Contribution of the Fundus Examination in the Management of General Pathologies in Hospital in Lomé-Togo

Abstract

Many general conditions have an impact on the fundus. The purpose of our work was to study the epidemiological profile of patients referred to our service for a review of the fundus and analyze the results. It was a retrospective study description of the examinations of the fundus during the period from January 2016 to December 2017. In the ophthalmology department of the Lomé University Hospital Center, during the study period, 1019 consultations were recorded, of which 727 were for fundus 6.84%. There were 336 men and 391 women, a sex ratio of 0.85. The age group 40-69 years accounted for 61.9%. The frequency of the main reasons for the request was hypertension 54.2% (N = 394); hypertension complicated or associated with other conditions (CKI, CKD, pregnancy and diabetes) accounted for 21.6% (N = 157), headache associated with a decrease in visual acuity 8.25% (N = 60), diabetes 6.46% (N = 47) and sickle cell disease 0.69% (N = 5). Hospitalized patients 52.41% (N = 381). The fundus was abnormal in 546 patients or 75.11%. Hypertensive retinopathy was found 80.21% cases in hypertensive patients, diabetic retinopathy 43.42 in diabetic patients. Diabetics Fundus examination in hospital practice found a retinal lesion in three-quarters of cases. It so important to ask the examination of the fundus most often in the current pactise.

From Bedside to Diagnosis: The Role of Ocular Fundus in Systemic Infections

“…Instances warranting an ophthalmologist's expertise for fundus examination might include, but are not limited to, suspected retinal detachment in the context of sudden onset floaters or flashes, evaluating for hypertensive or diabetic retinopathy in patients with uncontrolled glycemia, evaluating ocular manifestations in auto-immune diseases, examining for papilledema in scenarios of suspected elevated intracranial pressure or-as described in this paper-investigating potential ocular manifestations of systemic infec- Instances warranting an ophthalmologist's expertise for fundus examination might include, but are not limited to, suspected retinal detachment in the context of sudden onset floaters or flashes, evaluating for hypertensive or diabetic retinopathy in patients with uncontrolled glycemia, evaluating ocular manifestations in auto-immune diseases, examining for papilledema in scenarios of suspected elevated intracranial pressure or-as described in this paper-investigating potential ocular manifestations of systemic infections [1,19]. In the subsequent section, an overview of the principal ocular fundus findings in systemic infections, categorized according to etiological agents-bacterial, viral, fungal, and parasitic-will be described.…”