ABSTRACT
BACKGROUND: Traditional medicine is a constellation of practices, approaches, knowledge, and beliefs, which encompass material-based medicines, spiritual therapies, and manual techniques applied individually or combined. AIM: This study seeks to determine the cost and visual status of traditional eye treatments users among new patients at a health facility. MATERIALS AND METHODS: This is part of the study titled "Traditional eye practices: A facility-based study in North Central Nigeria." It is a cross-sectional, facility-based study conducted between July 2013 and June 2014 on new patients seen in the eye unit of Church of Christ in the Nations Rehabilitation Center, Mangu. Interviewer-administered structured questionnaire was used to gather information on patient demographics; cost of traditional eye medication and manipulations and visual status of new patients were recorded. RESULTS: The use of traditional eye treatment was reported by 134 (4.3%) of the 3113 new patients. Traditional operative couching of lens was more expensive than using traditional eye medications (P < 0.001). Payment modality varied, and poor visual status was significantly higher among traditional eye treatment users (P < 0.001). CONCLUSION: Since most respondents who had their eyes couched or used traditional eye medicine were able to pay such high price with dissatisfaction and poorer visual status, they should be able to pay for modern cataract surgery with good outcome. There is a need for health education of the general public about the deleterious effects of traditional eye treatment.
Subject(s)
Medicine, African Traditional , Humans , Nigeria , Cross-Sectional Studies , Female , Male , Middle Aged , Adult , Surveys and Questionnaires , Medicine, African Traditional/economics , Medicine, African Traditional/methods , Medicine, African Traditional/statistics & numerical data , Aged , Eye Diseases/therapy , Eye Diseases/economics , Young Adult , Adolescent , Visual AcuityABSTRACT
Background: Mucoepidermoid carcinoma (MEC), a tumour previously believed to occur exclusively in the major salivary glands, was atypically recognized in the lacrimal gland. Few ophthalmologists are familiar with this rare neoplasm. Aim: This case is being reported for its rarity and the association with human immunodeficiency virus (HIV). Case Presentation: High-grade MEC of the lacrimal gland of the right eye was diagnosed in an orbital exenteration specimen of a 60-year-old HIV-positive man. He presented to the eye unit of a mission hospital in Jos, Nigeria with significant visual impairment in the right eye and a rapidly growing painful superolateral orbital mass. The tumour invaded and completely obliterated the anterior chamber. The lens, ciliary body, and iris were displaced posteriorly but were free from tumour infiltration. The tumour was exenterated, and the patient was subsequently referred for adjuvant radiotherapy. No evidence of recurrence or metastasis has been noted 15 months post-surgery. Conclusion: Early and decisive surgical intervention in a case of high-grade MEC of the lacrimal gland is crucial in forestalling local invasion as well as distant metastasis. Because of the possibility of local recurrence, adjuvant radiotherapy is required and close follow-up of the patient is warranted.
Base: Mucoepidermoid carcinoma (MEC), une tumeur pensée auparavant ne survenir exclusivement que sur les principales glandes salivaires a été étrangement détecté dans la glande lacrimale. Peu d'Opthamologues sont habitués à ce néoplasme. But: Ce cas est rapporté pour sa rareté et son association avec le Virus de l'Immunodéficience Humaine (VIH). Présentation de Cas: MEC de grade élevé de la glande lacrimale de l'oeil droit a été diagnostiqué sur un specimen d'extenteration orbitale d'un vieil homme de 60 ans, séropositivif. Il présenta à la section des yeux d'un hôpital missionnaire à Jos, Nigeria, un sérieux problème de vision de l'oeil droit et une douleureuse masse orbitale superolatérale poussant très rapidement. La tumeur envahit complètement la membrane/chambre antérieure et l'oblitera. La lentille, le corps ciliaire et l'iris tous déplacés postérieurement étaient épargnés de l'infiltration de la tumeur. La tumeur était exenterisée et le malade recommendé pour une radiothérapie adjuvante. Aucune preuve de resurgence ou de metastasis n'a été enregistrée durant 15 mois d'après chirugie. Conclusion: Une intervention chirugicale décisive à temps dans un cas de grade élevé de MEC de la glande lacrimale est essentiel à empêcher l'invasion locale aussi bien que le metastasis éloigné. Vu la possibilité de résurgence locale, une radiothérapie adjuvante est nécessaire autant qu'un sérieux suivi du malade.