Pattern of Presentation of Sickle Cell Retinopathy in Ibadan

Abstract

Background: Sickle cell retinopathy is not uncommon in Nigeria. Most cases of retinopathy occur in patients with the hemoglobin SC genotype. A significant proportion present late. Methods: A review of Thirty three (33) cases of sickle retinopathy seen over 3years (2008-2010) that presented to the retinal unit of the department of Ophthalmology, University College Hospital, Ibadan were reviewed. Demographics and pattern of presentation were recorded in the pro forma prepared for the study. Results: HbSC produces most of the presentations. Male: Female ratio was 3:1. About 2/3 of the patients were below 40 years of age. 24/33 (70%) of the patients presented with proliferative retinopathy. About half of them were blind at presentation. Pan retinal laser photocoagulation is the commonest mode of treatment. The role of AntiVEGF intravitreal injection in the management of sickle retinopathy is discussed. Conclusion: General/Family physicians are to refer patients with sickle retinopathy for regular ophthalmic examinations to identify treatable lesions amenable to intervention.