Analysis of Ophthalmic Plastic Procedures in a Tertiary Centre

Orbito-oculoplastics diseases and deformities tend to impact negatively on the psycho-social, economic as well as the educational achievement of affected persons. Ophthalmic plastic procedures are performed to improve the appearance and function of the eyelids and face of the affected person. Purpose: To determine the prevalence and indications of oculoplastic procedures in oculopastic subspecialty in order to provide data base for management of ophthalmic plastic conditions in our centre. Method: The clinic and theatre records of all patients that had oculoplastic procedures done from January 2015 – July 2017 were retrieved to obtain demographic characteristics, duration of symptoms, presenting visual acuity and oculoplastic procedures and histo-pathological diagnosis from the records. Results: One hundred and eighty (180) patients had oculo-plastic surgery. This constituted (12.1%) of all surgeries done in this centre. There were 95(52.8%) males and 85 (48.2%) females with a male to female ratio of 1.1:1. Conjunctival disorders 106(58.9%) were the most frequent with two third occurring at 40 years and above. This was followed by disorders arising from trauma with greater than 2/3 occurring at younger age group. Most of the ophthalmic cosmetic procedures were performed in the elderly females while the destructive procedures resulting from trauma were performed in the young males. Conclusion: The incidence of ophthalmic plastic procedure was low. There is need fortraining of more staff with adequate and relevant skill in more advance cosmetic oculoplastic surgery and provision of up to date equipments required for various procedures in order to improve the practice of this subspecialty in this centre.