Dépistage du glaucome primitif à angle ouvert au centre national hospitalier et universitaire de Cotonou, Bénin

Incidence of Primary Open-Angle Glaucoma at the Flamboyants Communal Medical Center of Conakry, Guinea

“…The blindness found in more than half of the patients' eyes during screening can be explained by the fact that glaucoma occurred early, asymptomatic at the onset stage and rapidly evolving in melanoderma. This late screening trait has been reported by most African authors[5] [6][7] [8][17]. The delay in diagnosis could be related to the asymptomatic nature of the disease in its early stage and its insidious course where the decrease in vision occurs only at the ultimate stage.…”

“…It is relatively low in a European-type population of the order of 1% of people over 40 years of age, and is higher in blacks where glaucoma is earlier, more severe, and also more difficult to treat [3] [4]. In Africa, some studies have been carried out on the epidemiology of POAG, including the one carried out in Benin by Yehouessi L et al [5] in 2009, and in Mali by Sidibé M et al [6] in 2017, which found a prevalence of 5.5% and 5.68% respectively. In Cameroon, studies conducted by Ellong A et al [7] and Moukouri E and Moli M C [8] found a prevalence of POAG of 4.3% and 1.67% respectively.…”

Glaucomatous Perimetric Alteration at Screening: Experience of Cades/O Donka in Conakry

“…La deuxième altération périmétrique la plus retrouvée était le déficit temporal en forme de coin. Ce qui est différent des résultats de Yehouessi L. et al [15] ainsi que de Tchabi-Hounnou S. et al [9] au Benin qui plaçaient le scotome de Bjerrum au deuxième rang des altérations périmétriques avec respectivement 24% et 30,4%. En effet, la prédominance des altérations telles que le ressaut nasal et le déficit temporal en forme de coin dans notre étude traduirait une atteinte glaucomateuse débutante chez nos patients.…”