Eze Boniface Ikenna, Uche Judith N, Shiweobi Jude O
Department of Ophthalmology, University of Nigeria Teaching Hospital (UNTH), PMB 01139, Ituku-Ozalla, Enugu, Nigeria.
Middle East Afr J Ophthalmol. 2010 Jul;17(3):246-9. doi: 10.4103/0974-9233.65491.
This study was designed to determine the rate and pattern of vitreo-retinal diseases at a tertiary eye care center in South-eastern Nigeria.
The outpatient register at the Eye Clinic of the University of Nigeria Teaching Hospital, Enugu, was retrospectively examined to identify all new patients registered between January 2004 and December 2008. A chart review of subjects with vitreo-retinal disease was conducted to record relevant demographic and clinical data including the needs for vitreo-retinal care. Descriptive and analytical statistics were performed. A P-value <0.001 (one degree of freedom) was considered statistically significant.
Of the 8,239 new patients reported during the period, 326 subjects (males- 59.3%; females- 40.7%; sex ratio = 1.1:1) aged 49.3 ± 16.8 years (range 3-82 years) had vitreo-retinal disease. The rate of vitreo-retinal disease was 3.9%. The rate was higher in subjects above 40 years old (P < 0.001), but did not differ between sexes (P = 0.469). Diabetic retinopathy (24.9%), hypertensive retinopathy (13.3%), and age-related macular degeneration (10.7%) were the leading vitreo-retinal diseases. Blindness from vitreo-retinal disease was bilateral in 6.1% of subjects and unilateral in 17.5% of subjects. The common co-morbidities were ocular conditions such as refractive error (19.8%), cataract (14.2%), and glaucoma (10.4%); and systemic conditions such as diabetes mellitus (14.6%) and hypertension (13.2%).
The rate of vitreo-retinal diseases among new ophthalmic outpatients at UNTH, Enugu, is 3.9%. Retinal vascular disorders and age-related maculopathy are the leading retinal diseases. At UNTH, resource needs for vitreo-retinal care are urgent including retinal photography/angiography, laser photocoagulation, intra-vitreal pharmacotherapy, and vitreo-retinal surgery.
本研究旨在确定尼日利亚东南部一家三级眼科护理中心玻璃体视网膜疾病的发病率和发病模式。
对尼日利亚大学教学医院（位于埃努古）眼科诊所的门诊登记册进行回顾性检查，以确定2004年1月至2008年12月期间登记的所有新患者。对患有玻璃体视网膜疾病的患者进行病历审查，以记录相关的人口统计学和临床数据，包括玻璃体视网膜护理需求。进行描述性和分析性统计。P值<0.001（自由度为1）被认为具有统计学意义。
在此期间报告的8239名新患者中，326名患者（男性占59.3%；女性占40.7%；性别比=1.1:1）患有玻璃体视网膜疾病，年龄为49.3±16.8岁（范围3 - 82岁）。玻璃体视网膜疾病的发病率为3.9%。40岁以上患者的发病率较高（P<0.001），但性别之间无差异（P = 0.469）。糖尿病性视网膜病变（24.9%）、高血压性视网膜病变（13.3%）和年龄相关性黄斑变性（10.7%）是主要的玻璃体视网膜疾病。因玻璃体视网膜疾病导致的失明在6.1%的患者中为双侧，在17.5%的患者中为单侧。常见的合并症包括眼部疾病，如屈光不正（19.8%）、白内障（14.2%）和青光眼（10.4%）；以及全身性疾病，如糖尿病（14.6%）和高血压（13.2%）。
位于埃努古的尼日利亚大学教学医院新眼科门诊患者中玻璃体视网膜疾病的发病率为3.9%。视网膜血管疾病和年龄相关性黄斑病变是主要的视网膜疾病。在尼日利亚大学教学医院，对玻璃体视网膜护理的资源需求紧迫，包括视网膜摄影/血管造影、激光光凝、玻璃体内药物治疗和玻璃体视网膜手术。
