There was (1) Bilateral Cataract Case i.e same patient with left and right eye surgeries.
All patients had intraocular lens (IOL) implants during surgery. None of the patients presented wounded leak at post-op.
S/N |
L.G.A |
Allocated No. of Patients For Screening |
Number Of Patients Screened |
Actual No. of Surgeries Performed |
1 |
Baure |
100 |
103 |
91 |
2 |
Mai-Aduwa |
100 |
83 |
74 |
|
Zango |
100 |
54 |
50 |
3 |
Sandamu |
100 |
50 |
44 |
4 |
Daura |
100 |
102 |
81 |
5 |
Others |
- |
5 |
5 |
6 |
TOTAL |
500 |
397 |
345 |
52 Nos. patients out of the 397 Nos. patients screened did not undergo surgery as a result of one of the following conditions which was detected at the final screening carried out just before being admitted into the Theatre Room. The conditions are:
High Blood Pressure
High Urine Sugar
Infection in the eye(s) to be operated on.
Overall, we were able to achieved 69.2% or 346 surgeries of the targeted 500 surgeries.
VISIT OF SPONSOR
The Chairman Board of Trustees of the sponsor of Eye Camp – Maryam Endowment Trust Fund, Alhaji Sani Zangon Daura, visited the Camp on the 4th day, i.e 27th December, 2009 in the company of HRH Emir of Daura Alhaji Umar Farouk Umar. The delegation went round the Camp, starting with Biometry Screening Room, Anaesthesia Room, and the Theatre they witnessed the Eye Surgery in progress. They then visited the patients that had undergone surgery in the Wards.
DETAILS OF PROCEDURES BY AGE GROUP – MALE
S/N |
AGE GROUP (years) |
RE |
LE |
Total |
1 |
<20 |
1 |
1 |
4 |
2 |
21 - 45 |
4 |
1 |
5 |
3 |
46 - 70 |
56 |
51 |
115 |
4 |
>70 |
24 |
16 |
34 |
|
TOTAL |
85 |
69 |
158 |
DETAILS OF THE PROCEDURE BY AGE GROUP – FEMALE
S/N |
AGE GROUP (years) |
RE |
LE |
TOTAL |
1 |
< 20 |
3 |
1 |
4 |
2 |
21 - 45 |
4 |
1 |
5 |
3 |
46 - 70 |
64 |
51 |
115 |
4 |
> 70 |
18 |
16 |
34 |
|
TOTAL |
89 |
69 |
158 |
Table 1 – 5 give the breakdown of the Daura 2009 Eye Camp details.
It can be seen from Table 3 that the highest number of Cataract Surgeries were performed on patients that fell within the 46 – 70 years age group.
SCREENING OF PATIENTS
The Pre-Camp screening for each of the LGs was carried out in their designated respective District Headquarters, i.e Baure, Maiaduwa, Zango, Sandamu and Daura by Ophthalmic nurses.
The main screening exercises were undertaken over a two day period (18th & 19th December, 2009). Screening of patients continued during the camp as more patients trickled in.
The sponsor (M.E.T.F) provided all the screening drugs and consumables.
The target for the Eye Camp was 500nos. patients, allocated as follows:
Finally, the delegation took part in the post operation exercise – removal of the bandages, application of eye drops and dispensing of drugs to discharged patients.
In the evening, HRH Emir of Daura Alhaji Umar Farouk Umar invited the Team of doctors, ophthalmic nurses and representatives of the sponsor to dinner at his palace. He also presented the doctors with gifts as a further expression of his gratitude to the doctors as well as the sponsor.
LOGISTICS
The patients were transported into Daura from their respective District Headquarters by the sponsor. They were camped at the Govt. Day Secondary School Daura, Where they were tagged prior to being taken into the eye Centre within the Daura General Hospital For the surgery. The Sponsor provided matresses, blankets, some utensils, mats etc. for the comfort and convenience of the patients.
The sponsor provided diesel for the 2nos. generators at the hospital to ensure uninterrupted power supply throughout the period of the Eye Camp.
Lodging for the visiting Doctors was provided by Alhaji Musa Umar Daura (Magajin Garin Daura).
Lodging for Ophthalmic Nurses was done by the sponsor.
Feeding of the Doctors, Nurses and Patients was done by the sponsor, Some aspect of the feeding of the doctors (breakfast) was also done by the magajin Magajin Garin Daura.
A mini bus used for the conveyance of the Doctors was provided by the Hon. Speaker, Katsina state House of Assembly, Alhaji Ya’u Umar Gojo, While a pick-up truck used for the transport of Medical Equipment was provided courtesy of the Chairman, sandamu local Government.
FINANCIAL EXPENDITURE FOR THE DAURA, DEC. 2009 CAMP
|
Naira |
US Dollars |
FIMA Contribution |
- |
25,000,00 |
Pre- Camp Expenses |
976.380.00 |
- |
Camp Expenses |
3,240,812.00 |
- |
Air Tickets |
- |
60,000,00 |
TOTAL |
4,217,192.00 |
31,000,00 |
|
|
|
Note:* FIMA Contribution was waved for Daura, 2009 Eye Camp But will apply in subsequent Camp(s).
OBSERVATIONS AND RECOMMENDATIONS:
A highly satisfactory level of care was maintained for the patients both at the holding camp (Day sec, school) and the hospital wards. The maximum stay being not more than 24hours before the patients were discharged.
Basic investigations (Urine for surger, High Blood Pressure, Eye Infections etc) were carried out on the patients during screening, thus confirming them for surgery. Several patients rejected as they were flagged when these test were conducted on them.
Early preparation, primarily the early release of funds by sponsors to FIMA secretariat for early dispatch of supply.
Notification and/or disclosure to federal Government Agencies, such as NAFDAC and the Nigeria custom service, of the proposed Eye camp(s) to be held and the list of the quantities of supplies and consumables being imported.
Registration of the Visiting Doctors with the Nigeria Medical Association. Seven of the Doctors the Doctors that participated in the just concluded camps have successfully been registered.
There is the need for the provision of the Identification of tags in the subsequent camp(s) so as to clearly identify key camp Personnel.
Measures should be put in place for the patients to wash their faces, hands and feet before entering the theatre and also for the patients to be provided with theatre gowns before surgery. This will minimize infections.
Bilateral case should be flagged during pre-camp screening to ensure adequate spacing between surgeries.
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