Etiological Factors Contributing to Orbital and Oculoplastic Conditions at University Teaching Hospital in Zambia: A Comprehensive Analysis

Juliet Mulenga *

Public Health for Eye Care, London School of Hygiene and Tropical Medicine, United Kingdom.

Brian Ng’andwe

University of Teaching Hospitals-Eye Hospital, Lusaka, Zambia.

Phyliss Moonga

National Eye Coordinator Ministry of Health, Lusaka, Zambia.

John Buchan

London School of Hygiene and Tropical Medicine, International Centre of Eye Health, United Kingdom.

Allen Foster

London School of Hygiene and Tropical Medicine, International Centre of Eye Health, United Kingdom.

*Author to whom correspondence should be addressed.


Abstract

Purpose: Orbital, Oculoplastic including Ocular Oncology are not only sight threatening but potentially life threatening. This study examines the causes of these conditions at University Teaching Hospitals-Eye Hospital in Lusaka Zambia.

Methods: A retrospective review of 150 case files of patients with an Orbital, Oculoplastic and Ocular Oncology diagnosis presenting at UTHs-EH over a 4-year period, 2018-2021.

Results: Of the 150 cases 54% were under the age of 40 years.  The most common condition seen was squamous cell carcinoma of the conjunctiva (SCC), usually confined to the globe, but sometimes spreading to the orbit. There was a positive association between HIV infection and SCC.

Conclusion: This study at University Teaching Hospital revealed a spectrum of orbital and oculoplastic diseases, with Squamous Cell Carcinoma emerging as a predominant concern. The insights gained pave the way for enhanced service delivery.  These findings, while specific to Zambia, hold relevance for the broader African context, offering a basis for future assessments, interventions, and policy enhancements.

Keywords: Oculoplastic, ocular diseases


How to Cite

Mulenga , J., Ng’andwe , B., Moonga , P., Buchan , J., & Foster , A. (2024). Etiological Factors Contributing to Orbital and Oculoplastic Conditions at University Teaching Hospital in Zambia: A Comprehensive Analysis. Ophthalmology Research: An International Journal, 19(1), 19–25. https://doi.org/10.9734/or/2024/v19i1410

Downloads

Download data is not yet available.

References

Guthoff R, Katowitz J, editors. Oculoplastics and Orbit [Internet]. Berlin, Heidelberg: Springer; 2007. Available:http://link.springer.com/10.1007/978-3-540-33677-8 [Accessed on 2022 May 3]. (Essentials in Ophthalmology).

Balogun BG, Adekoya BJ, Balogun MM, Ehikhamen OA. Orbito-oculoplastic diseases in lagos: a 4-year prospective study. Middle East Afr J Ophthalmol. 2014; 21(3):236–9.

Omotoye OJ, Ajayi IA, Kumolalo FE. Analysis of Ophthalmic Plastic Procedures in a Tertiary Centre. J Health Sci Res. 2018;2(2):1–4.

Tan MCJ, Young S, Amrith S, Sundar G. Epidemiology of oculoplastic conditions: the Singapore experience. Orbit Amst Neth. 2012;31(2):107–13.

Ackuaku-Dogbe E. Histopathological features of tumours of the orbit and Adnexia seen in Korle-Bu teaching Hospital Ghana. West Afr J Med. 2012;31 (1):58–62.

Idowu OO, Oldenburg CE, Vagefi MR. Oculoplastic surgical services in Nigeria: status and challenges. Int Ophthalmol. 2020;40(1):109–16.

Rokia BC. Epidemiological profile of orbital tumors in children and teenagers in Abidjan: A Review of 79 Cases in the Ophthalmology Department of Treichville University Hospital (Côte d’Ivoire). 2018;5.

Khandekar R, Al-Towerki A, Alkatan H, Al-Mesfer S, Abboud E, Al-Hussain H, et al. Ocular malignant tumors: Review of the Tumor Registry at a tertiary eye hospital in central Saudi Arabia. Saudi Med J. 2014;35:377–84.

Julius P, Siyumbwa SN, Moonga P, Maate F, Kaile T, Kang G, et al. Clinical and Pathologic Presentation of Primary Ocular Surface Tumors among Zambians. Ocul Oncol Pathol. 2021;7(2):108–20.

Gichuhi S, Kabiru J, M’bongo Zindamoyen A, Rono H, Ollando E, Wachira J, et al. Delay along the care-seeking journey of patients with ocular surface squamous neoplasia in Kenya. BMC Health Serv Res. 2017;17(1):485.

Fasina O. Ocular surface squamous neoplasia at a tertiary eye facility, Southwestern Nigeria: a 10-year review. Int Ophthalmol. 2021;41(10):3325–31.

Gichuhi S, Sagoo MS, Weiss HA, Burton MJ. Epidemiology of ocular surface squamous neoplasia in Africa. Trop Med Int Health. 2013;18(12):1424–43.