Visual Outcome of Corneal Laceration Repair in a Tertiary Hospital, Southwestern, Nigeria

Introduction: Teething is a physiologic process that begins during infancy. However, some mothers often attribute certain symptoms to teething. In this study, we assessed the opinions and practices of mothers attending a tertiary health facility in Nigeria on teething. Methods: This was a cross-sectional, descriptive study conducted among caregivers of children presenting to the out-patient department of a tertiary hospital, Southwestern Nigeria. Results: Five hundred and sixteen mothers were studied. The leading symptoms attributed to teething were fever 420 (81.4%), reduced food intake / appetite 320 (62.0%), diarrhoea 314 (60.9%) and vomiting 294 (57.0%). Some believed that teething is associated with convulsion 102 (19.8%), mouth ulcers 69 (13.4%), ear discharge 68 (13.2%), and no symptoms 41 (7.9%). Majority of the mothers 374 (72.5%) believed that teething requires treatment. Two hundred and four (39.5%) mothers had given their children oral analgesics for teething while 194 (37.6%) administered teething mixtures. These medications were more likely to be prescribed at the hospital or purchased over the counter (p < 0.05). Other treatments given included herbal concoction 46 (8.9%), local tooth extraction 22 (4.3%), enema 17 (3.3%), body scarifications 14 (2.7%), gum fomentation 14 (2.7%) and gum incision 12 (2.3%). Responders who attributed convulsion to teething were more likely to have incised their children’s gums (p < 0.05). Conclusions: This study revealed that sundry symptoms were attributed to teething and harmful home interventions were done for teething. There is a need to educate the society on teething and discourage harmful practices for teething by caregivers.

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Pediatric open-globe injury in a university-based tertiary hospital

European Journal of Ophthalmology ◽

10.1177/1120672118818013 ◽

2018 ◽

Vol 30 (2) ◽

pp. 269-274 ◽

Cited By ~ 2

Author(s):

Faisal AlDahash ◽

Ahmed Mousa ◽

Priscilla W Gikandi ◽

Ahmed M Abu El-Asrar

Keyword(s):

Visual Acuity ◽

Retinal Detachment ◽

Visual Outcome ◽

Tertiary Hospital ◽

Open Globe Injury ◽

Female Ratio ◽

Initial Visual Acuity ◽

Open Globe ◽

Type Of Injury

Background: To investigate epidemiology, etiology, and outcomes after repair of pediatric open-globe injury. Methods: We retrospectively reviewed medical records of patients ⩽18 years who underwent primary open-globe repair. Results: A total of 213 patients were identified. Male–female ratio was 1.44:1. Type of injury was penetration in 157 (74.4%) cases, rupture in 52 (24.4%) cases, and perforation in 2 (0.9%) cases. Knife injuries were the most common cause, affecting 38/196 (19.4%), followed by metallic object in 37/196 (18.9%) patients, glass in 26/196 (13.3%) patients, and pen or pencil in 24/196 (12.8%). Predictors of good visual outcome defined as (⩾20/40) were good initial visual acuity (⩾20/40; p < 0.0001), time from injury to arrival at the emergency room >24 h (p = 0.038), size of wound less than 10 mm (p < 0.0001), absence of iris prolapse (p < 0.0001), deep anterior chamber at presentation (p < 0.0001), absence of hyphema (p = 0.043), intact lens (p < 0.0001), and no retinal detachment during follow-up (p < 0.0001). A total of 27 (12.7%) cases were documented to have retinal detachment at any time during follow-up period. Predictors of retinal detachment were perforation and rupture (p < 0.0001), whereas penetration was not associated with development of retinal detachment, size of the wound ⩾10 mm (p < 0.0001), initial visual acuity ⩽20/200 (p < 0.0001), lens injury (p < 0.0001), and development of endophthalmitis (p < 0.027). Eight (3.7%) eyes had the clinical diagnosis of posttraumatic endophthalmitis. Conclusions: The most common type of injury was penetration and the most common tool was knife. Visual outcome was affected by the initial presentation. Retinal detachment was a significant predictor of a worse final visual outcome.

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Clinical Evaluation of Rigid Gas Permeable Contact Lenses and Visual Outcome After Repaired Corneal Laceration

Eye & Contact Lens Science & Clinical Practice ◽

10.1097/icl.0000000000000061 ◽

2015 ◽

Vol 41 (1) ◽

pp. 34-39 ◽

Cited By ~ 4

Author(s):

Bin Zheng ◽

Lijun Shen ◽

Maria K. Walker ◽

Zongduan Zhang ◽

Jingwei Zheng ◽

...

