Publications by authors named "Mowatt L"

Background: Whilst vertical transmission of Zika virus (ZIKV) is established as the cause of congenital Zika syndrome (CZS), knowledge of this emerging disease remains incomplete.

Aim: To characterise the clinical, radiological and neurodevelopmental features of children antenatally exposed to ZIKV and/or presenting with suspected CZS in Jamaica, as part of the larger, international ZIKAction Paediatric Registry.

Methods: This retrospective observational study (disease/exposure hospital-based registry) included children cared for at public hospitals in the Greater Kingston Metropolitan Area, Jamaica if they had exposure to ZIKV in utero, laboratory confirmation of congenital ZIKV, or met the ZIKAction's Registry definition of suspected CZS.

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Article Synopsis
  • Pachydermoperiostosis, also known as primary hypertrophic osteoarthropathy or Touraine-Solente-Gole syndrome, is a rare genetic disorder characterized by symptoms like digital clubbing, thickened skin, and abnormal bone growth.
  • The condition can lead to complications such as severe blepharoptosis (drooping of the upper eyelids), which can affect vision.
  • This case study from Jamaica reports surgical intervention for a patient with pachydermoperiostosis to correct severe ptosis, resulting in improved vision and quality of life.
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Aim: To determine the vision-related quality-of-life of glaucoma patients and the association between clinical and socioeconomic factors, and vision-related quality-of-life.

Methods: This was a cross-sectional study. Consecutive patients with glaucoma were interviewed using a modified 25-item National Eye Institute Visual Function Questionnaire (VFQ-25) by a single interviewer.

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This is a short report describing the clinical presentation, investigations, treatment and outcome of a patient living in the Jamaican countryside who was diagnosed with a live, motile subfoveal helminth identified as cantonensis on optical coherence tomography at the University Hospital of the West Indies Eye Clinic. This is the second documented case in Jamaica. Early recognition of angiostrongyliasis is important as it may manifest as eosinophilic meningitis which can be fatal without prompt treatment.

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  • Sickle cell disease can lead to serious eye complications, and understanding the importance of eye screening is crucial for patients to help prevent these issues.
  • A study conducted in Jamaica examined the knowledge, beliefs, and practices regarding eye health among sickle cell patients, revealing that 72% had homozygous SS disease and a significant number were unemployed and had not regularly seen eye specialists.
  • Results showed that individuals with milder genotypes had better knowledge scores and that employed patients were more proactive in seeking eye care compared to their unemployed counterparts; overall, knowledge and practice scores were positively correlated.
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We present the case of a young male patient who presented with pain, redness and foreign body sensation in his left eye. There was no associated decrease in vision. Three live larvae were removed from his left conjunctival sac and sent to the laboratory for identification.

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Aim: To determine the prevalence of computer vision syndrome (CVS) and ergonomic practices among students in the Faculty of Medical Sciences at The University of the West Indies (UWI), Jamaica.

Method: A cross-sectional study was done with a self-administered questionnaire.

Results: Four hundred and nine students participated; 78% were females.

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To determine the knowledge, beliefs and practices of patients with diabetic retinopathy attending the Retina Eye Clinic at the University Hospital of the West Indies. A prospective study was done using a questionnaire with a sample population of 150 patients. The questions included their knowledge about the frequency of their eye examination, the relevance of exercise and a healthy diet, the role of the ophthalmologist and their views on the importance of compliance with medications for diabetes and hypertension.

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Chikungunya is a mosquito-borne virus that has shown increased prevalence in the Caribbean since October 2013. There have been several outbreaks throughout Asian and African countries over the past few decades with global travel and tourism having a major impact on the further spread of this disease. Improved policies and practices for preventative measures and epidemiological surveillance must be implemented to prevent the continued transmission of chikungunya.

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Purpose: To determine the frequency of diabetic retinopathy and its risk factors in diabetic patients attending the eye clinic at the University Hospital of the West Indies (UHWI).

Materials And Methods: This was a prospective cohort study of diabetic outpatients attending the Eye Clinic at the UHWI. Data were collected on age, gender, type of diabetes mellitus (DM), type of diabetic retinopathy, other ocular diseases, visual acuity, blood glucose and blood pressure.

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A 43-year-old male scuba diver presented with an acute history of painful unilateral visual loss after scuba diving. He had right-sided retrobulbar pain and headache. He was known to have sinusitis and had transient visual loss in two previous episodes after scuba diving.

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We report a case of significant unilateral left proptosis after a fall in a 10-year old child. Magnetic resonance imaging showed an extraconal hyperintense orbital mass extending into the maxillary sinus which was opacified. After drainage the proptosis resolved.

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Objective: To assess the epidemiology of ocular trauma in adult patients admitted to the University Hospital of the West Indies (UHWI), Jamaica, between January 2000 and December 2005.

Methods: Retrospective review of all adult patients admitted with ocular trauma in the UHWI trauma database.

Results: Three hundred and ninety-seven patients were admitted with ocular trauma during the study period; 35.

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Purpose: To assess the epidemiology of paediatric ocular trauma presenting to the University Hospital of the West Indies (UHWI), Jamaica, between January 2000 and December 2005.

Methods: Retrospective review of all paediatric patients (< or = 16 years old) admitted with ocular trauma in the UHWI trauma database.

Results: Three hundred and ninety-seven patients were admitted with ocular trauma during the study period, 36.

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Article Synopsis
  • * Many patients with eye conditions from HIV have low CD4 counts (< 200 cells/μL), and while cytomegalovirus (CMV) is a common opportunistic infection, its prevalence is lower in Africa compared to more frequent squamous cell carcinoma in that region.
  • * Highly active antiretroviral therapy (HAART) has led to fewer opportunistic infections and complications but still presents risks, including immune recovery uveitis and persistent cases of CMV retinitis in patients with
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Objective: To investigate the level of compliance with glaucoma medications in a clinic setting and the factors associated with failed compliance.

Method: This was a prospective study done at the Glaucoma Clinic, University Hospital of the West Indies, between April and June 2005. Consecutive patients in the clinic were administered a questionnaire by the doctor Statistical analysis was done using cross-tabulations, Chi-square (Chi2) tests and odds ratio using SPSS version 11.

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We report an observational prospective study to determine which local anaesthetic technique gave the most comfort during phacoemulsification (cataract) surgery. 1835 patients were recruited. 61.

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A 30-year-old female presented with a one-month history of blurred vision in her left eye. Examination revealed a live motile worm in the anterior chamber of the left eye. She also had retinal pigment epithelial disturbance with focal intraretinal haemorrhage.

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