Pattern of presentation and visual outcome of glaucoma in a tertiary hospital, Makurdi, Nigeria

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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Visual Outcome of Childhood Ocular Injuries in a Tertiary Hospital in Benin City

Asian Journal of Medical Sciences ◽

10.19026/ajms.5.5363 ◽

2013 ◽

Vol 5 (5) ◽

pp. 105-107

Author(s):

Valentina W. Okeigbemen ◽

Dumebi Kayoma

Keyword(s):

Visual Outcome ◽

Tertiary Hospital ◽

Benin City ◽

Ocular Injuries

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COMPARISON OF POSTERIOR IRIS CLAW AND SULCUS SUPPORTED INTRAOCULAR LENSES IN TERMS OF VISUAL OUTCOME AND COMPLICATIONS IN A TERTIARY HOSPITAL

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2019/476 ◽

2019 ◽

Vol 6 (34) ◽

pp. 2331-2334

Author(s):

Shruti Padmakar Shirwadkar ◽

Nayana Potdar ◽

Chhaya Shinde ◽

Rahul Waghmore

Keyword(s):

Visual Outcome ◽

Tertiary Hospital ◽

Intraocular Lenses ◽

Iris Claw

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Visual outcome after cataract surgery in a tertiary eye hospital of Chittagong district, Bangladesh

Asian Journal of Medical and Biological Research ◽

10.3329/ajmbr.v5i3.43590 ◽

2019 ◽

Vol 5 (3) ◽

pp. 212-218

Author(s):

Jannat Ul Ferdosh ◽

Mezbah Uddin ◽

Rajib Husain

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Visual Outcome ◽

Tertiary Hospital ◽

Small Incision Cataract Surgery ◽

Eligibility Criteria ◽

Common Procedure ◽

Poor Visual Outcome ◽

Good Visual Acuity ◽

Age Related

To evaluate the visual outcome in patients who have had their cataract surgery in a tertiary hospital of Chittagong district in Bangladesh. This is a clinic-based study of consecutive cataract-operated patients who had age-related cataract with vision less than <6/60 before surgery. A total of 228 patients who visited the hospital and met the eligibility criteria were included in the study. The mean age of the patients was 62.46± 10.14 years and 134 (58.8%) were female. A total of 456 surgeries were performed on 228 patients. The most common procedure was small incision cataract surgery (SICS) with intraocular lens (IOL) implantation, operated in 422(92.5%) eyes. Among cataract-operated eyes, 290 (64%) had presenting vision >6/18 and <6/60 were found in 11 (2.4%) eyes. In most of the cases, visual acuity has improved after best correction as the percentages with the best correction were 402(88%) and 7(1.55%) respectively. Analysis of multiple logistic regression shows that patient’s older age (OR 9.101; 95% CI 3.331, 24.869), gender female (OR 2.374 CI 1.403, 4.017), literacy (OR 1.660; CI 1.009, 2.733) and SICS surgery technique (OR 3.540; CI1.298, 9.659) were significantly associated with poor visual outcome. Overall, this study demonstrates that cataract surgery can restore good visual acuity. However, the visual outcome needs to be improved to meet the WHO standard, and more attention should be directed towards monitoring of outcomes and correction of refractive error after cataract surgery. Asian J. Med. Biol. Res. June 2019, 5(3): 212-218

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Visual Outcome of Patients with Pituitary Adenomas Following Surgery and Its Contributory Factors at a Tertiary Hospital in Ghana

Ethiopian Journal of Health Sciences ◽

10.4314/ejhs.v29i1.11 ◽

1970 ◽

Vol 29 (1) ◽

Author(s):

Naa Naamuah Tagoe ◽

Vera Adobea Essuman ◽

Patrick Bankah ◽

Thomas Dakurah ◽

Vincent Kwaku Hewlett ◽

...

Keyword(s):

Pituitary Adenoma ◽

Teaching Hospital ◽

Visually Impaired ◽

Tumour Size ◽

Visual Outcome ◽

Tertiary Hospital ◽

Late Presentation ◽

Success Rates ◽

Local Data ◽

Duration Of Symptoms

BACKGROUND: Craniotomy and transphenoidal microsurgery are surgical options for treatment of pituitary adenoma at Korle Bu Teaching Hospital(KBTH). Despite major advances and reported success rates of transphenoidal resection globally, paucity of local data regarding visual outcome of either procedure exists. We evaluated the visual outcome of patient with pituitary adenoma following surgery in a tertiary hospital in Ghana.METHODS: This is a prospective study of 18 of 45 consecutive new patients with pituitary adenoma seen from November 2010 to July 2013 at Korle-Bu Teaching Hospital(KBTH), Accra, Ghana. Sixteen (88.9%) of the 18 had surgery by transphenoidal route and 2(11.1%) by craniotomy. All patients had macroadenoma (tumour size >1cm) and histological confirmation of diagnosis. Pre-operative and post-operative visual acuity and its relationship to tumour size and duration of symptoms before diagnosis were evaluated.RESULTS: Data on 18 patients aged 33-60 years, mean (SD) 45.9±8.5, was analysed. Eleven (61.1%) were females.Visual blur, 15(83.3%), and headache,13(72.2%), were predominant presenting complaints.Common neuro-ophthalmic signs included unilateral or bilateral optic atrophy, 17(94.4%), Relative Afferent Pupillary Defect (RAPD) in 8(44.4%) and impaired colour vision in 32 of 36(88.9%) eyes. Preoperatively, 8(22.2%) and 13(36.1%) of 36 eyes were visually impaired or blind respectively. Postoperatively, 6(16.7%) eyes were visually impaired and 17(47.2%) eyes blind. Blindness was associated with late presentation (p<0.005) and larger tumour width (p<0.036).CONCLUSIONS: More than a third of eyes of patients with pituitary adenoma were blind before and after surgery. Blindness was associated with late presentation and larger tumours. Transphenoidal surgery may be beneficial following early diagnosis to avoid irreversible blindness/visual impairment.

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