Introduction: Primary Open Angle Glaucoma (POAG) is a serious condition responsible for irreversible blindness. It is one of the main causes of blindness in developing countries. Purpose: To assess the knowledges, attitudes and practices relating to Primary Open Angle Glaucoma (POAG) in the adult population in northern Benin. Patients and methods: This was a cross-sectional descriptive and analytical study. It concerned all persons aged 18 years old and over. We had done a two-stage sampling. The Chi2 test, at the 5% threshold, had been used to study the associations. Results: Of a total of 560 subjects, 548 (97.85%) participated in the study. The mean age was 33.1 ± 16.5 years. The male sex was more represented (61.13%) with a sex ratio of 1.57. The secondary level was represented with 46.35% (n = 254) and as an occupation, 22.63% (n = 124) were traders. 70.99% (n = 389) of subjects had heard of eye disease, of which only 8.76% (n = 48) had heard of glaucoma. It is called Naradiou in Bariba. But only 1.24% had a good knowledge of the disease. 50% (n = 24) did not known the cause, 4.17% (n = 2) attributed it to the curse and 2.08% (n = 1) to witchcraft. 72.50% (n = 35) knew that glaucoma could progress to blindness and 59.09% (n = 13) thought it was irreversible. 79.17% (n = 38) of subjects knew that there is a treatment, 52.63% (n = 20) said it was medical, 36.84% (n = 14) said it was surgical and 10, 53% (n = 4) thought it is traditional. The attitude was bad in 57.74% of the cases. Education and occupation were significantly associated with glaucoma knowledge and practice, but only gender was statistically related to attitude with a p-value of 0.0052. Conclusion: The level of knowledge of POAG in the adult population in northern Benin is alarming, as is the attitude and the practice which remains to be improved. Communication programs for behavior change must be initiated in order to reduce the rate of blindness linked to this pathology in this population.
Aims: To describe clinical and etiological features of proptosis. Materials and methods:We have conducted a retrospective and descriptive study based on patient's records during 15 years, from January 2001 to December 2015. All patients went through a comprehensive ophthalmologic examination, and orbito-cerebral CT scan. T3, T4, TSH thyroid's hormone dosage was realized upon on the clinical request. The clinical features and the etiologies of proptosis were analyzed.Results: During the period, 46 cases of proptosis were identified. The mean age was 41.2 ± 18.8 [1;79] years. There were 15 men against 31 women with a sex ratio of 0.48. The proptosis was unilateral in 32 cases and bilateral in 14 cases. The proptosis was scaled as grade I was in 22 cases (47.8%), grade II in 20 cases (43.5%) and grade III in 4 cases (8.7%). The proptosis was axial in 38 cases (82.6%). It was painful in 21 cases (45.6%). It was reducible in 23 cases (50%) and pulsatile in one case (2.2%). The etiologies of the proptosis were hyperthyroidism in 16 cases (34.8%) , orbital cellulitis in 12 cases (26.1%), idiopathic orbital inflammatory disease in 9 cases (19.6%), orbital tumors in 8 cases (17.4%) and carotido-cavernous fistula in one case (2.1%). Women were more involved by hyperthyroidism (81.3%), and it was associated with a bilateral proptosis (81.3%), of grade II (68.8%), axial (93.8%) not painful (93.7%) and reducible (93.8%) Conclusion: proptosis is a relatively frequent symptom that can reveal several diseases, some of them can be life threatening.