Keyword(s):

Clinical Evaluation ◽

Contact Lenses ◽

Visual Outcome ◽

Corneal Laceration

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Profile of Children Admitted for Severe Acute Malnutrition in a Tertiary Hospital in Southwestern Nigeria

Journal of Nepal Paediatric Society ◽

10.3126/jnps.v39i1.21604 ◽

2019 ◽

Vol 39 (1) ◽

pp. 42-48

Author(s):

Adefunke Olarinre Babatola ◽

Oladele Simeon Olatunya ◽

Temitope Olumuyiwa Ojo ◽

Adekunle Bamidele Taiwo ◽

Joseph Olusesan Fadare

Keyword(s):

Severe Acute Malnutrition ◽

Tertiary Hospital ◽

Medical Advice ◽

University Teaching ◽

Acute Malnutrition ◽

Southwestern Nigeria ◽

Cross Sectional ◽

Against Medical Advice ◽

Presenting Symptoms ◽

Morbid Conditions

Introduction: This study assessed the socio-demographic profile, outcomes of treatment and challenges encountered in the management of children admitted for Severe Acute Malnutrition at the Paediatric Unit of a State University Teaching Hospital, Ado-Ekiti, Nigeria. Methods: A retrospective cross-sectional study was conducted. The records of twenty-five children with SAM admitted from March 2013-March 2018 were reviewed. SAM was defined according to the Wellcome Classification based on child’s weight and oedema status. Data on demographic characteristics, presenting symptoms, co-morbid conditions, duration of admission and outcome were extracted. Results: There were 13 (52.0%) males and 12 (48.0%) females. The median age of children with SAM was eight months. Eighteen children (72%) were marasmic, four (16%) had kwashiorkor while three (12%) had marasmic-kwashiorkor. Common presenting symptoms included poor weight gain (59.1%), fever (54.5%) and diarrhoea (36.4%). Majority (84.0%) of the patients had co-morbid conditions which included sepsis (66.7%), anaemia (37.5%), hypoglycaemia (16.7%) and hypothermia (16.7%). Twenty-one (84.0%) children were fully vaccinated for age, two (8.0%) had partial vaccination while two (8.0%) were never vaccinated. Only two (8.0%) had exclusive breastfeeding, 19 (76.0%) had mixed feeding from birth. Majority (60%) of the children had one or more social challenges such as teenage parents and financial constraints. Mean duration of admission was 4.56 days. Twelve (48.0%) left against medical advice, nine (36.0%) were discharged, one (4.0%) was referred to another tertiary facility and three (12.0%) deaths were recorded. Conclusions: Many of the children admitted for SAM in our study had social problems and almost half of them left the hospital against medical advice. Besides health problem, social factors may play more role in SAM.

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Childhood eye diseases in southwestern Nigeria: a tertiary hospital study

Clinics ◽

10.1590/s1807-59322009001000003 ◽

2009 ◽

Vol 64 (10) ◽

Cited By ~ 12

Author(s):

Oluwatoyin Helen Onakpoya ◽

Adenike Odunmorayo Adeoye

Keyword(s):

Tertiary Hospital ◽

Eye Diseases ◽

Southwestern Nigeria ◽

Hospital Study

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Bacillus endophthalmitis after cataract removal surgery following initial ocular trauma: a case report

Malaysian Journal of Ophthalmology ◽

10.35119/myjo.v3i2.209 ◽

2021 ◽

Vol 3 (2) ◽

pp. 127-123

Author(s):

Kamalul Khusus Khairil Ridzwan ◽

W Mohd Mohd Alif ◽

Hussein Adil ◽

Sivagurunathan Premala-Devi ◽

Zamri Noordin ◽

...

Keyword(s):

Ocular Trauma ◽

Visual Outcome ◽

Ocular Infection ◽

Anterior Capsule ◽

Cataractous Lens ◽

Fungal Organisms ◽

Infectious Endophthalmitis ◽

High Index Of Suspicion ◽

Corneal Laceration ◽

Final Visual Outcome

Infectious endophthalmitis is an ocular infection caused by bacterial or fungal organisms involving intraocular tissues, aqueous, and vitreous humour. Bacillus sp. is an uncommon microorganism causing endophthalmitis. We describe a teenager who presented with a self-sealed corneal laceration, cataractous lens, and evidence of a breach in the anterior capsule. The eye was initially quiet and stable. The event started 1 day after uncomplicated cataract surgery. The patient developed fulminant postoperative endophthalmitis with a fatal final visual outcome. A high index of suspicion is mandatory, and more aggressive treatment may be able to improve the final outcome.

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