Common Presenting Complaints and Predisposing Factors among Adult Ophthalmic Patients with Low Vision and Blindness in Aba

Abstract

Aim: To determine the common complaints and predisposing factors of low vision and blindness among adult ophthalmic patients in Abia State University Teaching Hospital, (ABSUTH), Aba, Nigeria.
 Study Design: A retrospective, descriptive study.
 Methodology: An institutional-based study involving 457 patients who attended Abia State University Teaching Hospital eye clinic between April and September 2018 was undertaken. The patients’ biodata, clinical history, ophthalmic examination findings, and results of ancillary investigations were obtained from patients’ hospital records within the period under study and analyzed using IBM SPSS version 25.0. AP-value of < 0.05 was taken to be statistical significant.
 Result: A total of 457 patients comprising of 206 males and 251 females, aged 18-85 years were seen in the study period. Based on World Health Organization (WHO)’s definition of low vision and blindness, two hundred and eighty-four (62.1%) patients had normal vision, 25(5.5%) patients had low vision while 32(7%) patients were blind. The most common complaint was blurring of vision, 136 (23.5%) followed by itching of the eye, 91 (15.7%) and tearing, 86 (14.9%). Forty percent of the respondents’ complaints had lasted for over 12 months before presentation at the clinic. Common predisposing factors for low vision and blindness observed in this study were hypertension (24.1%), previous drug use (5%), previous use of traditional medication (1.3%) and family ocular history (3.7%). No statistically significant association was found between diagnostic data and family ocular history, previous use of traditional medication and previous drug use. Statistically, significant relationship was found between diagnostic data and blood pressure (P< 0.001).
 Conclusion: There are various presentations of low vision and blindness in Aba. Routine eye check, early referral and appropriate treatment is advocated for the populace.

Pattern of Refractive Errors in a Tertiary Hospital in South East, Nigeria

“…There is difficulty in reading small prints, fatigue in doing close works and need for brighter lightening when reading or doing close work. There is preference of holding reading materials at arms-length to make letters clearer [18,19]. Presentation is usually after the age of 40 but a good number of Africans present before 40 years of age [20].…”