Childhood eye diseases in southwestern Nigeria: a tertiary hospital study
Childhood eye diseases in southwestern Nigeria: a tertiary hospital study
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DOI：
10.1590/s1807-59322009001000003
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发表时间：
2009-01-01
期刊：
影响因子：
2.7
通讯作者：
Adeoye, Adenike Odunmorayo
中科院分区：
文献类型：
--
作者：
Onakpoya, Oluwatoyin Helen;Adeoye, Adenike Odunmorayo
背景：眼部疾病是儿童就诊的重要原因，不同地区的发病范围有所不同。本研究旨在确定为农村和半农村社区提供服务的三级医院的儿童眼病谱。 方法：我们对 2001 年 1 月至 2006 年 12 月期间在尼日利亚伊莱萨韦斯利吉尔德医院眼科门诊就诊的所有 15 岁以下患者进行了回顾性分析。使用 SPSS 收集并分析了就诊年龄、发病年龄、性别和诊断的数据。 p值小于0.05被认为具有统计学意义。 结果：我们评估了286名儿童的报告，男女比例为1:1.1。 11-15 岁的儿童是最大的群体（p=0.013）。眼外伤（21.7%）、过敏性结膜炎（17.8%）、眼睛及其附件感染（15.4%）和屈光不正（14.3%）是最常见的疾病。眼部损伤多见于男性（p=0.002）和6-10岁儿童，其中87.1%为闭合性眼球损伤。感染多见于女性和0-5岁儿童，其中角膜炎占40.9%。先天性眼病占儿童眼病的 13.3%。结论：此处记录的流行儿童眼病可导致缺课并可能导致失明。应鼓励旨在预防眼外伤和及时介绍其他眼部疾病治疗的健康教育。
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.