三级医院眼整形疾病的流行病学和管理：4 年回顾。

Epidemiology and Management of Oculoplastic Disorders at a Tertiary Hospital: A 4-Year Review.

机构信息

Department of Ophthalmology, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.

出版信息

West Afr J Med. 2022 Jun 24;39(6):635-640.

PMID:35752971

Abstract

PURPOSE

To describe the epidemiology and management of oculoplastic disorders at a tertiary hospital in Nigeria.

METHODS

This was a retrospective review of patients with oculoplastic disorders at the Department of Ophthalmology, Obafemi Awolowo University Teaching Hospitals Complex, IleIfe, Nigeria from January 2013 to December 2016. The general ophthalmology service records were reviewed to identify patients with oculoplastic disorders. Data retrieved from patient records included date of initial visit, age at presentation, gender, oculoplastic diagnosis and aetiology, modality of treatment given, and indications for patient referrals.

RESULTS

There were 563 (7.4%) patients with oculoplastic disorders, out of 7,575 ophthalmology department patients. They had 573 oculoplastic disorders in all. There were 281 (49.9%) males and 282 (50.1%) females. The median age at presentation was 28 years (range, 1 day to 100 years). Eyelid laceration (n=68; 11.9%) and chalazion (n=63; 11%) were the commonest disorders. Trauma (n=125; 21.8%) was the commonest aetiology, followed by inflammatory (n=121; 21.1%) and infective (n=108; 18.8%) causes. There were 162 (28.3%) surgical interventions; eyelid repair (n=67; 41.4%) was the commonest, followed by evisceration (n=25; 15.4%), and excisional biopsy (n=25; 15.4%). No patient had ptosis or lacrimal surgery. Orbital disorders (n=21; 42.9%) were the commonest indication for a referral elsewhere.

CONCLUSION

Eyelid laceration was the commonest oculoplastic disorder, trauma was the commonest aetiology, and eyelid repair was the commonest oculoplastic surgery done. Further training in oculoplastics with emphasis on ptosis, lacrimal and orbital surgery, as well as the provision of equipment needed for optimal oculoplastic service delivery are recommended.

摘要

目的

描述尼日利亚一家三级医院的眼整形疾病的流行病学和管理情况。

方法

这是对 2013 年 1 月至 2016 年 12 月在尼日利亚奥巴费米·阿沃洛沃大学教学医院眼科就诊的眼整形疾病患者进行的回顾性研究。审查普通眼科服务记录以确定眼整形疾病患者。从患者记录中检索的数据包括就诊日期、就诊时的年龄、性别、眼整形诊断和病因、给予的治疗方式以及患者转诊的指征。

结果

在 7575 例眼科患者中，有 563 例（7.4%）患有眼整形疾病，共发生 573 例眼整形疾病。男性 281 例（49.9%），女性 282 例（50.1%）。就诊时的中位年龄为 28 岁（范围 1 天至 100 岁）。最常见的疾病是眼睑裂伤（68 例，11.9%）和霰粒肿（63 例，11%）。创伤（125 例，21.8%）是最常见的病因，其次是炎症（121 例，21.1%）和感染（108 例，18.8%）。共进行了 162 例手术干预；最常见的手术是眼睑修复术（67 例，41.4%），其次是眼内容物剜除术（25 例，15.4%）和切除术（25 例，15.4%）。没有患者进行了上睑下垂或泪道手术。眼眶疾病（21 例，42.9%）是转诊到其他地方的最常见指征。