Idowu Oluwatobi O, Oldenburg Catherine E, Vagefi M Reza
Department of Ophthalmology, University of California San Francisco, 10 Koret Way, San Francisco, CA, 94143, USA.
Francis I. Proctor Foundation for Research in Ophthalmology, University of California San Francisco, San Francisco, CA, USA.
Int Ophthalmol. 2020 Jan;40(1):109-116. doi: 10.1007/s10792-019-01163-z. Epub 2019 Aug 22.
To assess the status and challenges of oculoplastic surgical services in Nigeria.
An IRB-exempt, web-based survey was distributed to Ophthalmological Society of Nigeria members via e-mail. Information regarding demographics, type and location of practice, subspecialization training, availability and barriers of oculoplastic surgical services, pattern of oculoplastic diseases and surgical procedures was obtained. Responses were analyzed using standard statistical methods.
Forty-four percent (155/356) of ophthalmologists invited completed the online survey. Of these respondents, 104 (67.1%) do provide oculoplastic surgical services with 8 (5.2%) trained in oculoplastic surgery. Respondents reported most commonly treating eyelid trauma (98.1%), orbital inflammatory diseases (92.1%) and lacrimal system disorders (86.5%) with globe removal procedures (98.1%), eyelid reconstruction (92.1%) and lacrimal drainage procedures (84.5%) being the most common procedures performed in their practices. Barriers to availability of oculoplastic surgical services identified by respondents were few trained oculoplastic surgeons (92.9%), lack of training centers (70.3%) and accessibility of services (60%). On multivariable analysis, predictors of availability of oculoplastic surgical services were greater number of years in practice (P < 0.001) and subspecialty training (P < 0.001).
The availability and geographical distribution of oculoplastic surgical services in Nigeria are suboptimal with training deficiencies identified as the main challenge. Strategies to improve availability of oculoplastic care should entail a sustainable training program for this emerging subspecialty and physician deployment to under-resourced areas of the country.
评估尼日利亚眼部整形手术服务的现状与挑战。
通过电子邮件向尼日利亚眼科学会成员发放一项无需机构审查委员会（IRB）批准的基于网络的调查问卷。获取了有关人口统计学、执业类型和地点、亚专业培训、眼部整形手术服务的可及性及障碍、眼部整形疾病模式和手术程序等信息。使用标准统计方法对回复进行分析。
受邀的眼科医生中有44%（155/356）完成了在线调查。在这些受访者中，104人（67.1%）提供眼部整形手术服务，其中8人（5.2%）接受过眼部整形手术培训。受访者报告最常治疗的疾病为眼睑外伤（98.1%）、眼眶炎性疾病（92.1%）和泪器系统疾病（86.5%），最常开展的手术为眼球摘除术（98.1%）、眼睑重建术（92.1%）和泪道引流术（84.5%）。受访者指出眼部整形手术服务可及性的障碍包括眼部整形外科医生培训不足（92.9%）、缺乏培训中心（70.3%）和服务可及性差（60%）。多变量分析显示，眼部整形手术服务可及性的预测因素为执业年限较长（P＜0.001）和亚专业培训（P＜0.001）。
尼日利亚眼部整形手术服务的可及性和地理分布不理想，培训不足被认为是主要挑战。改善眼部整形护理可及性的策略应包括针对这一新兴亚专业的可持续培训计划以及向该国资源匮乏地区调配医生。
