Indications and Pattern of Ophthalmic Surgical Intervention among Children in a Tertiary Center in North-central Nigeria: A 14 Year Review
The study assessed the pattern of ophthalmic surgical intervention among children. The ophthalmic surgical database was retrospectively reviewed to obtain information on children who had surgical intervention from 1st January 2004-31st December 2017. These included demographic data; preoperative diagnosis, surgical procedure, type of anaesthesia administered and rank of the surgeon. The data was entered into Epi Info version 3.4 and analyzed after validation by double entry. Seven hundred and forty seven children (aged <18years) underwent a procedure during this period; with more males 487(65.2%) than females 260(34.8%), male:female ratio was 1.9:1.The mean age was 6.9±4.6years.General anaesthesia was administered on 697 (93.3%) participants, 457 (61.2%) had their surgeries performed by consultant ophthalmic surgeons. Eight hundred and twenty nine eyes were operated. The main indications for surgical intervention included trauma to 372(44.9%) eyes, cataract 242(29.2%), glaucoma 93(11.2%) and orbito-ocular tumours/cysts in 47(5.7%) eyes. The main surgical procedures were cataract surgeries (inclusive of traumatic cataract) in 347(41.9%) eyes, intervention due to injuries (exclusive of traumatic cataract) in 251(30.3%) eyes, trabeculectomy in 93(11.2%) and destructive eye surgeries in 81(9.8%).We observed that a male child is twice more likely to have an ophthalmic surgical intervention. A statistically significant difference in the indications for surgical intervention was observed among the genders. A higher proportion of males had trauma 51.4% (χ2=9.96, p=0.004), as indication for surgery while a higher proportion of females had conjunctival mass 3.1% (Fischer’s exact test = 5.39, p=0.03), ectropion 1.9% (Fischer’s exact test = 6.24, p=0.013) and strabismus 1.9% (Fischer’s exact test = 6.25, p=0.012) as indications for surgery
Copyright (c) 2019 OP Odugbo, PD Wade, RO Ewuga, CD Mpyet
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