Spectrum of congenital defects of the eye and its adnexia in the pediatric age group; experience at a tertiary facility in Nigeria

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• 作者：Bola J. Adekoya ; Modupe M. Balogun ; Bola G. Balogun…
• 关键词：Congenital eye defect ; Cataract ; Ptosis ; Glaucoma ; Microphthalmos ; Management challenges
• 刊名：International Ophthalmology
• 出版年：2015
• 出版时间：June 2015
• 年：2015
• 卷：35
• 期：3
• 页码：311-317
• 全文大小：450 KB
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• 作者单位：Bola J. Adekoya (1)
  Modupe M. Balogun (1)
  Bola G. Balogun (1)
  Rosemary A. Ngwu (1)
  
  1. Department of Ophthalmology, Lagos State University Teaching Hospital (LASUTH), P.O. Box 19484, Ikeja, 100001, Lagos, Nigeria
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Ophthalmology
  
• 出版者：Springer Netherlands
• ISSN：1573-2630

文摘

The aim of this study was to investigate the types and presentation pattern of congenital defects of the eye and adnexia in our center. This is a retrospective review of congenital defects of the eye and adnexia over a 20-month period at a tertiary referral center in Lagos, Nigeria. Records were analyzed for age at presentation, laterality, gender, vision assessment, and type(s) of abnormality. Out of 412 pediatric patients, 40 (9.7?%) were seen to have congenital abnormality of the eye and/or its adnexia during the study period. There were 17 (42.5?%) males. Twelve patients (30.0?%) presented with involvement of the right eyes, nine (22.5?%) with left eyes, while 19 (47.5?%) had bilateral involvement. Twenty-eight patients (70.0?%) were aged 1?year or less at the time of presentation. A total of 69 entities were recognized as some children had two or more malformations. The common congenital defects identified were cataract (39.1?%), ptosis (17.4?%), glaucoma (8.7?%), and cornea opacity (7.2?%). Other less common congenital defects include: microphthalmos, anophthalmos, coloboma (lid and iris), dermoid cyst, and aniridia. All of the patients with available visual acuity documentation had visual impairment. A high proportion of the patients were lost to follow-up. Cataract, ptosis, and glaucoma were the commonest congenital defects of the eye and adnexia in our center and were associated with visual impairments. The significant loss of the patients during follow-up needs urgent investigation and attention to forestall this trend.