Objective: To describe the epidemiological profile and indications of mutilating eyeball surgery in Abidjan. Patients and methods: This is a retrospective descriptive study on the files of eviscerated, enucleated or exentered patients in the Ophthalmology Department of the University Hospital of Yopougon from January 2010 to December 2016. The parameters studied were: socio-demographic characteristics, indications of mutilating surgery, anesthetic technique, operative technique and patient evolution. Results: During the study period, 59 patients underwent surgery for mutilating eye surgery out of a total of 11,114 procedures, a frequency of 0.53%. The average age of the patients was 31 years with extremes of 3 years and 67 years. Men predominated in 62.1% of cases with a sex ratio of 1.64. Patients came from rural areas in 68.5% of cases. The main indications of the mutilating surgery were: post-inflammatory phthisis (58.6%) and tumoral affections (29.31%). Evisceration was the most common operative technique (67.2%). In 68% of cases the interventions were performed under peribulbar anesthesia. Patients with evisceration (67.2%) and enucleation (5.1%) all benefited from prosthetic equipment. Conclusion: The mutilating surgery of the eyeball is responsible for serious psychological and sociological impacts. The seriousness of these repercussions requires primary prevention through early and adequate management of eye conditions.
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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