September 2016
Volume 57, Issue 12
Open Access
ARVO Annual Meeting Abstract  |   September 2016

Paediatric eye clinic at Mulago Hospital, Uganda: An epidemiological review
Author Affiliations & Notes
  • Harry Posner
    University Hospitals Leicester, Leicester, United Kingdom
  • Marcus Posner
    Central middlesex hospital, London, United Kingdom
  • alistair jones
    royal free hospital, London, United Kingdom
  • Hibaq Ibrahim
    royal free hospital, London, United Kingdom
  • Footnotes
    Commercial Relationships   Harry Posner, None; Marcus Posner, None; alistair jones, None; Hibaq Ibrahim, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science September 2016, Vol.57, 1541. doi:
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      Harry Posner, Marcus Posner, alistair jones, Hibaq Ibrahim;
      Paediatric eye clinic at Mulago Hospital, Uganda: An epidemiological review. Invest. Ophthalmol. Vis. Sci. 2016;57(12):1541.

      Download citation file:

      © ARVO (1962-2015); The Authors (2016-present)

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Purpose :
Mulago hospital is the national referral hospital of Uganda yet there is scant literature on the incidence and prevalence of childhood eye disease in Uganda. To better allocate resources in the paediatric clinic and theatres at Mulago hospital a better understanding of presenting causes is needed. A retrospective observational study was conducted in June 2014.

Methods :
All children presenting to the paediatric clinic at Mulago hospital during the period September 2013 – June 2014 were included. All children were included up until their eighteenth birthday. All presenting complaints were included. Repeat attendances were excluded. Incidence of disease was matched to tribal ethnicity and t-tests were used to determine statistical significance.

Results :
Squint (11%)and cataract (9%) made up a high proportion of presenting complaints. Allergy (8%) and trauma (5%) were similarly prevalent, often presenting late. Trivial factors such as subconjunctival haemorrhage or minor corneal abrasions were rare (<2%). Non-specified visual impairment was recorded as a presenting cause in 10% of admissions.

Conclusions :
Ocular discomfort and stigmatising appearance were two driving factors for presentation to the eye department. Often cost and distance of travel leads to late presentation for even significant ophthalmic pathology.

This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.


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