Iyiade Adeseye Ajayi, Olusola Joseph Omotoye, Kayode Olumide Ajite, Oluwole Oluseye Ajogbasile.
Retinal Disorders in a Tertiary Eye Centre in Nigeria.
Pak J Ophthalmol Jan ;32(3):152-8.

Purpose: To review the types of retinal disorders in patients seen at the retinal clinic of a tertiary eye centre in southwestern Nigeria. Study Design: Observational descriptive study. Place and Duration of Study: Ekiti State University Teaching Hospital, Nigeria over a 2½ year period from July 2013 to January 2016 was reviewed. Materials and Methods: All patients seen in the clinic had documentation of their demographic characteristics, visual acuity at presentation, findings on dilated fundus examination, slit lamp biomicroscopy and diagnosis. Investigations such as Fundus Fluorescein Angiography (FFA) and ocular coherence tomography (OCT) were recorded. Results: A total of 405 patients constituting 10.4% of the total patient load had retinal disorders during the period of study. The mean age was 56.95 ± 20.8 years. More than half (68.5%) of the patients were aged 50 years and above. The presenting visual acuity was < 3/60 in 135 (33.3%) of cases. Age related Macular Degeneration was the leading eye disorder seen in 18.2% followed closely by Diabetic retinopathy in 16.3%. Retinitis pigmentosa was the leading cause of bilateral blindness. Optical Coherence Tomography (67.4%) and Fundus Fluorescein Angiography (61.73%) were the leading investigations ordered in the retinal clinic. Conclusion: Age related macular degeneration and diabetic retinopathy were the leading eye disorders in our centre. Limited access to Investigative facilities is a major challenge in the management of retinal disorders in our centre.

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