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Epidemiological and Diagnostic Aspects of Childhood Proptosis in Lome (Togo) from 2010 to 2020

Open Journal of Ophthalmology 2023年第4期13卷 333-340页

作者： Nidain Maneh mawuli ayodele komi santos Koffi Sylvain Kawilitetou Dadjo Amouzou Kossi Dzidzinyo Kokou Vonor Didier Koffi Ayena Patrice komi Balo Ophthalmology Department of CHU-Campus University of Lome Lome Togo Ophthalmology Department of CHP-Aneho University of Lome Aneho Togo Ophthalmology Department of CHU Sylvanus Olympio University of Lome Lome Togo Ophthalmology Department CHR-Tomde University of Kara Kara Togo

Background: Although proptosis is rare, it is nevertheless the main sign of orbital disease. Its discovery usually indicates a serious eye disease especially in children. Objective: To determine epidemiological and diagnostic aspects of childhood proptosis in Lome (Togo). Methods: Retrospective cross-sectional study conducted from June 2010 to May 2020, which is 10 years, in the ophthalmology department of CHU-campus of Lome. Files of patients between the age of 0 and 15 who presented a proptosis during the study period were taken into account in the study. Patients with a false proptosis or incomplete records during the study period were not taken into account in the study. Results: The study considered 42 children with an age average of 7.63 years ± 4.96 [4 days;15 years] and a sex-ratio of 1.33. The frequency of proptosis was 0.5% with an average progression of 383.7 days before the first consultation. The proptosis was unilateral in 80.95% of cases. The orbito-cerebral CT scan was done in 47.62% of cases. The proptosis in these patients was predominantly of grade 3 in 45% of cases. The tumor pathologies were at the forefront in 35.71%, dominated by retinoblastoma, and followed by infectious and inflammatory diseases in 14.29%. Conclusion: Childhood proptosis is rare and often indicative of infectious and tumor pathologies in our context. Its diagnosis is delayed, which shows the importance of an early and effective diagnosis. .

关键词： Childhood Proptosis Tumors Infections Lome

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Determinants of the Ophthalmological Follow-Up of Sickle Cell Patients at the National Center of Research and Care for Sickle Cell Patients in Lome-Togo

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Open Journal of Ophthalmology 2023年第4期13卷 341-351页

作者： Nidain Maneh Yawa Edebah Nagbe mawuli ayodele komi santos Dadjo Amouzou Hezouwe Magnang Koffi Sylvain Kawilitetou Kokou Messan Amedome komi Patrice Balo Service d’Ophtalmologie du CHU-Campus Université de Lome Lomé Togo Service d’Ophtalmologie du CHU Sylvanus Olympio Université de Lome Lomé Togo Service d’Ophtalmologie CHP Université de Lomé FSS Aného Togo Département des sciences fondamentales CNRSD Lomé Togo Service d’ophtalmologie du CHU Université de Kara FSS Kara Togo

Objectives: To assess the factors influencing the ophthalmological follow-up of sickle cell patients in Togo. Materials and Methods: The national center of research and care for sickle cell patients (CNRSD) served as study setting. It was a descriptive and analytical study by interview over a three-month period from December 01, 2020 to March 02, 2021. Was included in the study, any patient with sickle cell disease genotype SS or SC, age ≥ 17 years, regularly followed at the CNRSD and having accepted the interview by a survey sheet. Excluded were patients with sickle cell trait genotype AS or AC or with a disability that prevented them from being interviewed. Results: Two hundred and fifty (250) patients with sickle cell disease were interviewed. The mean age was 29.1 years ± 11.12 years [17 years;67 years] and the sex ratio = 0.52. Nine patients over ten (9/10) attended at least secondary school. The jobless represented 25.60% of the total population followed respectively by students and laborers in 20.40% and 16% of cases. Twenty-four percent (24%) of patients were followed up in ophthalmology department. Statistically, there was no significant relationship between level of education (p = 0.4083), occupation (p = 0.6441) and knowledge of the ocular complications of sickle cell disease. Statistically, there was a significant relationship between knowledge of the ocular complications of sickle cell disease and compliance with ophthalmological follow-up (p = 0.0009). Conclusion: The knowledge of eye disorders related to sickle cell disease by patients with sickle cell disease improves their ophthalmological follow-up. Greater awareness on eye disorders related to sickle cell disease by medical staff towards patients with sickle cell disease would improve ophthalmological follow-up. .

