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Pattern of ophthalmic consult from the ear, nose and throat ward of a tertiary hospital

Objective: To study the pattern and indications for ophthalmic referral of patients with otorhinolaryngology problems. Method: A retrospective study of patients who were admitted into the Ear, Nose and Throat (ENT) ward of the University College Hospital, lbadan and had ophthalmic referral between...

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Published: 2009
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LEADER 00000njm a2000000a 4500
001 oai:repository.ui.edu.ng:123456789/2696
042 |a dc 
720 |a Komolafe, O. O.  |e author 
720 |a Adeosun, A. A.  |e author 
720 |a Baiyeroju, A. M.  |e author 
260 |c 2009 
520 |a Objective: To study the pattern and indications for ophthalmic referral of patients with otorhinolaryngology problems. Method: A retrospective study of patients who were admitted into the Ear, Nose and Throat (ENT) ward of the University College Hospital, lbadan and had ophthalmic referral between July 2000 and June 2004. The parameters evaluated were the demography of the patient, indication for ophthalmic consult, and the contribution of the ophthalmologist towards the management of the patient. Results: Reports on 26 patients on whom ophthalmic consults were sent were available for review. This accounted for 3% of the patients admitted during the period under review. Fourteen (53.8% ) of the consults were sent on account of proptosis and 7 (26.9%) for complaints of poor vision. In 12 (46.2%) of these patients, the otorhinotarfngological diagnosis was sinonasal tumour. The ophthalmologist made positive contributions to the management of 20 (76.9%) of the patients. These included the use of lubricants/protective shield (6 [23.1%]), tarsorrhaphy (3 [11.5%]), antiglaucoma medication (2{7.7%}) and cataract extraction (2[7.7%]). Conclusion: Proptosis milked highest for ophthalmic consult from the ENT ward in this review. Close collaboration between subspecialties should be encouraged when managing visllally-threatening conditions. There is also the need for a standard referral protocol. 
024 8 |a Nigerian Journal of Ophthalmology 17(1), pp. 11-14 
024 8 |a http://ir.library.ui.edu.ng/handle/123456789/2696 
653 |a ENT pathology, 
653 |a ophthalmic consult, 
653 |a proptosis, 
653 |a response time 
245 0 0 |a Pattern of ophthalmic consult from the ear, nose and throat ward of a tertiary hospital