ANNALS OF MEDICAL AND SURGICAL PRACTICE https://edonmajournal.com/pub/index.php/nma <p>The Annals of Medical and Surgical Practice is a peer-reviewed journal published on behalf of<br />the Nigerian Medical Association, Edo State Branch. This journal publishes original<br />communications in the form of original research, high-quality case report, short communications,<br />letter to the editor and systematic reviews on clinical medicine (surgery, surgical specialties,<br />paediatrics, internal medicine, public health, obstetrics and gynaecology etc), laboratory<br />medicine, and other specialties in the basic medical science, the allied health science and<br />health related social science. The journal is published twice yearly, in the months of June<br />and December. </p> Nigerian Medical Association, Edo State en-US ANNALS OF MEDICAL AND SURGICAL PRACTICE 2550-7354 ABNORMALITIES OF EYELID POSITION: ANALYSIS OF CASES SEEN IN AN URBAN HOSPITAL IN NIGERIA https://edonmajournal.com/pub/index.php/nma/article/view/86 <p>Aim: To determine the types, causes and relative frequencies of abnormal tonic eyelid position in patients seen at the eye clinic of the University of Benin Teaching Hospital.<br>Method: A review of the case files of all new patients presenting with abnormal tonic eyelid position was done. Data on age, gender, laterality, type and aetiology of abnormal tonic eyelid position was obtained.<br>Result: There were 109 patients with abnormalities of tonic eyelid position. These included 51 males with a male: female ratio of 1:1.1. The age range was from 6weeks to 87years; mean age 37.6years (SD ± 23.9). There was unilateral involvement in 88 (80.7%) cases. Abnormalities of tonic eyelid position were ptosis 77 (70.6%), lagophthalmos 22 (20.2%), facial spasm 7 (6.4%) and lid retraction 3 (2.8%). The most frequent cause of ptosis was oculomotor nerve palsy while blepharospasm was the most frequent cause of facial spasm. Seventh nerve palsy was the most frequent cause of lagophthalmos while the three cases of lid retraction were seen in patients with thyroid eye disease.<br>Conclusion: Neurological and other debilitating illnesses were common causes of abnormal tonic eyelid position. Examination of the eyelid for tonic position should not be overlooked during ophthalmic evaluation.</p> V B Osaguona V W Okeigbemen Copyright (c) 2020 2020-11-30 2020-11-30 5 2 71 77 TYPES OF GLAUCOMA AND BLINDNESS IN THE UNIVERSITY OF BENIN TEACHING HOSPITAL, BENIN CITY https://edonmajournal.com/pub/index.php/nma/article/view/88 <p>Aim-To describe the various types of glaucoma and glaucoma blindness in the Eye Clinic of the University of Benin Teaching Hospital, Benin City, Edo state, Nigeria. <br>Methods: This was a prospective study which was carried out among glaucoma patients in the Eye Clinic of the University of Benin Teaching Hospital with the aim of describing the various types of glaucoma. All glaucoma patients presenting for the first time in the hospital eye clinic over a one year period were enrolled in the study. Data was obtained using interviewer administered questionnaires and ocular examination included visual acuity, gonioscopy, slit lamp examination, fundoscopy, tonometry and visual fields. Data analysis was done using the Statistical Package for Social Sciences (SPSS) version 17. <br>Results: Two thousand and twenty three (2,023) new patients were seen in the eye clinic within the study period and two hundred and sixty five (265) of these making 13.1% had various types of glaucoma. Primary Open Angle Glaucoma (POAG) was the most common type seen among 63.4%, 22.3% patients had secondary glaucoma, 5.3% had juvenile glaucoma, 6.4% had Primary Angle Closure Glaucoma(PACG) while 2.6% had congenital glaucoma. Out of these patients one hundred and thirty three (50.2%) were blind either in one or both eyes at presentation. Educational status, age group and place of first presentation were significantly associated with blindness. <br>Conclusion: The percentage of new patients presenting in the Eye Clinic of the University of Benin Teaching Hospital with