RESEARCH ARTICLE


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


© 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 (http://creativecommons.org/licenses/by/2.5/), 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: ayanniyikabir@yahoo.com


Abstract

Objective

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

Methods

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.

Results

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.

Conclusion

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.