Biomedical subjects

J F A Owoeye

Publications and source records attributed to J F A Owoeye.

5 recordsLinked to original sources

PubMed2004

Intraorbital tuberculosis: a case report.

A 75-year-old woman presented at the eye clinic of the University of llorin Teaching Hospital with swelling of the left eyelids and protrusion of the left eyeball. The swelling was painless. Physical examination revealed no systemic abnormality. An incisional biopsy of the lid swelling revealed tuberculous orbital involvement. She responded well to anti-tuberculosis therapy, with regression of the lid swelling and proptosis. The importance of including intraorbital tuberculosis as a differential of orbital swelling in the environment is emphasised.

Aged↗

PubMed2003

Herpes zoster infection and HIV seropositivity among eye patients--University of Ilorin Teaching Hospital experience.

This paper reports cases of Herpes Zoster Ophthalmicus (HZO) seen in 10 Nigerian adults at the Eye clinic of the University of Ilorin Teaching Hospital (UITH), Ilorin, Kwara State, Nigeria, some of whom tested positive to HIV infection using ELISA method with confirmation using the Western blot test. There were 6 female and 4 male patients. Five (50%) of the patients tested positive for HIV. A high index of suspicion should be maintained among Ophthalmologists when confronted with patients with HZO who are healthy looking.

AIDS-Related Opportunistic Infections↗

PubMed2003

Ophthalmic manifestations of fronto-ethmoidal mucocoeles: a report of five cases.

Fronto-ethmoidal mucocoele is rare and will cause visual impairment and blindness when management is belated. In order to improve the awareness of its ophthalmic manifestations and problems associated with its management we retrospectively analyzed clinical, radiological and histological features in five illustrative cases. They all presented with unilateral supra-orbital swellings and proptosis, antedated by head injury in two cases. Other ophthalmic manifestations included eye lid swelling, progressive visual loss, unilateral ptosis, exotropia and diplopia. Only two patients had nasal symptoms. In all cases, x-rays of the paranasal sinuses revealed radiolucent frontal sinuses with eroded anterior walls, floors and midline septa. Brain scan in one case demonstrated opacification and enlargement of the corresponding sinus. Fronto-ethmoidectomy in four cases confirmed erosion of sinus' walls and floors and in one case of the contiguous supra-orbital ridge in addition to colored fluid aspirates. In all cases, the curetted sinus lining comprised of chronic inflammatory tissue. Surgical intervention was followed by prompt postoperative resolution of ophthalmic manifestations. A high level of suspicion is essential for early diagnosis and treatment of fronto-ethmoidal mucocoeles and will assist in preventing irreversible visual loss.

Adolescent↗

PubMedDate not supplied

Sonographic evaluation of ocular trauma in Ilorin, Nigeria.

UNLABELLED: PURPOSE.: Ultrasound (US) evaluation of the eye and orbit has become an essential component of clinical ophthalmology. Requests for its use are frequent in the authors' hospital in spite of the absence of a dedicated eye scanner. The extent to which this has influenced the authors' patient management, especially for those with orbito-ocular trauma, informed the decision to carry out this study. METHODS: A retrospective review of cases of orbito-ocular trauma with media opacities and/or intraocular hemorrhage sent for ultrasonography over a 5-year period (January 1997-December 2001) at the University of Ilorin Teaching Hospital (UITH), Ilorin, Nigeria, was carried out. The sonographic diagnosis was reviewed with the management outcomes as found in the patients' records. RESULTS: A total of 71 patients (45 male, 26 female) were included in the study (M:F=1:1.7). The minimum age was 1 1 /2 years and maximum was 70 years. The 11- to 20-year age group was mostly affected by trauma (31%). Retinal detachment (22.5%) was the most common posterior segment lesion diagnosed, followed by vitreous hemorrhage (18.3%) and hyphema (11.3%). Visual acuity improved to between 6/9 and 6/18 in 23 (41.4%) of the 56 injured eyes. CONCLUSIONS: The usefulness of orbito-ocular ultrasonography in ophthalmic trauma management has been demonstrated in this study, especially using nondedicated eye scanners when a dedicated one is unavailable.

Adolescent↗

PubMedDate not supplied

Traditional couching for cataract treatment: a cause of visual impairment.

BACKGROUND: Cataract is the most common cause of blindness both in Nigeria and in the world over. Couching as an ancient method of treatment usually practiced by traditional healer is discouraged and has been abandoned as a result of the attendant complications and also because of the availability of better techniques in the treatment of cataract. STUDY DESIGN: Records of 9 eyes of 6 patients (4 males, 2 females) who presented at the eye clinic of the University of Ilorin Teaching Hospital following traditional treatment of cataract known as couching between April 1999 and December 2001 were reviewed retrospectively. RESULT: The male: female ratio was 2:1. The age range was from 43 years to 80 years. The period between couching and presentation was between 3 months and 10 years. All the patients presented as a result of poor vision in the couched eyes. The complications recorded include glaucoma, optic atrophy and panuveitis. None had previous spectacle correction. Couching was done biocularly in 3 patients and uniocularly in 3 patients. The visual acuity at presentation was less than 3/60 in 8(88.8%) eyes. The patients received treatment, ranging from surgical, medical to optical as indicated. Their visual acuity improved to between 6/36 and 6/18 in 6 (66.6%) eyes, while the remaining 3 (33.3%) eyes remained blind. CONCLUSION: Scientifically proven atrocities performed by those who practice medicine without any medical knowledge often referred to as "traditional doctors" as shown here are reasons enough to discourage such practices as they exist at present.

Adult↗