glaucoma is 13.1 %. POAG is the most common type of glaucoma followed by secondary glaucomas. Blindness was seen in over half, 50.2% of these new patients and was significantly associated with increasing age, lower educational status and first presentation with traditional healers. </p> N Momoh AE Omoti OT Edema ET Iyasele Copyright (c) 2020 2020-11-30 2020-11-30 5 2 78 85 QUALITY OF LIFE OF GLAUCOMA PATIENTS IN THE UNIVERSITY OF BENIN TEACHING HOSPITAL, BENIN CITY https://edonmajournal.com/pub/index.php/nma/article/view/93 <p>Aim: To determine the quality of life of primary open angle glaucoma patients in the Eye Clinic of the University of Benin Teaching Hospital, Benin City, Edo state, Nigeria.<br>Methods: This was a prospective study which was carried out among glaucoma patients in the Eye Clinic of the University of Benin Teaching Hospital. All glaucoma patients presenting for the first time in the hospital eye clinic over a one year period were enrolled in the study. Data was obtained using an interviewer administered questionnaire encompassing quality of life questions derived from the GQL15 and VFQ 25 instruments. Data analysis was done using the Statistical Package for Social Sciences (SPSS) version 17.<br>Results: Two thousand and twenty three (2,023) new patients were seen in the eye clinic within the study period and One hundred and sixty eight of the patients in this study had Primary Open Angle Glaucoma (POAG). The quality of life scores in glaucoma patients was 53.58(±19.3) as opposed to 88.8 (±3.7) in controls using the National Eye Institute Visual Function Questionnaire (NEI VFQ) and 50.51(±21.77) in glaucoma patients and 96.8 (±2.8) in controls with the Glaucoma Quality of Life GQL questionnaire. This is statistically significant in both analysis, though the GQL is more specific for glaucoma. The subscales for mental health, peripheral vision, general vision and role limitation were lowest in this study probably because over 60% of the patients have severe/advanced glaucoma<br>Conclusion: Quality of life was significantly lower in glaucoma patients than in age and sex matched controls. Glaucoma is a cause of significant morbidity affecting all aspects of the life of its sufferers and this has to be addressed urgently.</p> AE Omoti E T Iyasele O T Edema N Momoh Copyright (c) 2020 2020-11-30 2020-11-30 5 2 87 93 KNOWLEDGE OF GLAUCOMA BLINDNESS AMONG STUDENTS OF AMBROSE ALLI UNIVERSITY, EDO, STATE, NIGERIA. https://edonmajournal.com/pub/index.php/nma/article/view/96 <p>Aim: This study assessed knowledge of glaucoma blindness, knowledge of risk factors and practice of<br>preventive measures of glaucoma among undergraduate students of Ambrose Alli University Ekpoma,<br>Edo state, Nigeria.<br>Methodology: This descriptive study was carried out amongst 221 respondents, selected using<br>multistage sampling technique. Interviewer administered questionnaires were used for data collection.<br>Data was analyzed using IBM SPSS version 21.0 software for descriptive statistics. The Chi square test<br>was used to test for association, the level of significance was set as p &lt; 0.05.<br>Results: Out of 221 respondents, only 13% had good knowledge of glaucoma while 87% had poor<br>knowledge. Only 6% had good knowledge of risk factors of glaucoma and 94% had poor knowledge,<br>while 39% of respondents had good practice of preventive measures of glaucoma blindness and 61%<br>had poor practice of preventive measures of glaucoma. There was a statistical significance between<br>knowledge of glaucoma and the level of study in the nursing department (p&lt;0.001).<br>Conclusion: Knowledge of glaucoma blindness was low among the respondents. The findings of this<br>study stress the need for effective information and education about glaucoma.</p> ME Enock EE Malachi O Kanoba A Omoti UC Fuh AA Alikah IE Eguaoje Copyright (c) 2020 2020-11-30 2020-11-30 5 2 94 103 THE NHIS-BASED HEALTH WORKFORCE: AN EXPLORATION OF THEIR KNOWLEDGE AND PERCEPTION OF COVID-19. https://edonmajournal.com/pub/index.php/nma/article/view/97 <p>Aim: The knowledge and perception of COVID-19 was assessed amongst healthcare workers in the<br>National Health Insurance Scheme (NHIS) clinic of a tertiary hospital in Nigeria.