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Barriers to Setting up a Vitreo-retinal Unit of Ophthalmology in Ibadan, Sub-Sahara Africa

Equipment Vitreo‐retinal equipment is expensive and may be beyond the reach of a public hospital such as ours. Donation of the vitreo‐retinal equipment is a welcome development. It is sad to note that the equipment still needs accessories that are not readily available in the developing countries. Minimum requirements include a slit lamp with applanation tonometer and indirect ophthalmoscopy. Other facilities such as fundus photography, fluorescein angiography, and optical coherence tomography are essential. The retinal unit will be incomplete without facilities for ocular ultrasonography, laser photocoagulation, and vitrectomy. Local adaptations are encouraged as is done in developing countries such as India.