Ocular comorbidities in children with strabismus in Benin city

Background: Strabismus is the misalignment of the visual axis. Certain comorbidities have been found to be associated with strabismus.These must be identified and treated. Objective: The aim of this study was to determine the ocular comorbidities associated with strabismus in children 15 years and below presenting to the eye clinic of University of Benin Teaching Hospital, Benin City, from January 2014 to December 2014. Patients and Methods: This is a prospective hospital­based observational study of consecutive patients seen in the eye clinic. Results: Fifty­five children presented with strabismus accounting for 2.6% of the total number of 2112 new cases. There were 30 males (54.5%) and 25 females (45.5%) giving a male­to­female ratio of 1:0.83. The age range was from 5 months to 14 years. The mean age was 4.7 years with a standard deviation of ± 3.4 years. Thirty­seven (67.3%) of the patients were under 5 years of age. Forty­seven (85.5%) patients had esotropia, six (10.9%) had exotropia, and two (3.6%) had hypertropia. Vision­impairing comorbidities included refractive error in 33 (64.7%) patients, cataract in 9 (17.6%) patients, corneal opacity in 1 (2.0%) patient, and retinopathy of prematurity in 1 (2.0%) patient. Nonvision­impairing disorders were microcornea, conjunctivitis,and nasolacrimal duct obstruction. The relationship between ocular comorbidity and types of strabismus was not statistically significant (P > 0.05). Conclusion: Detailed assessment to identify the comorbidities associated with strabismus is recommended.This could improve the management of this condition

Approche medicale du strabisme au CHU de Cocody : a propos de 304 cas

"Notre travail avait pour but de montrer la necessite du traitement medical dans le traitement global du strabisme qui est considere par certains medecins comme une pathologie essentiellement musculaire. De ce travail; il ressort que : -Bien qu'ayant constate dans la grande majorite des cas le strabisme de leur enfant a la naissance; les parents ne consultent un specialiste que vers l'age de 4 ans A cet age le traitement medical meme suivi correctement ne peut plus etre benefique; -La plupart de nos patients avaient developpe une amblyopie relative majeur dans 58 pour cent des cas chez les esotropes et 64 pour cent chez les exotropes; -Concernant le traitement medical seulement 92 patients (soit 93 estropes et 39 exotropes) ont effectivement porte leur lunette; -L'occasion sur peau; I'occlusion sur verre et la penalisation alternance qui sont les differentes etapes du traitement de l'amblyopie n'ont ete suivi que par 19 patients; -Seulement 50 pour cent des patients se sont presentes a la 2eme consultation et ils etaient moins de 1 pour cent a la 7eme consultation. Ces taux eleves de "" perdu de vu "" rend difficile l'appreciation de nos resultats therapeutiques et posent une fois de plus le probleme crucial de la sensibilisation sur les effets nefaste de cette pathologie."

Pattern of eye diseases in Nigerian children seen at Lagos University Teaching Hospital : a decade after

Analysis of 1;000 new paediatric eye patients over a one year period showed that conjunctival diseases were the commonest as opposed to refractive error found a decade ago. More cases of eye injuries; neuro-ophthalmological conditions; squints and congenital abnormalities were also encountered. Females attend hospital more readily than males constituting 50.9 per cent and 29.8 per cent of new patients seen were children 16 years and below. Uveitis and chronic open angle glaucoma were uncommon compared to adult patients. Trachoma was not found in this environment as opposed to Nothern Nigeria. Some of these eye diseases cause blindness which can be prevented if suggested steps are taken. The demand on specialist services could be reduced if eye care delivery is incorporated into primary health care programme