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Profile, visual presentation and burden of retinal diseases seen in ophthalmic clinics in sub-Saharan Africa

Clinical Ophthalmology Mar 09, 2020

Nkanga D, Adenuga O, Okonkwo O, et al. - In this hospital-based multicenter, prospective, cross-sectional, non-comparative study, researchers determined the burden of retinal diseases and the degree of visual impairment correlated with each disease, amongst Nigerians. This investigation was carried out from January to December 2018. They collected data from consecutive individuals with a retinal diagnosis presenting at the general ophthalmic and specialty retina clinics in four hospitals (three public, and one private teaching eye department) in Nigeria. According to results, 876 of 8,614 individuals [mean age was 49.97 (standard deviation 17.64 years)] had a retinal diagnosis; establishing a hospital-based retinal disease prevalence of 9.8%. Retinal complications of diabetes, ie, diabetic retinopathy (DR) alone, diabetic macular edema (DME) alone, and a combination of DR and DME, representing 13.7%, 5.6%, and 9.3%, respectively, were the most common. Infrastructure, local training, and development of early detection and treatment systems for several retinal diseases in sub-Saharan Africa need to be invested; DR and DME have the largest burden. Collaborative physician treatment and hypertension and diabetes management may greatly reduce the burden of both DR and DME.
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