Year : 2019  |  Volume : 27  |  Issue : 1  |  Page : 29-32

Incidence and Pattern of Ophthalmic Emergencies in Onitsha Nigeria

Guinness Eye Center, Onitsha, Nigeria

Correspondence Address:
Prof. Sebastian N N Nwosu
Guinness Eye Center, PMB 1534, Onitsha
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njo.njo_30_18

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Objectives: This study aims to determine the incidence and pattern of ophthalmic emergencies at the Guinness Eye Center, Onitsha, Nigeria. Materials and Methods: Cases seen as emergency at the Guinness Eye Center Onitsha over a 6-month period were reviewed. Information obtained included age, sex, disease duration, presenting features, and posttreatment visual acuity. Results: Of 4118 new patients, 144 (3.5%) presented as emergency. There were 103 (71.5%) males and 41 (28.5%) females. The age range was 6 months to 85 years, and median was 26 years. The causes were trauma, 93 (64.6%), infections, 32 (22.2%), nontraumatic uveitis, 14 (9.7%), and anatomical peculiarities, 5 (3.5%). The major clinical diagnoses were uveitis, 45 (31.3%), open globe injury, 19 (13.2%), corneal ulcer, 18 (12.5%), ocular and adnexal burns, 11 (7.6%), traumatic hyphema, 9 (6.3%), and lid laceration, 8 (5.6%). Disease duration prior to presentation ranged from 1 h to 6 weeks with a median of 10 days. Eighty nine (61.8%) required immediate surgical intervention. At presentation, 90 (62.5%) were blind in the affected eye(s), and this reduced to 40 (27.8%) posttreatment. Conclusions: Ocular injuries and infections are the commonest ophthalmic emergencies in our hospital. Ophthalmic emergencies are associated with great ocular morbidity even after treatment. Preventive measures and early presentation are advocated, too.

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