Facteurs de Risque du Décollement de Rétine au Togo

Maneh, Nidain; Moyou, Danièle Christelle Tchapbou; Saa, Kassoula Batomaguela Nonon; Amedome, Messan Kokou; Dzidzinyo, K; Diatewa, Bénédicte Marèbe; Ayena, K.D.; Banla, M.; Balo, K.P.

doi:10.11604/pamj.2017.28.74.13418

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…This means that the true prevalence is unknown and there is a potential public health problem. A study from Togo revealed that Sickle cell disease is the cause of 16% of retinal detachments [22]. They concluded that sickle cell disease is a significant major risk factor(p=0.0003) for tractional retinal detachment, a type of retinal detachment that can be surgically challenging.…”

Section: Discussionmentioning

confidence: 99%

“…They concluded that sickle cell disease is a significant major risk factor(p=0.0003) for tractional retinal detachment, a type of retinal detachment that can be surgically challenging. [22]. Sickle Cell retinopathy can cause severe eye disease resulting in visual loss, and patients must be educated and encouraged to get early screening [23] .…”

Section: Discussionmentioning

confidence: 99%

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Knowledge, beliefs and practices regarding sickle cell eye disease of patients at the sickle cell unit, Jamaica

Mowatt¹,

Ajanaku²,

Knight‐Madden³

2019

Pan Afr Med J

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Introduction Sickle cell disease can result in visually threatening eye disease (proliferative sickle cell retinopathy). This can be prevented with timely eye screening. It is important for patients to understand their role. Our research is to determine the knowledge, beliefs and practices (KBP) regarding eye disease of Sickle Cell patients and the impact of genotype, demographic and socio-economic status. Methods Cross-sectional study at the Sickle Cell Unit, Jamaica during May 2016. Consecutive non-pregnant adults (>18 years of age) attendees, who were not acutely unwell, were invited to participate. A 26-item single interviewer administered questionnaire was used to obtain socio-demographic data, highest level of education completed, employment status, sickle cell genotype, if known, frequency of clinic attendance and patients' knowledge, beliefs and practices. Ten of these were yes/no questions, whereas eight required that they choose correct answers from four choices. Results One hundred subjects were recruited, 72% had homozygous SS disease. Their ages ranged from 18-63 years (mean 34.1 years, SD11.3). Fifty six percent were female. Most (75%) had achieved at least secondary education. The majority (62%) were unemployed. The mean belief score was 3.6/6(60%) and the mean knowledge and practice scores were 3.3/7(47%) and 2.2/5(44%) respectively. Milder genotypes had higher knowledge scores vs the more severe genotypes (4.0 vs 3.2, P=0.013). Only 28% had regular eye examinations; less than 50% had seen an ophthalmologist in the past year. Practice scores were higher in employed than in unemployed patients (2.6 vs 1.9, (P=0.04)). Employed patients were more likely than the unemployed to see their eye doctor for regular eye “examinations” (42.1% vs 19.4%, χ2=6.0, P=0.02). The practice and knowledge scores correlated (r 2 =0.363, P<0.001) and belief score (r 2 =0.304, P =0.002), except where 98% believed they should see an ophthalmologist annually, but only 42% did, and 21% had never. Conclusion Knowledge scores were fair, however, the practice was not always in keeping with knowledge.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Knowledge, beliefs and practices regarding sickle cell eye disease of patients at the sickle cell unit, Jamaica

Mowatt¹,

Ajanaku²,

Knight‐Madden³

2019

Pan Afr Med J

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“…The use of vitrectomy in Sub-Saharan Africa has been limited due to low resources and lack of skilled manpower [116]. Maneh et al looked at the risk factors for retinal detachments in Togo and found that patients with SCD accounted for 16% of cases that presented with retinal detachments [117].…”

Section: Improving Surgical Outcomesmentioning

confidence: 99%

The past, present and future management of sickle cell retinopathy within an African context

Amissah-Arthur

Mensah

2018

Eye

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Sickle cell retinopathy is a potentially blinding condition that affects young people in the working age group. This review looks at the past, present and future management of sickle cell retinopathy within an African context. After Sickle cell disease was first reported in 1910, some reports from Africa were pivotal in describing the retinal changes associated with the disease. It soon became obvious that there was a varied clinical picture and clinical course. Several landmark studies were carried out in Jamaica to help elucidate the complexities of the disease and outline appropriate clinical management. In most of the developed world, the clinical management of sickle cell disease has improved with concurrent improvement in outcomes. Currently resource constraints in most Sub-Saharan African countries where there is a high burden of disease means that the management of sickle cell retinopathy is fraught with numerous challenges. Future large scale trials in Africa shall hopefully help to better elucidate the mechanisms behind proliferative sickle retinopathy and help in the development of new and improved therapeutic pathways. The use of technology can help immensely in the screening of patients with sickle cell to detect early proliferative changes and if necessary treat accordingly.

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Management of a rhegmatogenous retinal detachment in a low-resource setting: treatment options when there is no vitreoretinal surgeon

2018

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We discuss the case of a 49-year-old soldier with a macula-on rhegmatogenous retinal detachment in Sierra Leone. The case highlights the challenge of accessing visually preserving ophthalmic specialist care in sub-Saharan Africa (SSA) for vitreoretinal (VR) disease. It highlights a shortage of VR surgeons in SSA, limited examination facilities, the larger issue of accessing specialist care urgently and the costs associated with accessing surgery out-of-country. It also identifies a shortage in epidemiological data on the issue which limits the assessment of the scale of the problem.

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Facteurs de Risque du Décollement de Rétine au Togo

Cited by 4 publications

References 7 publications

Knowledge, beliefs and practices regarding sickle cell eye disease of patients at the sickle cell unit, Jamaica

Knowledge, beliefs and practices regarding sickle cell eye disease of patients at the sickle cell unit, Jamaica

The past, present and future management of sickle cell retinopathy within an African context

Management of a rhegmatogenous retinal detachment in a low-resource setting: treatment options when there is no vitreoretinal surgeon

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