ABSTRACT
Two cases of pituitary macroadenomas are the basis for this study. The first; a 70 year old female who had a nonfunctioning pituitary macroadenoma presented with headache and visual impairment. Surgery was indicated but she declined until two years later when visual acuity got worse. The second was a 25 year old male who presented with a prolactinoma and diabetes. Visual abnormalities were related only to the left eye. When it was suggested that surgery might be indicated; he never kept the next appointment. Delay in effecting appropriate surgery timely is known to upset desired results. What is particular in this case is the attendant loss of vision; a very serious disability which could have been prevented. Those prone to fear of surgery should be assisted to understand their situations better and efforts made to encourage them to take the correct decision
Subject(s)
Diabetes Mellitus , Pituitary Neoplasms/surgery , Prolactinoma , Treatment Refusal , Visual AcuityABSTRACT
OBJECTIVES: To determine the types of congenital ocular anomalies seen in the eye clinic of the University of Nigeria Teaching Hospital Enugu, over an 8-year period from January 1992 to December 1999. METHOD: In a retrospective non-comparative case-series study, the records of all patients with congenital ocular anomalies seen between January 1992 and December 1999, were analysed for types of anomalies, aetiology, sex and ages at presentation of all patients. RESULTS: A total of 54 cases were analysed: 25 females; 29 males (M:F = 1: 1.2). Congenital cataract was the most frequently occurring congenital ocular anomaly (42.6%); followed by congenital glaucoma (22.2%) and anophthalmia/microphthalmia and congenital esotropia (9.3%) each. CONCLUSION: In spite of the limitations of this study our findings are similar to those in other studies.
Subject(s)
Eye Abnormalities/epidemiology , Child , Child, Preschool , Female , Hospitals, Teaching/statistics & numerical data , Humans , Infant , Infant, Newborn , Male , Nigeria/epidemiology , Outpatient Clinics, Hospital/statistics & numerical data , Retrospective StudiesABSTRACT
Twenty-six patients with heart block were examined for evidence of chloroquine retinopathy. Detailed histories of chloroquine intake showed that 50% (13 of 26) of these patients were chloroquine abusers. Retinal changes typical of chloroquine retinopathy were seen in 53.8% (7 of 13) of the chronic chloroquine abusers. Patients with heart block of unknown cause should have their fundi examined so that signs of chloroquine retinopathy may be sought.
