Browsing by Author "Ashaye, A. O."

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Determinants of utilization of eye care services in a rural adult population of a developing country
(Wolters Kluwer - Medknow, 2016-03) Olusanya, B. A.; Ashaye, A. O.; Owoaje, E. T.; Baiyeroju, A. M.; Ajayi, B. G.
Purpose: To describe the factors that determine the utilization of eye care services in a rural community in South‑Western Nigeria. Methods: A descriptive cross‑sectional survey using a multistage sampling technique was conducted. The main outcome measure was self‑reported previous consultation of an orthodox medical facility for eye care. Results: The study sample included 643 participants. Only 122 (19%) respondents had previously visited orthodox facilities in search of eye care and 24% of those with presenting visual acuity <6/18 had sought eye care. Characteristics associated with previous utilization of eye care services were age of ≥70 years (odds ratio [OR] = 1.7, P = 0.02); male gender (OR = 1.5, P = 0.04); literacy (OR = 1.7, P = 0.007); and residing close to an eye care facility (OR = 2.8, P < 0.001). Blind respondents were three times more likely to seek eye care (P < 0.001). Regression analysis revealed that factors associated with increased likelihood of utilization of eye care services included age ≥70 years; literacy; residence close to an eye facility; being diabetic or hypertensive; history of ocular symptoms, and blindness. Conclusions: These findings suggest that a significant proportion (75%) of adults in the study area are not utilizing eye care services and that blindness is an important determinant of utilization of eye care services. Health education and awareness campaigns about the importance and benefits of seeking eye care early, and the provision of community‑based eye care programs are essential to boost the uptake of eye care services in this community as well as other rural areas of West Africa.
Pterygium treatment using 5-FU as adjuvant treatment compared to conjunctiva autograft
(Nature Publishing Group, 2008) Bekibele, C. O.; Baiyeroju, A. M.; Olusanya, B. A.; Ashaye, A. O.; Oluleye, T. S.
Background The use of conjunctiva autograft, adjunct antimetabolite therapy has been shown to be effective in preventing pterygium recurrence. Objective To compare 5 fluorouracil (5-FU) to conjunctival autograft in the treatment of large, fleshy pterygium. Methods A randomised controlled prospective study of outcome of pterygium treatment using 5-FU as adjuvant treatment compared to conjunctiva autograft. Thirty-five eyes with large pterygium treated with bare sclera conjunctival excision plus 5-FU were compared with 33 eyes treated with excision and conjunctival autograft alone. Results Post-operative pterygium recurrence was observed in four (11.4%) eyes treated with 5-FU and 4 (12.1%) eyes treated with conjunctiva autograft (P40.05). The post-operative complications included, granuloma formation 11.4% for 5-FU and 3.0% for autograft and conjunctival discharge 5.7% for 5-FU group only. Conclusion 5-FU is marginally superior to conjunctival autograft in the prevention of pterygium recurrence but neither gives a more desirable single digit recurrence rate. Randomised studies combining both conjunctival autograft and 5-FU in pterygium treatment is advocated to further explore their effect.
A sino-orbital scissors foreign body
(2005) Bekibele, C. O.; Ogunleye, A. O. A.; Ashaye, A. O.; Baiyeroju, A. M.; Fasina, O.; Sandabe, M. B.; Aluko, A. A.
The case of a sino orbital foreign body from the broken tips of a pair of scissors transversing the floor of the left orbit, left maxillary sinus and left nasal cavity, and which had been left in place for two years because of financial constrains, before its surgical removal without much sequel, is presented. The need for adequate radiological investigations in all cases of head and neck trauma as well as the institution of health insurance in developing / low income economies to cater for indigent patients especially in emergency situations is highlighted.