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Adewara, B.  2022.  Epidemiology and Management of Oculoplastic Disorders at a Tertiary Hospital: A 4-Year Review, 2022/06/24. 39:635-640. Abstract

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

Famurewa, BA, Oginni FO, Adewara BA, Fomete B, Aniagor C, Aluko-Olokun B, Morgan RE, Amedari MKI.  2021.  Epidemiology of Blindness From Facial Trauma: A Multi-Centre Nigerian Study, dec. Craniomaxillofacial Trauma {&} Reconstruction. :194338752110609.: {SAGE} Publications AbstractWebsite
Adewara, BA, Badmus SA, Olugbade OT, Ezeanosike E, Adegbehingbe BO.  2021.  Distribution of phthisis bulbi and status of fellow eyes at a tertiary eye-care centre in Nigeria: a ten-year review, 2021. African Health Sciences. 21(1):437-44.: African Journals Online (AJOL) AbstractWebsite
Onakpoya, OH, Adeoye AO, Adegbehingbe BO, Badmus SA, Adewara BA, Awe OO, Udonwa PA.  2020.  Intraocular pressure variation after conventional extracapsular cataract extraction, manual small incision cataract surgery and phacoemulsification in an indigenous black population. Pan African Medical Journal. 36: Pan African Medical Journal AbstractWebsite
Adewara, B, Adegbehingbe B, Onakpoya O, Adeoye A, Awe O.  2019.  Assessment of resources available for integrated primary eye care in obokun local government Area, Nigeria, 2019/1/1. Nigerian Journal of Health Sciences. 19(1):20-26. AbstractWebsite

Background: The integration of eye care services into the primary health-care (PHC) system and the accessibility and quality of eye health in the community is hugely dependent on available resources.
Objective: The aim was to assess the resources available for eye care delivery in public PHC facilities in Obokun Local Government Area (LGA), Osun State, Nigeria.
Methodology: This was a descriptive cross-sectional study of public PHC facilities and workers in Obokun LGA, Nigeria. A PHC facility checklist was used to obtain data on available infrastructure, material resources, primary eye care (PEC) services, and human resources during a tour and inspection of each facility. Further data on human resources were obtained with a semi-structured questionnaire administered to PHC workers. Data included information on the age, sex, cadre, duration of service, PEC practices, and training of PHC workers.
Results: There were 4 (10.0%) primary health (PH) centres, 19 (47.5%) PH clinics and 17 (42.5%) health posts. The number and distribution of PHC facilities, material resources, and PEC services were below-recommended guidelines. There were 12 (11.2%) nurses, 4 (3.7%) community health officers, 19 (17.8%) community health extension workers (CHEWs), 7 (6.5%) health technicians, 8 (7.5%) junior CHEWs, and 57 (53.3%) health assistants. There was a sufficient number of PHC workers and community services to build capacity for PEC delivery.
Conclusions: Resources were available for PEC in Obokun LGA; however, some were insufficient or unevenly distributed. Further training of PHC workers in PEC and the provision of the minimum required infrastructure and material resources are recommended.

Adewara, BA, Adegbehingbe BO, Onakpoya OH, Ihemedu CG.  2017.  Relationship between intraocular pressure, anterior chamber depth and lens thickness in primary open-angle glaucoma patients, mar. International Ophthalmology. 38:541–547., Number 2: Springer Science and Business Media {LLC} AbstractWebsite
Onakpoya, O, Adeoye A, Adewara B, Olorundare O.  2014.  Cataract surgical outcome by trainees and consultant ophthalmologists: Implications for ophthalmic surgical training., 2014/07/01. 2014:53-57. Abstract

ABSTRACTBackground: This study evaluates cataract surgical outcome by cadre of surgeons in an ophthalmic training centre with a view of ensuring quality of service and safety during training.
Methodology: Cross-sectional analytical study of eyes that underwent cataract surgery for visual purposes at Wesley Guild Hospital, Ilesa, Nigeria from January 2003 till December 2004 was conducted. The age, sex, presenting visual acuity, type of surgery and cadre of surgeon who performed the procedure were recorded. Surgical complications and post-operative visual acuity at one week and 12 weeks (WHO grading) were recorded, analyzed with SPSS vs 13 and presented.
Result: One hundred (100) eyes of 78 patients with age range 7-90 years and mean 67.4 (16.7) years were studied. Most (67%) were blind preoperatively while the remaining (33%) had severe visual impairment. Surgery was performed by consultant ophthalmologists (62%), senior registrars (31%) and registrars in 7%. Hyphaema (16%) was the most common intraoperative complication while striate keratopathy (23%) was the leading postoperative complication. Twelve weeks postoperative visual outcome was good in 76% and poor in 7%. Intraoperative (p = 0.003) and immediate post-operative (p = 0.02) complication rates were higher among the trainees when compared with consultants. Good visual outcome was achieved in 74%, 78% and 75% (p = 0.04) of cataract surgeries performed by the Consultants, Senior Registrars and Registrars respectively.
Conclusion: Final visual outcome of cataract surgeries performed by trainees under supervision is within acceptable limits; close monitoring is required to minimise intraoperative and immediate postoperative complications.
Keywords: Cataract surgical outcome; Ophthalmic training; Visual outcome; Complications; Nigeria.
Citation: Onakpoya OH, Adeoye AO, Adewara BA, Olorundare OK. Cataract Surgical Outcome by Trainees and Consultant Ophthalmologists: Implication for Ophthalmic surgical Training. Nigerian Journal of Health Sciences2014; 2014 (2): 53-57.

Adegbehingbe, BO, Adeoye O, Adewara BA.  2011.  Ocular Co-morbidity in Patients with Refractive Errors in Nigeria, 2011. Nigerian Journal of Ophthalmology. 19(1): African Journals Online (AJOL) AbstractWebsite
Onakpoya, O, Adegbehingbe B, Adeoye A, Adewara B.  2010.  Ophthalmic admissions in a tertiary hospital in Nigeria, 2010/03/01. 10:54-7. Abstract

Hospitalization for eye care is required for different reasons. The pattern of admissions into the ophthalmic wards of a sub-urban tertiary hospital was studied.Records of patients admitted into the Ophthalmology wards of the Obafemi Awolowo University Teaching Hospitals Complex Ile-Ife from January 2004 to December 2007 were reviewed and the age, sex, duration of admission and diagnosis recorded. Data was analyzed with SPSS version 13 and statistical significance inferred at P<0.05.
Of the 523 patients admitted, 60.2% were males while 39.8% were females (P<0.0001); the male preponderance becomes less prominent with increasing age (P=0.001). The duration of admission ranged between 2 and 24 days with a mean of 2.86+/- 1.95 days and 63% were admitted for 3 days. The main indications for admission were cataract (58.3%), ocular trauma (14.3%) and glaucoma (13.4%). Eye injuries were more common among children and young adults while cataract and glaucoma were the leading indications in the middle aged and elderly.
Cataract, trauma and glaucoma were the leading indications for ophthalmic hospitalization. Human and infrastructural development of the ophthalmology unit should lay emphasis on the more prevalent needs to enhance effective and efficient management of these diseases.