A copy of this work was available on the public web and has been preserved in the Wayback Machine. The capture dates from 2021; you can also visit the original URL.
The file type is application/pdf
.
Filters
Characteristics and visual outcome of ocular trauma patients at Queen Elizabeth Central Hospital in Malawi
2021
PLoS ONE
To describe the epidemiology and visual outcome of patients with ocular trauma treated at Queen Elizabeth Central hospital in Malawi. Methods A prospective, observational study was undertaken from September 2017 to December 2017. Data on socio-demographic features, aetiology of trauma, type of ocular injury pre-referral pathway and treatment of ocular trauma was collected as the exposure variables. The main outcome variable was best corrected visual acuity at 8 weeks following initial visit.
doi:10.1371/journal.pone.0246155
pmid:33780448
fatcat:s7vs5didgbhz7hna3ytji5bday
more »
... ults A total of 102 patients (103 eyes) with ocular trauma were recruited with loss of follow up of 11 participants at 8 weeks following recruitment. The most affected age group were children under 11 years old (35.3%), followed by young adults of age between 21–30 years (22.5%). The male-to-female ratio for ocular injury was 2.8:1. Most participants had closed globe injuries (n = 72, 70.6%), with over half the population injured by blunt objects (n = 62, 60.8%). Furthermore, among the adult population, majority (n = 19 38%) were injured on the road during assaults (n = 24, 48%), while most paediatric injuries (n = 32, 61.5%) occurred at home during play. The incidence of monocular blindness was 25.3% at eight weeks after the first presentation. Factors that were associated with monocular blindness on multivariate analysis were living in rural areas and open globe injuries. Conclusion Ocular trauma led to monocular blindness in a quarter of the study population. There is need for preventive education of ocular injuries at both family and community level.
Profile of primary childhood glaucoma at a child eye health tertiary facility in Malawi
2022
BMC Ophthalmology
Methodology: Thokozani Zungu, Petros Kayange, Chatonda Manda, Shaffi Mdala, Halima Twabi. Supervision: Chatonda Manda, Gerald Msukwa, Petros Kayange. ...
Authors' contributions Conceptualisation: Thokozani Zungu, Shaffi Mdala, Chatonda Manda, Gerald Msukwa, Chinsisi Namate, Petros Kayange. ...
doi:10.1186/s12886-022-02279-0
pmid:35101025
pmcid:PMC8805399
fatcat:jpfpgni7r5d7njilfpf2grhppi
Ophthalmic features of HIV associated cryptococcal meningitis in Malawian Adults: an observational study
2019
Wellcome Open Research
Review & Editing;
: Data Curation, Investigation, Writing -
Burgess PI
Mopamboli P
Review & Editing;
: Data Curation, Investigation;
: Data Curation, Investigation, Writing -Review & Editing;
:
Manda ...
doi:10.12688/wellcomeopenres.15067.1
fatcat:7yusussrfndybpnrlmugfk4fgy
Ophthalmic features of HIV associated cryptococcal meningitis in Malawian Adults: an observational study
2019
Wellcome Open Research
Review & Editing;
: Data Curation, Investigation, Writing -
Burgess PI
Mopamboli P
Review & Editing;
: Data Curation, Investigation;
: Data Curation, Investigation, Writing -Review & Editing;
:
Manda ...
doi:10.12688/wellcomeopenres.15067.2
fatcat:kew7xp5diremxdeend4uknrrja
Opinions on medical ethics. Do you think doctors are practising compassionate medical ethics?
2008
Malawi Medical Journal
Chatonda Manda Student, College of Medicine "Yes, because of the inclusion of ethics in their training. ...
pmid:19537437
pmcid:PMC3345664
fatcat:b5nj7dhky5cr5nmiokaaul5f2e
Travel burden and clinical presentation of retinoblastoma: analysis of 1024 patients from 43 African countries and 518 patients from 40 European countries
2020
British Journal of Ophthalmology
The travel distance from home to a treatment centre, which may impact the stage at diagnosis, has not been investigated for retinoblastoma, the most common childhood eye cancer. We aimed to investigate the travel burden and its impact on clinical presentation in a large sample of patients with retinoblastoma from Africa and Europe. A cross-sectional analysis including 518 treatment-naïve patients with retinoblastoma residing in 40 European countries and 1024 treatment-naïve patients with
doi:10.1136/bjophthalmol-2020-316613
pmid:32933936
fatcat:fqencaijhjeezi5fjx2ta2djfi
more »
... lastoma residing in 43 African countries. Capture rate was 42.2% of expected patients from Africa and 108.8% from Europe. African patients were older (95% CI -12.4 to -5.4, p<0.001), had fewer cases of familial retinoblastoma (95% CI 2.0 to 5.3, p<0.001) and presented with more advanced disease (95% CI 6.0 to 9.8, p<0.001); 43.4% and 15.4% of Africans had extraocular retinoblastoma and distant metastasis at the time of diagnosis, respectively, compared to 2.9% and 1.0% of the Europeans. To reach a retinoblastoma centre, European patients travelled 421.8 km compared to Africans who travelled 185.7 km (p<0.001). On regression analysis, lower-national income level, African residence and older age (p<0.001), but not travel distance (p=0.19), were risk factors for advanced disease. Fewer than half the expected number of patients with retinoblastoma presented to African referral centres in 2017, suggesting poor awareness or other barriers to access. Despite the relatively shorter distance travelled by African patients, they presented with later-stage disease. Health education about retinoblastoma is needed for carers and health workers in Africa in order to increase capture rate and promote early referral.
Global Retinoblastoma Presentation and Analysis by National Income Level
2020
JAMA Oncology
Early diagnosis of retinoblastoma, the most common intraocular cancer, can save both a child's life and vision. However, anecdotal evidence suggests that many children across the world are diagnosed late. To our knowledge, the clinical presentation of retinoblastoma has never been assessed on a global scale. To report the retinoblastoma stage at diagnosis in patients across the world during a single year, to investigate associations between clinical variables and national income level, and to
doi:10.1001/jamaoncol.2019.6716
pmid:32105305
pmcid:PMC7047856
fatcat:xbvqt3lgnfbkzlgsh2g52owece