Rheumatoid arthritis (RA) is a systemic inflammatory disease that primarily affects the joints and may also manifest with extra-articular symptoms. Ocular involvement is common in patients with rheumatoid arthritis and may represent the main clinical manifestation of the disease. Aim: To study the epidemiological and therapeutic particularities of ocular manifestations during rheumatoid arthritis in Conakry. Material and Methods: This was a descriptive cross-sectional study of 6 months duration from 1 January to 30 June 2018 on patients with RA. All patients with chronic inflammatory rheumatism in whom the diagnosis of rheumatoid arthritis had been made according to the diagnostic criteria of the American College of Rheumatology (ACR) 2010 and these patients benefited from a complete ophthalmologic examination. Results: We enrolled 22 patients. The mean age was 43.45 ± 16.07 years (range 21 and 79 years). The mean age at onset of symptoms was 39.4 years with a mean time to diagnosis of RA of 3.9 years. Females dominated with 77.27% of cases with a sex ratio of 0.22 M/F. Photophobia (39.29%), xerophthalmia (31.82%), lacrimation and decreased vision 5 cases or 22.73 each, pruritus (9.09%), foreign body sensation and red eye with 2 cases each or 9.09% were the most frequent symptoms. The different ophthalmological diagnoses found were dry eye 19 cases or 86.36%, allergic conjunctivitis 4 cases or 18.18%, ametropia 3 cases or 13.64%, cataract 2 cases or 9.09%, superficial punctate keratitis 2 cases or 9.09% and chronic glaucoma 1 case or 4.55%. The management of dry eye was based on tear substitutes. Cataract cases (9.09%) required surgical intervention while patients with ametropia (13.04%) received optical correction. Cases of allergic conjunctivitis (18.18%) were reported. Conclusion: Good coordination between the ophthalmologist and the rheumatologist is necessary to optimize the management of patients with rheumatoid arthritis.
Introduction: Hypertensive retinopathy is the set of retinal and papillary manifestations secondary to acute or chronic acute or chronic high blood pressure. Its frequency increases with age in women, its treatment requires the balance of blood pressure figures. Purpose: To study in women the epidemiological, clinical and therapeutic aspects of Hypertensive retinopathy at the application center of the Diploma of Specialized Studies in Ophthalmology (CADES/O). Patients and Methods: Prospective study conducted on 92 women who met the inclusion criteria over a period of six (6) months, from October 1, 2021 to March 31, 2022 in whom the diagnosis of Hypertensive Retinopathy was retained according to the Kirkendall classification. Results: We collected 92 patients with an average age of 57.88 years. The hypertensive Retinopathy was present at 61.75%. The age group of 60 -69 years was the most represented at 40.22%. The socio-professional stratum most affected was housewives. The duration of the evolution of high blood pressure was from 2 -5 years representing 57.61% of our study cases; the most common grade of high blood pressure was Grade II at 60.87%. Treatment of hypertension was irregularly followed in 73.91%. Stage II according to Kirkendall's classification was 58.70% common; the recurrent sign was retinal hemorrhage at 30.43%. Blood pressure balance was the treatment recommended to our patients at 80.48%. Conclusion: Hypertensive retinopathy is common in women and its management remains the balance of blood pressure figures with periodic and multidisciplinary monitoring.
operative complications such as corneal edema in 15 patients (24.6%) and hyphema in 3 patients (4.9%). Late postoperative complications were dominated by capsular fibrosis encountered in 42.89% of our patients. The causes of failure after cataract surgery were dominated by selection errors which accounted for 36.06% followed by late postoperative complications 34.43%. Conclusion: Like any surgery, cataract surgery can often be marred by various complications often occurring during the intraoperative or postoperative period. These complications in addition to negligence and/or non-deep analysis of certain cases (selection) are often associated with poor functional recovery.
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