Ocular Surgical Pathologies in Children Aged 0 to 15 Years in the Bartimée Ophthalmological Clinic in Conakry, Guinea

Abstract

Context: Childhood eye health is a real public health problem in our context, the consequences of which go beyond vision, affecting education, social participation and future economic productivity. The aim was to study the frequency of ocular surgical pathologies in children aged 0 to 15 years. Patients and Methodius: This study covered a 4 years period from January 1, 2016 to December 31, 2020. It was a retrospective study of a descriptive and analytical nature. It concerned all children aged 0 to 15 who had undergone surgery for ocular pathology during the study period and who were included in the operating room register. Results: Out of 4974 patients of all ages operated for ocular surgical pathology, 124 were children aged 0 to 15 years or 2.49%. The 9 -12 age group was the most represented with 29.03%; the mean age was 7.3 years ± 4.6 with extremes of 3 months and 15 years. A male predominance was observed at 62.90%. Pathologies of the lens, cataract and eyelids, traumatic edema represented the most frequent eye conditions in our patients with respectively 51 cases or 41.13% in the right eye (OD), 54 cases or 53.55% in the left eye (OG) and 14 cases or 11.29% in OD and OG followed by endemic limboconjunctivitis of the tropics (LCET), 10 cases or 3.23%, in OD and hemorrhage under conjunctival 13 cases or 10.48% in OG. Cataract surgery with the Technique Manuel Small Incision Cataract Surgery + Implantation in the posterior chamber (MSICS + ICP) was the most used in 74% of cases. General anesthesia was the most widely used anesthetic method in 100% of cases. The clinical course was favorable at 45.97%. Conclusion: We note a relatively low hospital frequency of ocular surgical pathologies in children, with a male predominance. The early consultation period and the im-

Prevalence of Ocular Trauma at the Reference Health Center (CSREF) of Kati

“…Our results are comparable to those of Traoré M [17] and Sovogi [15] who respectively found a predominance of contusions in 53.4% and 63.6% of cases.…”

“…Our frequency was also close to that of Sovogi [15] in Guinea and G. Yaya [16] in Bangui, who have found a respective prevalence of 5.9% and 8.1% in children aged 0 to 15 years and comparable to those of Traoré M [17] in Fana, Kokou Vonor in Kara, Togo [18] and Chua in India who respectively noted a frequency of 6.18%, 8.81% and standardized 5.1% (n = 162; 95% CI 4.3% to 6.1%) [19].…”

“…The age group of 30 to 45 years was predominant with 31.69%. Our predominant age group is almost similar to Ebana MSR [14] who found the 30 -44 age group with 41.7% and comparable to that of Sovogui [15] which found the 20 -…”

“…This slight predominance is contrary to what has been observed in most studies, a male predominance, this is the case of: Sissoko [5], Bakayoko [10]; Trunk [13], Traoré M [17] and Cheick Sidi [20] in Mali which recorded respectively 60.87%; 68.24%; 52.94%; 68.2% and 68.5%; somewhere else Sovogi [15] in Guinea, Lam [9] in Senegal, Doutetien et al [11] in Cotonou, Bella-Hiag [21] in Douala and have recorded respectively 60.4%; 69.4%; 62.4%; and 64%. Elsewhere, Voon LW in Singapore found that trauma cases were more likely to be male (OR: 4.2, 95% CI: 3.0, 5.4) [22].…”

“…In the study by Doutetien et al [11] the circumstances in which the trauma occurred were dominated by playing accidents in 41% of cases as well as that of Diallo Aziz [23] in 31.9% of cases. On the other hand according to G Yaya et al [16] it is mistreatment with 25.9% of cases which predominates in Bangui among children, according to Sovogui [15] Work accidents predominate in 42.7% of cases in Guinea. Elsewhere, Voon LW in Singapore found that workplace accidents were the most common cause and accounted for 71.4% [22].…”