关键词： Ophthalmological Follow-Up Sickle Cell Patient Ocular Complications Lome

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Ten Years of Epidemiological and Diagnostic Aspects of Non-Traumatic Anterior Uveitis at Campus Teaching Hospital of Lome-Togo

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Open Journal of Ophthalmology 2023年第3期13卷 280-287页

作者： Nidain Maneh Adakou Aimée Victoire Abaglo Bénédicte Marèbe Diatewa Kanfiaguin Boundja Yawa Ebeva Nagbe mawuli ayodele komi santos Kokou Vonor Kokou Messan Amedome Didier Koffi Ayena Ophthalmology Department University of Lome Lome Togo Ophthalmology Department Teaching Hospital (CHU) Campus Lome Togo Ophthalmology Department University of Kara Kara Togo

Background: Uveitis is a serious disease which dangerous complications can jeopardize the visual prognosis. Anterior uveitis (AU) is the inflammation of the anterior uvea which is composed of the iris and the ciliary body. The objective of the study was to identify the epidemiological and etiological determinants of non-traumatic anterior uveitis at the Campus Teaching Hospital of Lomé. Materials and methods: Retrospective cross-sectional study of the records of patients diagnosed with anterior uveitis (AU) without a notion of trauma in the ophthalmology department of CHU Campus of Lomé from January 1, 2010 to December 31, 2019 (10 years). Results: 141 cases of uveitis, representing a prevalence of 0.18%. Female predominance, with a sex ratio of 0.76. Mean age was 34.74 ± 13.20 years. Decreased visual acuity was the primary complaint (34.40%), followed by ocular pain (28%). Non-traumatic anterior uveitis was unilateral in 87.2% of cases. Retro-corneal precipitates were present in all patients. 61.60% of patients had Tyndall in the anterior chamber. The etiology of non-traumatic AU was undetermined in 76.80% of cases. Toxoplasmosis, tuberculosis and syphilis were the main etiologies found. Conclusion: Non-traumatic anterior uveitis is relatively rare but serious, often affecting young subjects. It is a pathology that engages eye health professionals, not only because of the difficulties involved in diagnosing the etiology, but also because of its progression which sometimes leads to blindness.

关键词： Anterior Uveitis Non-Traumatic Epidemiology Etiology Lome

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Determinants of the Ophthalmological Follow-Up of Sickle Cell Patients at the National Center of Research and Care for Sickle Cell Patients in Lome-Togo

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Open Journal of Ophthalmology（眼科学期刊） 2023年第4期

作者： Nidain Maneh Yawa Edebah Nagbe mawuli ayodele komi santos Dadjo Amouzou Hezouwe Magnang Koffi Sylvain Kawilitetou Kokou Messan Amedome komi Patrice Balo

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Epidemiological and Diagnostic Aspects of Childhood Proptosis in Lome (Togo)from 2010 to 2020

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Open Journal of Ophthalmology（眼科学期刊） 2023年第4期

作者： Nidain Maneh mawuli ayodele komi santos Koffi Sylvain Kawilitetou Dadjo Amouzou Kossi Dzidzinyo Kokou Vonor Didier Koffi Ayena Patrice komi Balo

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Ten Years of Epidemiological and Diagnostic Aspects of Non-Traumatic Anterior Uveitis at Campus Teaching Hospital of Lome-Togo

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Open Journal of Ophthalmology（眼科学期刊） 2023年第3期

作者： Nidain Maneh Adakou Aimée Victoire Abaglo Bénédicte Marèbe Diatewa Kanfiaguin Boundja Yawa Ebeva Nagbe mawuli ayodele komi santos Kokou Vonor Kokou Messan Amedome Didier Koffi Ayena

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Macular Thickness by Optical Coherence Tomography in Normal Togolese Melanoderma Subjects: A Case Study of 338 Eyes

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Open Journal of Ophthalmology 2022年第1期12卷 44-50页

作者： Kossi Dzidzinyo Akoete Djagnikpo Koffi Didier Ayena Kokou Vonor Mawouli ayodele santos Kassoula Batomaguela Nonon-Saa Kokou Messan Amedome Adam Nouhou-Diori Nidain Maneh komi Balo Department of Ophthalmology Sylvanus Olympio University Hospital Lomé Togo Sight & Vision Ophthalmology Clinic Lomé Togo Department of Ophthalmology Secondary Hospital of Bè Lomé Togo Department of Ophthalmology Kara University Hospital Kara Togo Department of Ophthalmology Regional Hospital Center of Aneho Aneho Togo Department of Ophthalmology Campus University Hospital University of Lomé Lomé Togo

Objective: Maculopathies are more and more frequent. For the follow-up of its evolution and therapy, it seems important for us to determine the baseline in normal subjects by Optical Coherence Tomography (OCT). The goal here is to determine the acceptable range of macular thickness in normal black subjects in Lomé. Methodology: This is a retrospective study over a 6-month period. It did not include all patients with retinopathy of any cause, maculopathy, and glaucoma. The analyzed variables were the average macular thickness, the central macular thickness, and the total macular volume. Results: Out of the 433 macular OCT performed, 191 patients were selected;a total of 338 eyes. These included 96 men and 95 women. A sex ratio was 1.01. The median age was 44.1 years with extremes ranging from 10 to 70 years. The average macular thickness was 263.4 μm for the right eye and 263.7 μm for the left eye. The central macular thickness was 174.1 μm for the right eye and 173.3 μm for the left eye. The total macular volume was 7.4 in both eyes. Discussion: No significant statistical difference existed between the two sexes. The average macular thickness found in this study was within the range of normality observed in the literature, which is between 216 and 288 μm. Conclusion: The average macular thickness of the normal subject in Lomé was 263.4 μm.

关键词： Macular Thickness OCT Normal Subject

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