Aim: Our study aimed to describe the tonometric profile of patients consulting in the Ophthalmology department of University Teaching Hospital of Kara (UTH Kara). Study method: This is a descriptive cross-sectional retrospective study on the files of patients who consulted in the ophthalmology department of the CHU Kara and who performed a tonometric examination over the period from January 1, 2019 to June 30, 2021 i.e. a period of 02 and a half years. Results: During this 30-month study period, 225 patients consulted in the ophthalmology department of University Teaching Hospital of Kara, which corresponds to a six-monthly frequency of 20% (45 patients). The mean age of our patients was 29.78 ± 13.39 years with extremes of 5 and 69 years. The 11 to 21 age group was in the majority. the female sex was predominant (65.78%) with an M / F ratio of 0.52. Pupils / students (48.90%) and civil servants (31.20%) were the majority of the consultants. Eye pain (23.6%), blurring of vision (21.3%), Headache (17.8%) and reduced visual acuity (13.3%) were the main reasons for consultation. The mean intraocular pressure of our patients was 15.46 mm Hg. It was 15.52 mm Hg ± 4.26 in the right eye (OD) and 15.41 mm Hg ± 4.70 in the left eye (OG). In 4.4% of cases, ocular hypertonia between 22 and 29 mmHg was noted. Conclusion: The prevention of the occurrence of glaucoma in isolated hypertonia and better management of known glaucomatous patients seem to justify rigorous tonometric monitoring at all ages.
Aim: To check the short-term tonometric results of SLT in the treatment of primary glaucoma at the open angle and in charge of ocular hypertonias in Togolese people. Methods: A retrospective study was carried out in an ophthalmology center. The first 130 eyes of 72 patients benefited from the SLT laser procedure. The tonometric controls work object focus on follow-up at 1, 3, and 6 months post laser treatment. Results: 130 eyes of 72 patients were collected. The average age of the patients was 49.74 years (± 17.45) and the ages vary between 10 and 85 years. The average IOP of the laser before the laser (J0) was (24.99 ± 8.41) mm Hg. The mean IOP at the post-laser control at 1 month was (18.79 ± 3.73) mm Hg. The average IOP for the post-laser control at 3 months was (18.44 ± 3.81) mm Hg. The mean IOP at the post-laser control at 6 months was (18.13 ± 3.63) mm Hg. The percentage reduction in intraocular pressure compared to IOP was pretreated from 20.2% to 1 month; 22.1% at 3 months; and 23.3% at 6 months. In 1 European Scientific Journal October 2017 edition Vol.13, No.30 ISSN: 1857 -7881 (Print) e -ISSN 1857 272 month, 49.2% of the eyes we treated showed a reduction in IOP of less than 20% compared to IOP pretreatment. After 3 months and 6 months, it was 55.4% higher. Also, 52.3% have a PIO reduction percentage which is greater than or equal to 20% compared to pre-treatment IOP. Discussion: Selective laser trabeculoplasty, most especially, is interesting in ocular hypertonies. Treatment of over 180 ° allows one patient out of two to have a pressure reduction that is greater than or equal to 20%. Conclusion: The SLT presents a significant advantage for our glaucomatous patients. Keywords: Glaucoma, ocular hypertension, SLT, IOP reduction RésuméBut: vérifier résultats tonométriques à court terme de la SLT dans le traitement du glaucome primitif à angle ouvert et dans la prise en charge des hypertonies oculaires chez le patient togolais. Méthodes: étude rétrospective réalisée dans un centre d'ophtalmologie. Les 130 premiers yeux de 72 patients ont bénéficié d'une procédure de laser SLT. Les contrôles tonométriques objet de ce travail portent sur le suivi à 1, 3 et 6 mois post traitement laser. Résultats: 130 yeux de 72 patients avaient été colligé. La moyenne d'âge de nos patients était de 49,74 ans (±17,45) et les âges variaient entre 10 et 85ans. La moyenne de la PIO avant le laser (J0) était de (24,99 ± 8,41) mm Hg. La moyenne de la PIO au contrôle post laser à 1 mois était de (18,79 ± 3,73) mm Hg. La moyenne de la PIO au contrôle post laser à 3 mois était de (18,44 ± 3,81) mm Hg La moyenne de la PIO au contrôle post laser à 6 mois était de (18,13 ± 3,63) mm Hg. Le pourcentage de réduction de la pression intra oculaire par rapport à la PIO pré traitement était de 20,2% à 1 mois. ; 22,1% à 3 mois et 23,3% à 6 mois. A 1 mois, 49,2% de nos yeux traités présentaient un pourcentage réduction de la PIO inferieure à 20% par rapport à la PIO pré traitement. A 3 mois et 6 mois ils étaient respectivement de 55,4%...
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