Clinical Findings Among Nigerian Paediatric Glaucoma Suspects During A School Eye Health Survey

Abdulkabir Ayansiji Ayanniyi1, *, Fatai Olasunkanmi Olatunji1, Abdulraheem Olarongbe Mahmoud1, Rashidat Oluwafunke Ayanniyi2
1 Department of Ophthalmology, University of Ilorin Teaching Hospital, Ilorin, Nigeria
2 Department of Pharmacology and Therapeutics, University of Ilorin, Nigeria

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© Ayanniyi et al.; Licensee Bentham Open

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.

* Address correspondence to this author at the Department of Ophthalmology, University of Ilorin Teaching Hospital, Ilorin, Nigeria; Tel: +2348058548765; E-mail:



To report clinical findings suspicious of glaucoma among primary school children in Ilorin, Nigeria.


A cross sectional survey of ocular health among 1,393 school children carried out between July 2005 and January 2006. Criteria for suspecting glaucoma included a cup disc ratio (CD) of > 0.5, a CD asymmetry between the fellow eyes of > 0.2, and/or intraocular pressure (IOP) > 21mmHg by applanation tonometry.


Eleven (6 boys and 5 girls) of 1,393 pupils (0.8%), aged between 7 and 13 years, had ocular findings suspicious of glaucoma. Twenty two eyes of 11 pupils had a CD ratio ≥ 0.6, and among these 5 eyes had IOP > 21. Three of the pupils had a CD asymmetry of > 0.2.


A significant proportion of these Nigerian school pupils had clinical signs suggestive of glaucoma. A functional school health programme with eye health component coupled with efficient referral system is advocated.

Keywords: School eye screening, glaucoma suspect, referral system.