Anophthalmia and serious microphthalmia are conditions characterized by the complete lack of the primary optic vesicle or the presence of the rudimentary eye-like structure. These are rare prenatal conditions, yet diagnoses remain a challenge in Black African areas, raising a major concerns surrounding care after birth. This paper reports a case of anophthalmia and serious microphthalmia, the diagnosis of which was not possible despite many ultrasounds undergone by the mother during pregnancy.
La cataracte demeure la première cause de cécité dans les pays en voie de développement posant un problème de santé publique. Le but de cette étude est de faire le bilan d'une activité de chirurgie avancée de la cataracte par la technique dite de « phacoalternative » ou par tunnélisation. Il s'agissait d'une étude prospective de base réalisée au Burkina Faso portant sur la chirurgie de la cataracte par la technique de tunnélisation. L’âge moyen de nos patients atteints de cataracte était de 62,47 ± 12,77 ans avec un sex-ratio de 0,98. La majorité des patients opérés (82,82%) étaient des cultivateurs et des ménagères. L'acuité visuelle de loin était réduite à la perception lumineuse dans 68,70% des cas. La profondeur moyenne de la chambre antérieure était de 2,98 ± 0,53 mm. L’épaisseur moyenne du cristallin était de 3,55 ± 0,75 mm. La longueur axiale moyenne de l’œil de nos patients opérés de la cataracte était de 22,88 ± 0,90 mm. La puissance réfractive moyenne estimée de la cornée était de 43,21 ± 2,03 dioptries chez nos patients. La puissance moyenne estimée de l'implant intra oculaire (IOL) utilisé était de23,11 ± 2,35D. La majorité (79,6%) de nos patients avait une bonne acuité visuelle après la chirurgie de la cataracte par tunnélisation. La chirurgie de la cataracte par tunnélisation est une technique révolutionnaire adaptée aux pays pauvres d'Afrique. Elle permet une lutte efficace à moindre coût contre la cécité par cataracte dans nos régions. La tunnélisation est une technique chirurgicale adaptée pour lutter efficacement contre la cécité due à la cataracte en Afrique.
Trilateral retinoblastoma (TRB) is a syndrome consisting of unilateral or bilateral hereditary retinoblastoma (RB) associated with an intracranial neuroblastic tumor. It is an eye-brain disease uncommon combination of eye and brain clinical manifestations. Its diagnosis and its treatment are a problem in developing countries. We report the case of a TRB supported by a literature review.
Primary open-angle glaucoma (POAG) is an anterior optic neuropathy, of chronic and progressive course, characterized by papillary and campimetric alterations. It is the second leading cause of blindness worldwide. Its insidious evolution, without clinical manifestation perceived by the patient, is inexorably towards irreversible blindness. Early diagnosis and management are crucial to prevent this fatal outcome. All health personnel should be a relay of awareness and communication on priority and especially potentially blinding diseases such as glaucoma. This chronic pathology has an impact both on the individual and on society as a whole, as it affects young adults in professional activity. Thus it acts on the productivity of the latter who constitute the working population of a nation. From these facts arise the interest of a good knowledge of the warning signs by a greater number of medical personnel in order to quickly direct patients to specialists for adequate care. The aim of this study was to assess the degree of knowledge of the disease and to determine its epidemiological and clinical characteristics among the health personnel working at the Gagnoa General Hospital. At the end of the study, the lack of knowledge of glaucomatous pathology by medical staff was highlighted. Community awareness, systematic screening of subjects from quarantine, ongoing training of medical staff on glaucomatous disease that will help reduce the prevalence of glaucomatous blindness.
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