Oculoplastic Training and its Role in Eye Care Services in a Nigeria Tertiary Hospital

Monsudi Kehinde Fasasi, Ayodapo Abayomi Olusola

Abstract


Background
Oculoplasty subspecialty in Ophthalmology was barely 7 years in Nigeria. National statistics shows increased number of cases that should have benefitted from this expertise that is rare. As a result of this deficit, a consultant ophthalmologist was sent to Sankara Nethralaya Eye Hospital, Chennai, India for 3 months oculoplastic training with the help of International Council Ophthalmology (ICO).
Aim: To evaluate the role of oculoplasty training in eye-service care in our hospital.
Methods
All patients seen at our oculoplasty unit during the 8 months period from April to November 2017, had information extracted from their medical record. The data obtained was analysed using SPSS version 20.

Results
Out of 53 patients seen 30 (56.65) were males and 23 (43.4%) were females. Majority 10 (18.9%) were diagnosed with traumatic irreparable ruptured globe, while 10 (18.9%) had congenital nasolacrimal duct obstruction.
Thirty-six (67.9%) patients had surgery and 10 (18.9%) were successfully managed with lacrimal sac massage for congenital nasolacrimal duct obstruction in children. Majority 10(18.9%) of the surgery were evisceration with primary ocular implants. One patient with clinically significant orbital floor fracture was referred. Four cases of congenital ptosis declined surgery.
This expertise resulted in increased patient turnout by 30% and income to the department, while it saves cost to patients who need not to be referred.
Conclusion
The skills acquired from oculoplasty training have help in rendering oculoplasty services to the people of Kebbi State and its environs at a reduced cost. Also, there is improved internally generated revenue to the hospital. The importance of skill transfer and subspecialty training is underscored.



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