabeculectomy to prevent excessive post-operative scarring and thus reduce the risk of failure.

Objectives: To assess the effects of intra-operative 5-FU in trabeculectomy in Nigerians.

Methods: Trabeculectomy with an intra-operative sponge soaked with 5-FU was performed in 49 eyes of 34 patients.