Ocular Prosthesis fitting in a Nigerian Tertiary hospital: A 5year review

Kehinde Fasasi Monsudi, Abayomi A Ayodapo, Kareem O Musa

Abstract


Background

Ocular prosthesis (OP) plays an important role in reducing the psychological trauma of eye removal. It helps in restoring self confidence in the patient, prevent eyelid deformation, and orientate the lacrimal flux. OP is usually inserted between 6-8 weeks post-operatively following evisceration and enucleation. This study is set to report our experience on the use of ocular prosthesis vis-à-vis indications and common complications associated.

Materials and methods

A 5 year retrospective review of all 77 patients who had destructive ocular surgeries and ocular prosthesis fitted, in our hospital was done. Information obtained from the patients’ folder include socio-demographics characteristics and indication for OP fitting, type of destructive ocular surgery done and complication following ocular prosthesis insertion. 

Results

Seventy-seven patients had destructive ocular surgeries and ocular prosthesis inserted within the study periods.  The mean age of the patients was 38.7 (SD= 28.9) and their ages ranged from 1year- 90years. More than half (57.1%) were male,   28.6% were farmers while, 20.8% were full house wife.

Endophthalmitis (37.7%) and anterior staphyloma (31.2%) were the main indication for destructive ocular surgery that required OP insertion.

Seventy-four evisceration was performed within the study period, while 72 of the patients had ocular implant inserted during the primary surgery.  Forty-four OPs   were fitted into the left eye using stock type of ocular prosthesis.

Conclusion

Endophthalmitis and anterior staphyloma were the main indications for destructive ocular surgery which necessitated OP fitting. Evisceration was the major procedure for eye removal and stock shell type of ocular prosthesis were mainly in this study. 

 


Keywords


ocular prosthesis, eye clinic, destructive eye surgery, Kebbi State

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ISSN: 1597-4292

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