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Biomedical subjects

S Majekodunmi

Publications and source records attributed to S Majekodunmi.

6 recordsLinked to original sources

Cryosurgery in treatment of trichiasis.

Ten patients with trichiasis were treated with cryosurgery by the standard retinal probe with nitrous oxide. A double freeze-thaw method was used. Nine of the patients had trachomatous trichiasis and one had conjunctival scarring. In only the latter case were the lashes destroyed, and these grew again after 2 months. Trachomatous trichiasis is frequently associated with entropion. The tarsal plate in such cases is often thickened and distorted, with extensive conjunctival scarring. The success of cryosurgical treatment of trichiasis depends not only on the type of probe used but perhaps also on the aetiology of the disease. To our knowledge no similar trial of this form of treatment of trichiasis has been carried out in eye centres in Africa south of the Sahara. Cryosurgery is simple to perform and of great potential use, particularly in areas where there is a shortage of skilled surgeons to perform the delicate eyelid operations often required in trichiasis.

Cryosurgery↗

Unilateral proptosis in Nigerians: causes and differential diagnosis.

Of 75 cases of unilateral proptosis in Nigerians seen at Lagos University Teaching Hospital over a 5-year period 47% were in persons under the age of 15 years, and 87% occurred in the first three decades of life. The lesions were mostly orbital or nasal. Orbital cellulitis caused 52% of the cases, retinoblastoma with orbital extension 12% and hemorrhage due to trauma 12%. Overall, neoplasms accounted for only 29% of the cases, a low proportion compared with rates in other series. No cases were due to an endocrine disorder, again in contrast to other series. These differences may be due to differences in the interests of the investigators, geographic and demographic variation between the patient groups or differences in the criteria for the inclusion of patients in the studies.

Adolescent↗

Clostridium welchii corneal ulcer--a case report.

A case of corneal ulcer in a 10-year-old Nigerian boy in which clostridium welchii and achromobacter were isolated is reported. The absence of trauma and rarity of only corneal involvement in a clostridial infection is emphasized. The bacteriology of the clostridial infection is emphasized. The bacteriology of the clostridial ocular infections is reviewed, the media necessary for isolation of the organism and the symbiotic relationship with other bacteria are discussed. The clinical course of the disease with uneventful recovery of the patient is emphasized.

Ampicillin↗

Vernal conjunctivitis in Nigerian children.

Vernal conjunctivitis in 92 Nigerian children are reported. Males are more affected than females. Majority of the patients are in the first decade of life. The disease is usually chronic and palpebral form is twice as common as the limbal. More patients are seen in the early wet season and only in about 10 percent is a history of atopic diseases obtained. The variations of this disease in this series may be due to geographical rather than racial factors.

Adolescent↗

Exophthalmometry in Nigerians.

Exophthalmometry was studied in 100 Nigerians to determine a baseline data of normal exophthalmometry reading, and to compare this with normal values in black and white Americans. The exophthalmometry reading was higher in females than males, more in the left than the right eyes. The mean values were 13.5 mm and 15 mm in males and females respectively. Although these values are lower than those of American blacks they are similar to those of the white Americans. We suggest anatomical reasons for these differences. No correlation was found between the height and weight and degree of exophthalmometry reading in Nigerians.

Adolescent↗

Causes of enucleation of the eye at Lagos University Teaching Hospital. A study of 101 eyes.

Causes of enucleation of the eye at Lagos University Teaching Hospital over a period of 10 years - January, 1976 - December, 1985 were reviewed. One hundred and one (5.7%) eyes were enucleated out of the 1758 eye operations performed over this period. Most of the patients were below the age of 30 but their mean age was 14.5 years. The three commonest causes of enucleation were tumours (41.7%) chronic inflammatory diseases (16.8%) and glaucoma (12.3%). Retinoblastoma was the commonest tumour encountered, and most of the patients presented late leaving enucleation as the main line of treatment. Staphyloma is the commonest chronic inflammatory disease, and frequently due to measles. Injury accounted for only (7.9%). Positive measures to eradicate measles and to reduce trauma are advocated.

Adolescent↗