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Childhood eye diseases in southwestern Nigeria: a tertiary hospital study
Oluwatoyin Helen Onakpoya1, Adenike Odunmorayo Adeoye
1Ophthalmology Unit, Department of Surgery, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
Insights
Ocular trauma, allergic conjunctivitis, infections, and refractive errors are common childhood eye diseases in Nigeria. Early intervention and health education are crucial for preventing vision loss and school absenteeism.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Public Health
Background:
- Childhood eye diseases are a significant reason for medical consultations.
- Disease spectrum varies geographically.
- This study focuses on a tertiary hospital in Nigeria.
Purpose of the Study:
- To determine the spectrum of childhood eye diseases.
- To analyze disease prevalence in a rural and semi-rural population.
- To identify common eye conditions in children under 15.
Main Methods:
- Retrospective review of 286 pediatric patients (under 15 years).
- Data collected from January 2001 to December 2006 at Wesley Guild Hospital, Ilesa, Nigeria.
- Statistical analysis using SPSS with a significance level of p<0.05.
Main Results:
- Ocular trauma (21.7%), allergic conjunctivitis (17.8%), eye infections (15.4%), and refractive errors (14.3%) were most common.
- Ocular injury more frequent in males and 6-10 year olds; infections more common in females and 0-5 year olds.
- Congenital eye disease accounted for 13.3% of cases.
Conclusions:
- Identified prevalent childhood eye diseases can cause school absenteeism and potential blindness.
- Health education for ocular trauma prevention is recommended.
- Prompt management of other eye conditions is essential.
Background:
Eye diseases are important cause of medical consultation in children, with the spectrum varying in different localities. This study aimed to determine the spectrum of childhood eye diseases in a tertiary hospital serving rural and semi-rural communities.
Methods:
We conducted a retrospective review of all patients less than 15 years old who presented to the eye clinic of Wesley Guild Hospital Ilesa, Nigeria between January 2001 and December 2006. Data on age at presentation, age at onset of disease, sex and diagnosis were collected and analyzed using SPSS. A p value less than 0.05 was considered statistically significant.
Results:
We evaluated the reports of 286 children, with a male:female ratio of 1:1.1. Children aged 11-15 years made up the largest group (p=0.013). Ocular trauma (21.7%), allergic conjunctivitis (17.8%), infections of the eye and its adnexa (15.4%) and refractive errors (14.3%) were the most common conditions. Ocular injury was more common in males (p=0.002) and children aged 6-10 years, and 87.1% of these cases were a closed globe injury. Infections were seen more commonly among females and children aged 0-5 years, with keratitis representing 40.9% of these cases. Congenital eye disease represented 13.3% of childhood eye diseases.
Conclusion:
The prevalent childhood eye diseases recorded here can lead to absenteeism from school and are potentially blinding. Health education aimed at the prevention of ocular trauma and prompt presentation for the management of other eye diseases should be encouraged.
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