<br>Methods: This was a descriptive cross-sectional study conducted amongst healthcare workers in the<br>National Health Insurance Scheme (NHIS) clinic of a tertiary hospital in Nigeria, which offers outpatient<br>primary care services to enrollees on the National Health Insurance Scheme of Nigeria. A pre-tested<br>semi-structured questionnaire was used to obtain data from the participants. Data analysis was done<br>using the IBM SPSS Statistics version 22.0 (Chicago, IL, USA) statistical software.<br>Results: There were 49 study participants with 22 males and 27 females (M:F = 1:1.2). The mean age<br>was 35.58.6years. All the study participants were aware of COVID-19 with television being the highest<br>source of information on COVID-19, followed by the internet and social media. Majority of the<br>respondents had fair knowledge of COVID-19 (n=25, 51.1%). Only occupation (p=0.03) was significantly<br>associated with knowledge of COVID-19. Majority of the respondents believed COVID-19 is real.<br>Conclusion: Whereas all the study participants were aware of COVID-19, most of them had fair<br>knowledge of the disease and believed COVID-19 is real.</p> O Enabulele M Adelakun E Aihevba Copyright (c) 2020 2020-11-30 2020-11-30 5 2 104 112 A CASE REPORT ON BEHCET’S SYNDROME, A RARE MUCOCUTANEOUS DISEASE https://edonmajournal.com/pub/index.php/nma/article/view/98 <p>Aim: Behcet’s syndrome is a chronic multisystem vasculitis of unknown origin with frequent manifestation<br>of oral and genital ulcerations, ocular and skin lesions and other involvement of the central nervous<br>system and the gastrointestinal tract. We present a case of Behcet syndrome presenting initially with<br>isolated oral aphthous ulcers and the aim is to highlight the clinical features and its treatment.<br>Case Report: A 36 year old female with recurrent aphthous ulcers on the tongue for 2 days with a history<br>of frequent recurrence. Patient responded initially to topical triamcinolone acetonide and low dose<br>prednisolone. Two weeks later, there was a recurrence of oral aphthous with erosions on the oral mucosa<br>with skin and genital lesions. A diagnosis of Erythema Multiforme major was made and patient placed on<br>a higher dose steroid with resultant healing. There was another recurrence with lip crusting, sore throat,<br>skin lesions, conjuctival inflammation and genitalia ulcerations. We then made a diagnosis of Behcet’s<br>syndrome. Patient was placed on Dapsone resulting in complete resolution of the lesions with no<br>recurrence within and after three months of several recall visits.<br>Conclusion: A case of Behcet’s syndrome that affected the oral mucosa initially and later, the conjunctiva,<br>the skin, and the genitalia in a 36 year-old female. Health professionals should be aware of this rare<br>condition.</p> DS Okoh P Emualosi P Izevbigie P Izevbigie M Okoh Copyright (c) 2020 2020-11-30 2020-11-30 5 2 104 109 SPONTANEOUS OPENING OF IMPERFORATE HYMEN IN AN ASYMPTOMATIC FIVE YEAR OLD NIGERIAN GIRL https://edonmajournal.com/pub/index.php/nma/article/view/99 <p>Aim: To present a rare case of spontaneous rupture of asymptomatic imperforate hymen.<br>Case report: Spontaneous rupture of the hymen has been reported in neonates and adolescent girls<br>with symptomatic imperforate hymen (when neonates present with hydrocolpos, hydrometrocolpos, or<br>mucocolpos; and adolescent girls present with haematocolpos, and hematometra), but to the best<br>knowledge of the researcher, no case of spontaneous rupture of imperforate hymen has been reported<br>in asymptomatic preadolescent girls. We present a 5 year old girl who had spontaneous rupture of<br>asymptomatic imperforate hymen.<br>Conclusion: The occurrence of spontaneous rupture of hymen should be considered not only in<br>neonates and adolescents with symptomatic imperforate hymen, but also in asymptomatic young girls.</p> IG Enato IK Akhimenho ES Omozuwa Copyright (c) 2020 2020-11-30 2020-11-30 5 2 119 125